Young children have a high resting energy expenditure (REE) relative to their body weight and metabolically active compartment, fat-free mass (FFM). Both body weight and FFM are, however, metabolically heterogeneous and include organs and tissues varying widely in specific metabolic rate (i.e., organ REE/kg/d). One prevailing hypothesis is that most, if not all, of the higher REE observed in young animals and children compared to adults can be accounted for by a larger proportion of high metabolic rate components such as brain, liver, and heart..
FFM was the traditional and only means of adjusting REE for between-individual differences in metabolically active tissue components. The investigators seek to improve the understanding of variation in REE by developing new and improved rapid magnetic resonance imaging (MRI) methods of quantifying some of the major heat producing organs and tissues in children and adults. The long-term aim is to provide an improved understanding of human energy requirements. Specifically, the investigators propose to test whether: 1) a portion of the elevated daily REE adjusted for FFM observed in young children (Tanner Stage 1) could be accounted for by the relative fractions of body mass as high metabolic activity tissues (heart, liver, kidney, brain) and low metabolic activity tissues (skeletal muscle, adipose tissue), 2) a portion of the age-related decline in daily REE adjusted for FFM observed in children could be accounted for by changes in the relative fractions of body mass as high and low metabolic rate tissues during growth.
Study Type
OBSERVATIONAL
Enrollment
49
Dympna Gallagher
New York, New York, United States
Resting energy expenditure in kilocalories
REE is measured by indirect calorimetry over a 30 minute period and extrapolated to a 24 hour period
Time frame: Day 1
Fat mass in kilograms
Measured from a whole-body dual energy X-ray absorptiometry (DXA) scan
Time frame: Day 1
Fat-free mass in kilograms
Measured from a whole-body dual energy X-ray absorptiometry (DXA) scan
Time frame: Day 1
Height in meters
Measured using a stadiometer
Time frame: Day 1
Weight in kilograms
Measured using a calibrated scale
Time frame: Day 1
Liver in kilograms
Total volume measured by MRI
Time frame: Day 1
Heart in kilogram
Left ventricular mass measured by cardiac gated MRI
Time frame: Day 1
Kidneys in kilogram
Total volume measured by MRI
Time frame: Day 1
Spleen in kilograms
Total volume measured by MRI
Time frame: Day 1
Trunk high metabolic rate organs in kilograms
The sum of liver, kidneys, spleen, and heart
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Time frame: Day 1
Brain mass in kilogram
Total volume measured by MRI
Time frame: Day 1
Skeletal muscle mass in kilograms
Skeletal muscle volume measured by MRI
Time frame: Day 1
Residual fat-free mass in kilograms
Fat-free mass minus the sum of kidneys, liver, spleen, heart, and skeletal muscle
Time frame: Day 1
Total body adipose tissue mass in kilogram
Represents the sum of visceral, subcutaneous, and intermuscular adipose tissue by MRI
Time frame: Day 1
Body mass index in kg/m2
Weight and height will be combined to report BMI
Time frame: Day 1
Variability in resting energy expenditure
The collected measures will be aggregated to statistically test the following question: How much of the variability in resting energy expenditure can be accounted for by the mass of the measured organs (liver, kidneys, spleen, heart) and tissues (fat, skeletal muscle, brain) and is the explained variance greater than the variance explained when predicting resting energy explained from a model using fat and fat-free mass alone.
Time frame: Day 1
Change in resting energy expenditure in relation to changes in body composition and organ mass.
A portion of age-related decline (2-years) in daily REE adjusted for FFM observed in children is explainable in part by changes in the relative fractions of body mass as high (brain, heart, liver, kidney) and low (skeletal muscle, adipose tissue) metabolic activity tissues with growth and pubertal progress
Time frame: From baseline measure to follow-up, approximately 2 years