Department of Evolutionary Anthropology, Duke University, Durham, NC, USA.
Duke Global Health Institute, Duke University, Durham, NC, USA.
Science. 2021 Aug 13;373(6556):808-812. doi: 10.1126/science.abe5017.
Total daily energy expenditure ("total expenditure") reflects daily energy needs and is a critical variable in human health and physiology, but its trajectory over the life course is poorly studied. We analyzed a large, diverse database of total expenditure measured by the doubly labeled water method for males and females aged 8 days to 95 years. Total expenditure increased with fat-free mass in a power-law manner, with four distinct life stages. Fat-free mass-adjusted expenditure accelerates rapidly in neonates to ~50% above adult values at ~1 year; declines slowly to adult levels by ~20 years; remains stable in adulthood (20 to 60 years), even during pregnancy; then declines in older adults. These changes shed light on human development and aging and should help shape nutrition and health strategies across the life span.
总能量消耗(“总支出”)反映了日常能量需求,是人类健康和生理学的关键变量,但它在整个生命过程中的轨迹还没有得到很好的研究。我们分析了一个由双标水法测量的总支出的大型、多样化数据库,其中包括 8 天大到 95 岁的男性和女性。总支出以幂律方式随去脂体重增加,有四个明显的生命阶段。去脂体重调整后的支出在新生儿中迅速增加,到 1 岁时达到成人值的 50%以上;到 20 岁时缓慢下降到成人水平;在成年期(20 至 60 岁)保持稳定,即使在怀孕期间也是如此;然后在老年人中下降。这些变化揭示了人类的发育和衰老过程,应该有助于塑造整个生命周期的营养和健康策略。