Physical activity and fat-free mass during growth and in later life

Klaas R Westerterp; Yosuke Yamada; Hiroyuki Sagayama; Philip N Ainslie; Lene F Andersen; Liam J Anderson; Lenore Arab; Issaad Baddou; Kweku Bedu-Addo; Ellen E Blaak; Stephane Blanc; Alberto G Bonomi; Carlijn V C Bouten; Pascal Bovet; Maciej S Buchowski; Nancy F Butte; Stefan G J A Camps; Graeme L Close; Jamie A Cooper; Sai K Das; Richard Cooper; Lara R Dugas; Ulf Ekelund; Sonja Entringer; Terrence Forrester; Barry W Fudge; Annelies H Goris; Michael Gurven; Catherine Hambly; Asmaa El Hamdouchi; Marije B Hoos; Sumei Hu; Noorjehan Joonas; Annemiek M Joosen; Peter Katzmarzyk; Kitty P Kempen; Misaka Kimura; William E Kraus; Robert F Kushner; Estelle V Lambert; William R Leonard; Nader Lessan; Corby K Martin; Anine C Medin; Erwin P Meijer; James C Morehen; James P Morton; International Atomic Energy Agency Doubly Labeled Water database group; Guy Plasqui; Giulio Valenti; Ludo M. Van Etten; Edgar A Van Mil; John R. Speakman

doi:10.1093/ajcn/nqab260

Physical activity and fat-free mass during growth and in later life

Klaas R Westerterp^*, Yosuke Yamada, Hiroyuki Sagayama, Philip N Ainslie, Lene F Andersen, Liam J Anderson, Lenore Arab, Issaad Baddou, Kweku Bedu-Addo, Ellen E Blaak, Stephane Blanc, Alberto G Bonomi, Carlijn V C Bouten, Pascal Bovet, Maciej S Buchowski, Nancy F Butte, Stefan G J A Camps, Graeme L Close, Jamie A Cooper, Sai K DasRichard Cooper, Lara R Dugas, Ulf Ekelund, Sonja Entringer, Terrence Forrester, Barry W Fudge, Annelies H Goris, Michael Gurven, Catherine Hambly, Asmaa El Hamdouchi, Marije B Hoos, Sumei Hu, Noorjehan Joonas, Annemiek M Joosen, Peter Katzmarzyk, Kitty P Kempen, Misaka Kimura, William E Kraus, Robert F Kushner, Estelle V Lambert, William R Leonard, Nader Lessan, Corby K Martin, Anine C Medin, Erwin P Meijer, James C Morehen, James P Morton, International Atomic Energy Agency Doubly Labeled Water database group, Guy Plasqui, Giulio Valenti, Ludo M. Van Etten, Edgar A Van Mil, John R. Speakman^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Physical activity may be a way to increase and maintain fat-free mass (FFM) in later life, similar to the prevention of fractures by increasing peak bone mass.

OBJECTIVES: A study is presented of the association between FFM and physical activity in relation to age.

METHODS: In a cross-sectional study, FFM was analyzed in relation to physical activity in a large participant group as compiled in the International Atomic Energy Agency Doubly Labeled Water database. The database included 2000 participants, age 3-96 y, with measurements of total energy expenditure (TEE) and resting energy expenditure (REE) to allow calculation of physical activity level (PAL = TEE/REE), and calculation of FFM from isotope dilution.

RESULTS: PAL was a main determinant of body composition at all ages. Models with age, fat mass (FM), and PAL explained 76% and 85% of the variation in FFM in females and males < 18 y old, and 32% and 47% of the variation in FFM in females and males ≥ 18 y old, respectively. In participants < 18 y old, mean FM-adjusted FFM was 1.7 kg (95% CI: 0.1, 3.2 kg) and 3.4 kg (95% CI: 1.0, 5.6 kg) higher in a very active participant with PAL = 2.0 than in a sedentary participant with PAL = 1.5, for females and males, respectively. At age 18 y, height and FM-adjusted FFM was 3.6 kg (95% CI: 2.8, 4.4 kg) and 4.4 kg (95% CI: 3.2, 5.7 kg) higher, and at age 80 y 0.7 kg (95% CI: -0.2, 1.7 kg) and 1.0 kg (95% CI: -0.1, 2.1 kg) higher, in a participant with PAL = 2.0 than in a participant with PAL = 1.5, for females and males, respectively.

