By G.D. Aurbach and Donald B. Mccormick (Eds.)

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I believe that the bulk of the most reliable evidence favors a facultative component to diet-induced thermogenesis in normal man and that the main sources of contradictory results lie in the heterogeneity of the subjects and in certain limitations of the methods and protocols employed. In one of the earliest studies of the reaction to a diet low in protein (Stirling and Stock, 19681, emphasis was on the liver, which showed an increase in a-glycerol-phosphate dehydrogenase, leading to less efficient formation of ATP.

ENERGY BALANCE IN HUMAN BEINGS 19 conditions of diminished glucose metabolism, sympathetic activity is blunted. , 1981). Again, P-adrenergic blockade blunts this thermic effect. This effect is independent of glucose uptake by muscle and can only partially be explained by increased synthesis of glycogen. Fasting causes a decrease in both plasma glucose and insulin. Lilavathana et al. (1978) dissociated the two effects by measuring the insulin response with or without glucose infusion adequate to maintain plasma glucose concentration.

1982) 17-19 - Effect on VOz same No effect onVOp - - (Stepwise) - - - No change Per kg Increased - Nochange - Increased No change - - Gain less than intake attributed to errors. Much individual variation Thermic effect un&ected by beta block. e to account for all ingested energy in excess of maintenance. Activity monitored No increase in thennogenic response to NE No evidence of facultative response; checked only in subjects who gained over 4 kg Studies supporting a facultative component Dauncey (1980) Overfeeding 1 day only; chamber study 6 Low,maintenance, and high intake; constant-proportion mixed diet Webb and Annis (1982) 9 (12X) Dallassoand James (1984) 8 Sehutz et al.

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