Metabolic and hormonal consequences of two different meals after a moderate intensity exercise bout in obese prepubertal children

Eur J Clin Nutr. 2013 Jul;67(7):725-31. doi: 10.1038/ejcn.2013.86. Epub 2013 May 1.

Abstract

Background/objectives: To investigate the relationship between postprandial nutrient balance, satiety and hormone changes induced by two different meals taken after a moderate intensity exercise bout.

Subjects/methods: Ten prepubertal obese children participated in the study. The experiment was designed as a cross-over study for repeated measures. Each test period lasted five consecutive hours during which the children were under medical supervision. The effects of two isocaloric meals were compared after a moderate intensity exercise (4 multiples of resting metabolic rate, 30 min, cycling): a low-fat/high-carbohydrate meal (meal A) and a high-fat/low-carbohydrate meal (meal B). Pre and postprandial (3 h) substrate oxidation, biochemical parameters, gastrointestinal hormone concentrations and appetite were measured.

Results: The main results were: (i) higher fat balance (5.1±5.0 vs -5.0±6.6 g, P=0.001) and lower carbohydrate balance after meal B than A (-9.7±13.3 vs 11.3±18.3 g, P<0.01); (ii) higher energy balance after meal B than after meal A (5.9±21.5 vs -13.9±20.2 kcal, P<0.05); (iii) higher plasma triglyceride concentrations (area under the curve) after meal B than after meal A (2962.5±2095.8 mg*180 min/dl vs -169.5±1633.7 mg*180 min/dl, P<0.01); (iv) higher serum glucagon-like peptide-1 concentrations after meal B than after meal A (1101.5±873.0 pmol*180 min/l vs 478.8±638.3 pmol*180 min/l, P<0.05).

Conclusions: After a bout of moderate intensity exercise, a meal with a high-fat/low-carbohydrate ratio had a less favorable metabolic impact than an isoenergetic, isoproteic low-fat/high-carbohydrate meal.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Appetite
  • Basal Metabolism
  • Blood Glucose / analysis
  • Child
  • Cross-Over Studies
  • Diet, Carbohydrate-Restricted
  • Diet, Fat-Restricted*
  • Diet, High-Fat*
  • Dietary Carbohydrates / administration & dosage
  • Energy Intake
  • Exercise*
  • Glucagon-Like Peptide 1 / blood
  • Humans
  • Insulin / blood
  • Insulin Resistance
  • Meals*
  • Pediatric Obesity / metabolism*
  • Postprandial Period
  • Triglycerides / blood

Substances

  • Blood Glucose
  • Dietary Carbohydrates
  • Insulin
  • Triglycerides
  • Glucagon-Like Peptide 1