CONCLUSIONS: If these associations are causal, they suggest physical activity is a major determinant of body composition as reflected in peak FFM, and that a physically active lifestyle can only partly protect against loss of FFM in aging adults.

Original language	English
Pages (from-to)	1583-1589
Number of pages	7
Journal	American Journal of Clinical Nutrition
Volume	114
Issue number	5
DOIs	https://doi.org/10.1093/ajcn/nqab260
Publication status	Published - 8 Nov 2021

Keywords

physical activity level
age
energy expenditure
body composition
doubly labeled water
LEAN BODY-MASS
BONE MASS
LONGITUDINAL CHANGES
YOUNG
BENEFITS
WEIGHT
IMPACT
WATER
AGE

Access to Document

10.1093/ajcn/nqab260Licence: CC BY

Cite this

Westerterp, K. R., Yamada, Y., Sagayama, H., Ainslie, P. N., Andersen, L. F., Anderson, L. J., Arab, L., Baddou, I., Bedu-Addo, K., Blaak, E. E., Blanc, S., Bonomi, A. G., Bouten, C. V. C., Bovet, P., Buchowski, M. S., Butte, N. F., Camps, S. G. J. A., Close, G. L., Cooper, J. A., ... Speakman, J. R. (2021). Physical activity and fat-free mass during growth and in later life. American Journal of Clinical Nutrition, 114(5), 1583-1589. https://doi.org/10.1093/ajcn/nqab260

@article{da7c7d3fea91468fb96ddbd5e6687a95,

title = "Physical activity and fat-free mass during growth and in later life",

abstract = "BACKGROUND: Physical activity may be a way to increase and maintain fat-free mass (FFM) in later life, similar to the prevention of fractures by increasing peak bone mass.OBJECTIVES: A study is presented of the association between FFM and physical activity in relation to age.METHODS: In a cross-sectional study, FFM was analyzed in relation to physical activity in a large participant group as compiled in the International Atomic Energy Agency Doubly Labeled Water database. The database included 2000 participants, age 3-96 y, with measurements of total energy expenditure (TEE) and resting energy expenditure (REE) to allow calculation of physical activity level (PAL = TEE/REE), and calculation of FFM from isotope dilution.RESULTS: PAL was a main determinant of body composition at all ages. Models with age, fat mass (FM), and PAL explained 76% and 85% of the variation in FFM in females and males < 18 y old, and 32% and 47% of the variation in FFM in females and males ≥ 18 y old, respectively. In participants < 18 y old, mean FM-adjusted FFM was 1.7 kg (95% CI: 0.1, 3.2 kg) and 3.4 kg (95% CI: 1.0, 5.6 kg) higher in a very active participant with PAL = 2.0 than in a sedentary participant with PAL = 1.5, for females and males, respectively. At age 18 y, height and FM-adjusted FFM was 3.6 kg (95% CI: 2.8, 4.4 kg) and 4.4 kg (95% CI: 3.2, 5.7 kg) higher, and at age 80 y 0.7 kg (95% CI: -0.2, 1.7 kg) and 1.0 kg (95% CI: -0.1, 2.1 kg) higher, in a participant with PAL = 2.0 than in a participant with PAL = 1.5, for females and males, respectively.CONCLUSIONS: If these associations are causal, they suggest physical activity is a major determinant of body composition as reflected in peak FFM, and that a physically active lifestyle can only partly protect against loss of FFM in aging adults.",

keywords = "physical activity level, age, energy expenditure, body composition, doubly labeled water, LEAN BODY-MASS, BONE MASS, LONGITUDINAL CHANGES, YOUNG, BENEFITS, WEIGHT, IMPACT, WATER, AGE",

author = "Westerterp, {Klaas R} and Yosuke Yamada and Hiroyuki Sagayama and Ainslie, {Philip N} and Andersen, {Lene F} and Anderson, {Liam J} and Lenore Arab and Issaad Baddou and Kweku Bedu-Addo and Blaak, {Ellen E} and Stephane Blanc and Bonomi, {Alberto G} and Bouten, {Carlijn V C} and Pascal Bovet and Buchowski, {Maciej S} and Butte, {Nancy F} and Camps, {Stefan G J A} and Close, {Graeme L} and Cooper, {Jamie A} and Das, {Sai K} and Richard Cooper and Dugas, {Lara R} and Ulf Ekelund and Sonja Entringer and Terrence Forrester and Fudge, {Barry W} and Goris, {Annelies H} and Michael Gurven and Catherine Hambly and {El Hamdouchi}, Asmaa and Hoos, {Marije B} and Sumei Hu and Noorjehan Joonas and Joosen, {Annemiek M} and Peter Katzmarzyk and Kempen, {Kitty P} and Misaka Kimura and Kraus, {William E} and Kushner, {Robert F} and Lambert, {Estelle V} and Leonard, {William R} and Nader Lessan and Martin, {Corby K} and Medin, {Anine C} and Meijer, {Erwin P} and Morehen, {James C} and Morton, {James P} and {International Atomic Energy Agency Doubly Labeled Water database group} and Guy Plasqui and Giulio Valenti and {Van Etten}, {Ludo M.} and {Van Mil}, {Edgar A} and Speakman, {John R.}",

