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Am J Physiol Endocrinol Metab (May 27, 2004). doi:10.1152/ajpendo.00414.2003
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Submitted on September 11, 2003
Accepted on May 21, 2004

Modeling of lipid and protein depletion during total starvation

Michel Caloin1*

1 Centre d'Ecologie et Physiologie Energetiques, CNRS UPR 9010, Strasbourg, Alsace, France

* To whom correspondence should be addressed. E-mail: michel.caloin{at}c-strasbourg.fr.

This study presents a model describing lipid and protein depletion of an individual facing total starvation. The model distinguishes two compartments of body mass, a metabolic compartment and a structural compartment. It is considered that the lipids and the proteins of the metabolic compartment ensure the whole physiological functions. The main assumptions of the model lie upon the definition of lipid mass and protein mass of the metabolic compartment, which are related to total lipid mass and total body mass, respectively. Under these assumptions, for a given individual, the ratio of lipid and protein utilization rates is proportional to the adiposity. The model accounts for the protein sparing observed at high adiposity levels and enables to discuss the individuals survival in relation to the levels of lipid and protein depletion. The time-course of changes in lipid and protein depletion rates can be calculated by introducing the energy expenditure of the individual. In the simulations, it was assumed that specific energy expenditure was constant during starvation, and that mortality occurred for a critical level of protein depletion. The most characteristic results derived from these simulations concern the kinetics of protein depletion, which depend markedly on initial adiposity. Accordingly, in obese subjects the rate of protein losses remains fairly constant during fasting, whereas it increases from the onset of the fast in lean subjects, in agreement with experimental observations. In the model, protein and lipid depletion rates are both proportional to energy expenditure, which needs to be confirmed from complementary data.




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K. D. Hall
Computational model of in vivo human energy metabolism during semistarvation and refeeding
Am J Physiol Endocrinol Metab, July 1, 2006; 291(1): E23 - E37.
[Abstract] [Full Text] [PDF]




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