Weight loss predictability by plasma metabolic signatures in adults with obesity and morbid obesity of the DiOGenes study
article
Objective: Aim is to predict successful weight loss by metabolic signatures at baseline and to identify which differences in metabolic status may underlie variations in weight loss success. Methods: In DiOGenes, a randomized, controlled trial, weight loss was induced using a low calorie diet (800 kcal) for 8-weeks. Men (N5236) and women (N5431) as well as groups with overweight/obesity and morbid obesity were studied separately. The relation between the metabolic status before weight loss and weight loss was assessed by stepwise regression on multiple datasets, including anthropometric parameters, NMR-based plasma metabolites, and LC-MS-based plasma lipid species. Results: Maximally, 57% of the variation in weight loss success can be predicted by baseline parameters. The most powerful predictive models were obtained in subjects with morbid obesity. In these models, the metabolites most predictive for weight loss were acetoacetate, triacylglycerols, phosphatidylcholines, specific amino acids, and creatine and creatinine. This metabolic profile suggests that high energy metabolism activity results in higher amounts of weight loss. Conclusions: Possible predictive (pre-diet) markers were found for amount of weight loss for specific subgroups.
Topics
3 hydroxy 2 methylpropionic acid3 hydroxybutyric acidAcetic acidAcetoacetic acidAlanineCholesterolCreatineCreatinineFatty acidGlucoseGlycineHigh density lipoprotein cholesterolInsulinIsoleucineIsovaleric acidLactic acidLow density lipoprotein cholesterolPhosphatidylcholineProlineTriacylglycerolTyrosineValineAdultAmino acid blood levelAnalytical parametersCholesterol blood levelControlled studyCreatinine blood levelDiastolic blood pressureEnergy metabolismFatty acid blood levelFemaleGlucose blood levelHumanInsulin blood levelLiquid chromatographyLow calory dietMaleMass spectrometryMorbid obesityNuclear magnetic resonanceObesityPhospholipid blood levelProtein blood levelRandomized controlled trialSystolic blood pressureTriacylglycerol blood levelWaist circumferenceWeight reduction
TNO Identifier
530775
Source
Obesity, 24(2), pp. 379-388.
Pages
379-388
Files
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