note = "{\textcopyright} The Author(s) 2021. Published by Oxford University Press on behalf of the American Society for Nutrition.",

year = "2021",

month = nov,

day = "8",

doi = "10.1093/ajcn/nqab260",

language = "English",

volume = "114",

pages = "1583--1589",

journal = "American Journal of Clinical Nutrition",

issn = "0002-9165",

publisher = "Elsevier Inc.",

number = "5",

}

Westerterp, KR, Yamada, Y, Sagayama, H, Ainslie, PN, Andersen, LF, Anderson, LJ, Arab, L, Baddou, I, Bedu-Addo, K, Blaak, EE, Blanc, S, Bonomi, AG, Bouten, CVC, Bovet, P, Buchowski, MS, Butte, NF, Camps, SGJA, Close, GL, Cooper, JA, Das, SK, Cooper, R, Dugas, LR, Ekelund, U, Entringer, S, Forrester, T, Fudge, BW, Goris, AH, Gurven, M, Hambly, C, El Hamdouchi, A, Hoos, MB, Hu, S, Joonas, N, Joosen, AM, Katzmarzyk, P, Kempen, KP, Kimura, M, Kraus, WE, Kushner, RF, Lambert, EV, Leonard, WR, Lessan, N, Martin, CK, Medin, AC, Meijer, EP, Morehen, JC, Morton, JP, International Atomic Energy Agency Doubly Labeled Water database group, Plasqui, G, Valenti, G, Van Etten, LM, Van Mil, EA & Speakman, JR 2021, 'Physical activity and fat-free mass during growth and in later life', American Journal of Clinical Nutrition, vol. 114, no. 5, pp. 1583-1589. https://doi.org/10.1093/ajcn/nqab260

TY - JOUR

T1 - Physical activity and fat-free mass during growth and in later life

AU - Westerterp, Klaas R

AU - Yamada, Yosuke

AU - Sagayama, Hiroyuki

AU - Ainslie, Philip N

AU - Andersen, Lene F

AU - Anderson, Liam J

AU - Arab, Lenore

AU - Baddou, Issaad

AU - Bedu-Addo, Kweku

AU - Blaak, Ellen E

AU - Blanc, Stephane

AU - Bonomi, Alberto G

AU - Bouten, Carlijn V C

AU - Bovet, Pascal

AU - Buchowski, Maciej S

AU - Butte, Nancy F

AU - Camps, Stefan G J A

AU - Close, Graeme L

AU - Cooper, Jamie A

AU - Das, Sai K

AU - Cooper, Richard

AU - Dugas, Lara R

AU - Ekelund, Ulf

AU - Entringer, Sonja

AU - Forrester, Terrence

AU - Fudge, Barry W

AU - Goris, Annelies H

AU - Gurven, Michael

AU - Hambly, Catherine

AU - El Hamdouchi, Asmaa

AU - Hoos, Marije B

AU - Hu, Sumei

AU - Joonas, Noorjehan

AU - Joosen, Annemiek M

AU - Katzmarzyk, Peter

AU - Kempen, Kitty P

AU - Kimura, Misaka

AU - Kraus, William E

AU - Kushner, Robert F

AU - Lambert, Estelle V

AU - Leonard, William R

AU - Lessan, Nader

AU - Martin, Corby K

AU - Medin, Anine C

AU - Meijer, Erwin P

AU - Morehen, James C

AU - Morton, James P

AU - International Atomic Energy Agency Doubly Labeled Water database group

AU - Plasqui, Guy

AU - Valenti, Giulio

AU - Van Etten, Ludo M.

AU - Van Mil, Edgar A

AU - Speakman, John R.

