Resting energy expenditure in normal-weight and overweight/obese subjects was similar despite elevated sympathovagal balance.

OBJECTIVE: Alterations in the autonomic nervous system (ANS) may cause impairment in the metabolic processes that can lead to weight gain. The purpose of this study was to determine the difference between the resting energy expenditure (REE) and the resting ANS activity in overweight/obese and normal-weight healthy subjects. METHOD: Group 1 consisted of 18 subjects with BMI > 25 kg/m², and 20 subjects with BMI ranging from 20 to 25 kg/m² formed group 2. Measurements of low-frequency (LF) and high-frequency (HF) power components expressed in normalized units (LFnu, HFnu) and LF/HF ratio were assessed for analysis of heart rate variability, and simultaneously REE measurement was performed. RESULTS: The mean LFnu (27.2% increased) and the LF/HF were higher and the mean HFnu was lower (29.9% decreased) in group 1 than in group 2 (p < 0.01). Although a statistical difference was observed in REE between groups, REE per kilogram corrected for fat-free mass (REE(FFMcorr)) was 21.47 ± 2.92 kcal/day/kg in group 1, and 21.56 ± 1.90 kcal/day/kg in group 2, and this difference was not statistically significant (p > 0.05). CONCLUSION: We concluded that REE(FFMcorr) in overweight/obese and normal-weight subjects were similar despite elevated sympathovagal balance in overweight/obese individuals, and REE(FFMcorr) should be used to avoid misestimating the REE in obese and normal-weight subjects.

A new upper extremity sparing non-weight bearing orthosis.

OBJECTIVES: Axillary and forearm crutches are commonly utilized in the treatment of foot and ankle injuries. In order to decrease the energy expenditure during mobilization, to prevent upper extremity complications, and to let the upper extremity free for other usages, we designed a new orthosis. The study is conducted to compare walking energy parameters of this newly designed orthosis with the axillary and forearm crutches. MATERIALS AND METHODS: 10 healthy young male volunteers walked on treadmill with three different orthoses in randomized order. Oxygen expenditure, oxygen cost, rate of perceived exertion (Borg scale), and observer stability assessment were analyzed. RESULTS: Concerning oxygen consumption, perceived exertion, and observer stability assessment, the new device was found superior to the other devices (P<0.05). The new orthosis was superior to forearm crutches concerning oxygen cost (P=0.027) but not significantly different from the axillary crutches (P=0.062). DISCUSSION: Compared to frequently used orthoses, the developed device provides mobilization using less or similar amount of energy. Additionally it spares one upper extremity to be used for other activities.