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Nutritional Strategies for Preserving Fat-Free Mass during Intentional Weight Loss

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition and Obesity".

Deadline for manuscript submissions: 25 April 2025 | Viewed by 2624

Special Issue Editor


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Guest Editor
1. Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome, Italy
2. Department of Endocrinology, Nutrition and Metabolic Diseases, IRCCS MultiMedica, Milan, Italy
Interests: obesity; insulin resistance; diabetes; bone health
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Special Issue Information

Dear Colleagues,

Obesity has emerged as a global health concern, affecting millions worldwide. Weight reduction is essential in improving health outcomes in individuals with obesity, as it can significantly reduce the risks of, improve, or even resolve obesity-related complications. However, weight loss efforts often entail a physiological reduction in fat-free mass, which poses particular concerns, especially in individuals with baseline sarcopenic obesity or when substantial amounts of weight are lost. 

Fat-free mass—comprising muscles, bones, organs, and fluids—is critical for overall health, affecting metabolic rate, physical strength, and function. There are growing concerns that a reduction in fat-free mass during weight loss might increase the risk of frailty, emphasizing the need for targeted nutritional strategies in order to address this issue.

The Special Issue entitled "Nutritional Strategies for Preserving Fat-Free Mass during Intentional Weight Loss” seeks to explore dietary approaches which are capable of supporting the maintenance of muscle and bone mass during weight loss achieved through the currently available strategies, including lifestyle modifications, pharmacological interventions, and bariatric surgery. 

Submissions are invited in the form of original research, reviews, and communications regarding topics including, but not limited to, the following:

  • Nutritional interventions designed to mitigate the loss of muscle and bone mass, particularly in contexts that present a higher risk of frailty, such as in individuals with sarcopenic obesity or those undergoing significant weight reduction.
  • The impact of different dietary patterns (e.g., ketogenic, Mediterranean, intermittent fasting) and specific nutrients on maintaining or enhancing fat-free mass during weight reduction.
  • Mechanistic studies on how various weight loss strategies impact muscle protein synthesis, bone density, and overall body composition.
  • Assessments of combined dietary and exercise interventions aiming to optimize the preservation of fat-free mass during weight loss.
  • Clinical trials, case studies, and systematic reviews evaluating the effectiveness of nutritional strategies in maintaining or improving fat-free mass, as well as preventing frailty during weight loss achieved through currently available strategies, including lifestyle modifications, pharmacological interventions, and bariatric surgery.

Through advancing our understanding and developing comprehensive strategies that support the preservation of fat-free mass during weight loss, this Special Issue aims to offer actionable insights for healthcare professionals and individuals facing the complexities of weight reduction. Our goal is to contribute to the broader dialogue on maintaining health and physical function when achieving clinically significant and intentional weight loss.

We look forward to your contributions to this important field of study.

Dr. Caterina Conte
Guest Editor

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Keywords

  • sarcopenia
  • obesity
  • sarcopenic obesity
  • body composition
  • aging
  • exercise
  • muscle strength
  • muscle mass
  • skeletal muscle
  • energy restriction
  • fat-free mass
  • cardiovascular disease
  • insulin resistance
  • weight loss
  • maintenance outcomes

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Published Papers (2 papers)

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14 pages, 2243 KiB  
Article
Physical Activity Level and Dietary Intake Associated with Fat-Free Muscle Mass Changes During Intentional Weight Loss in Overweight and Obese Subjects
by Salah Eldin Elnagi Gariballa, Ghada Al-Bluwi and Javed Yasin
Nutrients 2024, 16(23), 4044; https://doi.org/10.3390/nu16234044 - 26 Nov 2024
Viewed by 421
Abstract
Background: The prevalence of obesity and related complications is increasing relentlessly worldwide. The effect of intentional weight loss strategies for obese individuals on fat-free muscle mass (FFMM) and metabolic and general health is not well known. The aim of this research is to [...] Read more.
Background: The prevalence of obesity and related complications is increasing relentlessly worldwide. The effect of intentional weight loss strategies for obese individuals on fat-free muscle mass (FFMM) and metabolic and general health is not well known. The aim of this research is to measure the effects of dietary intake and physical activity level on FFMM change during intentional weight loss in obese subjects. Materials and Methods: Nine hundred and sixty-five overweight and obese community free-living subjects had the effects of physical activity level and dietary intake on FFMM change during intentional weight loss assessed in a prospective longitudinal study. Anthropometric, physical activity, dietary intake, inflammatory markers, and oxidative damage were assessed at baseline and follow-up. Validated questionnaires were used to measure dietary intake and physical activity. We compared FFMM loss or gain between subjects stratified by calorie, protein, and fruit and vegetable intake and physical activity levels. The Cox proportional hazards analysis was used to determine the independent effects of dietary intake and physical activity on FFMM changes. Results: A total of 965 subjects [(mean (SD) age 39 ± 12 years, 801 (83%)] females] were assessed at baseline with follow-up for a period of 427 ± 223 days. Using the WHO criteria for body mass index (BMI), 284 (30%) subjects were found to be overweight and 584 (62%) were obese. We found significant correlations between fat–muscle mass ratio (FMR) and inflammatory and oxidative damage markers. After adjusting for important prognostic indicators, age, gender, occupation, physical activity, and fruit and vegetable consumption were found to be significantly associated with FFMM at baseline (p < 0.05). We found no statistically significant difference in dietary protein or amino acids intake in subjects who gained FFMM compared to those who lost FFMM both at baseline and follow-up. By contrast, high consumption of fruits and vegetable and increased calorie intake were associated with increased odds of FFMM gain (p < 0.05). Increased physical activity was independently associated with significant FFMM gain after adjusting for other important indicators ([hazard ratio (95% CI): 0.49 (0.25, 0.97); p = 0.039]. Conclusions: Increased physical activity and high calorie, fruit and vegetable intake are associated with FFMM preservation or gains during intentional weight loss in obese subjects. Full article
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9 pages, 598 KiB  
Brief Report
Effect of Time-Restricted Eating on Sleep in Type 2 Diabetes
by Vasiliki Pavlou, Shuhao Lin, Sofia Cienfuegos, Mark Ezpeleta, Mary-Claire Runchey, Sarah Corapi, Kelsey Gabel, Faiza Kalam, Shaina J. Alexandria, Alaina P. Vidmar and Krista A. Varady
Nutrients 2024, 16(16), 2742; https://doi.org/10.3390/nu16162742 - 17 Aug 2024
Viewed by 1762
Abstract
The aim of this secondary analysis was to compare the effects of time-restricted eating (TRE) versus calorie restriction (CR) and controls on sleep in adults with type 2 diabetes (T2D). Adults with T2D (n = 75) were randomized to 1 of 3 interventions [...] Read more.
The aim of this secondary analysis was to compare the effects of time-restricted eating (TRE) versus calorie restriction (CR) and controls on sleep in adults with type 2 diabetes (T2D). Adults with T2D (n = 75) were randomized to 1 of 3 interventions for 6 months: 8 h TRE (eating only between 12 and 8 pm daily); CR (25% energy restriction daily); or control. Our results show that TRE has no effect on sleep quality, duration, insomnia severity, or risk of obstructive sleep apnea, relative to CR and controls, in patients with T2D over 6 months. Full article
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