PY - 2021/11/8

Y1 - 2021/11/8

N2 - BACKGROUND: Physical activity may be a way to increase and maintain fat-free mass (FFM) in later life, similar to the prevention of fractures by increasing peak bone mass.OBJECTIVES: A study is presented of the association between FFM and physical activity in relation to age.METHODS: In a cross-sectional study, FFM was analyzed in relation to physical activity in a large participant group as compiled in the International Atomic Energy Agency Doubly Labeled Water database. The database included 2000 participants, age 3-96 y, with measurements of total energy expenditure (TEE) and resting energy expenditure (REE) to allow calculation of physical activity level (PAL = TEE/REE), and calculation of FFM from isotope dilution.RESULTS: PAL was a main determinant of body composition at all ages. Models with age, fat mass (FM), and PAL explained 76% and 85% of the variation in FFM in females and males < 18 y old, and 32% and 47% of the variation in FFM in females and males ≥ 18 y old, respectively. In participants < 18 y old, mean FM-adjusted FFM was 1.7 kg (95% CI: 0.1, 3.2 kg) and 3.4 kg (95% CI: 1.0, 5.6 kg) higher in a very active participant with PAL = 2.0 than in a sedentary participant with PAL = 1.5, for females and males, respectively. At age 18 y, height and FM-adjusted FFM was 3.6 kg (95% CI: 2.8, 4.4 kg) and 4.4 kg (95% CI: 3.2, 5.7 kg) higher, and at age 80 y 0.7 kg (95% CI: -0.2, 1.7 kg) and 1.0 kg (95% CI: -0.1, 2.1 kg) higher, in a participant with PAL = 2.0 than in a participant with PAL = 1.5, for females and males, respectively.CONCLUSIONS: If these associations are causal, they suggest physical activity is a major determinant of body composition as reflected in peak FFM, and that a physically active lifestyle can only partly protect against loss of FFM in aging adults.

AB - BACKGROUND: Physical activity may be a way to increase and maintain fat-free mass (FFM) in later life, similar to the prevention of fractures by increasing peak bone mass.OBJECTIVES: A study is presented of the association between FFM and physical activity in relation to age.METHODS: In a cross-sectional study, FFM was analyzed in relation to physical activity in a large participant group as compiled in the International Atomic Energy Agency Doubly Labeled Water database. The database included 2000 participants, age 3-96 y, with measurements of total energy expenditure (TEE) and resting energy expenditure (REE) to allow calculation of physical activity level (PAL = TEE/REE), and calculation of FFM from isotope dilution.RESULTS: PAL was a main determinant of body composition at all ages. Models with age, fat mass (FM), and PAL explained 76% and 85% of the variation in FFM in females and males < 18 y old, and 32% and 47% of the variation in FFM in females and males ≥ 18 y old, respectively. In participants < 18 y old, mean FM-adjusted FFM was 1.7 kg (95% CI: 0.1, 3.2 kg) and 3.4 kg (95% CI: 1.0, 5.6 kg) higher in a very active participant with PAL = 2.0 than in a sedentary participant with PAL = 1.5, for females and males, respectively. At age 18 y, height and FM-adjusted FFM was 3.6 kg (95% CI: 2.8, 4.4 kg) and 4.4 kg (95% CI: 3.2, 5.7 kg) higher, and at age 80 y 0.7 kg (95% CI: -0.2, 1.7 kg) and 1.0 kg (95% CI: -0.1, 2.1 kg) higher, in a participant with PAL = 2.0 than in a participant with PAL = 1.5, for females and males, respectively.CONCLUSIONS: If these associations are causal, they suggest physical activity is a major determinant of body composition as reflected in peak FFM, and that a physically active lifestyle can only partly protect against loss of FFM in aging adults.

KW - physical activity level

KW - age

KW - energy expenditure

KW - body composition

KW - doubly labeled water

KW - LEAN BODY-MASS

KW - BONE MASS

KW - LONGITUDINAL CHANGES

KW - YOUNG

KW - BENEFITS

KW - WEIGHT

KW - IMPACT

KW - WATER

KW - AGE

U2 - 10.1093/ajcn/nqab260

DO - 10.1093/ajcn/nqab260

M3 - Article

C2 - 34477824

SN - 0002-9165

VL - 114

SP - 1583

EP - 1589

JO - American Journal of Clinical Nutrition

JF - American Journal of Clinical Nutrition

IS - 5

ER -