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Hormonal and Physiological Correlates of Energy Expenditure and Substrate Oxidation in Middle-Aged, Premenopausal Women¹

Division of Clinical Pharmacology and Metabolic Research, Department of Medicine and Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, University of Vermont, Burlington, Vermont 05405

Address all correspondence and requests for reprints to: Eric T. Poehlman, Ph.D., Given Building C-247, University of Vermont, Burlington, Vermont 05405. E-mail: epoehlma{at}zoo.uvm.edu

An understanding of the hormonal and physiological correlates of energy expenditure and substrate oxidation in middle-aged women will increase our knowledge of factors that promote changes in energy balance and adiposity. We measured resting and postprandial energy expenditure and substrate oxidation in 59 middle-aged, premenopausal women (mean ± SD age, 47 ± 2 yr) to examine the hormonal and physiological correlates of energy and substrate metabolism. Energy expenditure and substrate oxidation were measured at rest using indirect calorimetry and urinary nitrogen excretion and for 180 min after the ingestion of a liquid meal (10 kcal/kg fat-free mass; 410 ± 44 Cal). Fasting hormone levels were measured by RIA, glucose tolerance was determined by a 75-g oral glucose tolerance test, body composition was measured by dual energy x-ray absorptiometry, and peak aerobic capacity was determined by a treadmill test. Using stepwise regression analysis, we found that resting energy expenditure was predicted by fat-free mass and serum leptin concentration (r² = 66%; P < 0.01), fat oxidation was predicted by resting energy expenditure (r² = 17%; P < 0.01), and carbohydrate oxidation was predicted by serum leptin and appendicular skeletal muscle mass (r² = 21%; P < 0.01). No variables were related to postprandial energy expenditure or substrate oxidation. We conclude that in middle-aged, premenopausal women, variation in resting energy expenditure and substrate oxidation is primarily explained by fat-free mass and serum leptin levels. Thus, changes in metabolically active tissue mass or leptin concentration may partially contribute to changes in resting energy expenditure or substrate oxidation in middle-aged women.

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