RecruitingACTRN12616001459415

The thermoneutral zone- Can we use ambient temperature to aid health

Investigation into the effect of mild cold exposure and temperature variations on energy expenditure in healthy adults- Determining the Thermoneutral Zone.


Sponsor

Terry O'Donnell

Enrollment

40 participants

Start Date

Sep 29, 2016

Study Type

Interventional

Conditions

Summary

Our energy expenditure has three major components; the thermic effect of physical activity, the thermic effect of feeding, and the resting metabolic rate (RMR). This RMR is a basal use of energy for the body to maintain basic functions, such as homeostatic mechanisms. There is a long-established relationship between ambient temperature and energy expenditure. The range of temperatures where the body naturally maintains its optimum temperature is the thermo-neutral zone (TNZ). This is said to be around 22 °C when light clothing is taken into consideration, and within the individual is determined by insulation, body composition, genetics, and long-term residential environment. Thermo-regulation - an active homeostatic mechanism by which optimum body temperature is maintained - must be employed outside of the TNZ. Previously, mild cold exposure (19 °C) has been shown to induce a ~6% increase in energy expenditure compared to the thermo-neutral (24 °C) control[1]. This corresponded to ~120 kcal/day increase; similar prolonged changes in energy balance have been shown to effect gradual weight change[2]. Modern lifestyle, often revolving around office environments and related environmental control, limit exposures to temperature ‘extremes’ outside of the TNZ. This could limit energy expenditure, complicating weight management in already low-ambulatory jobs. Similarly, increased energy expenditure hypothesized to occur in cold or poorly insulated housing could drive compensatory increases in appetite and subsequent weight management issues. This study aims to define the TNZ of New Zealand based individuals (protocol one). The TNZ will be used to establish the effect and feasibility of minor decreases or fluctuations in ambient temperature as an intervention to increase energy expenditure and aid in weight management (protocol two). This is pertinent as the only alternative, safe way of increasing energy expenditure is increased physical activity, which is not always an option. Along with continuous physiological measures and body composition information, we may also be able to establish models to determine individual TNZ ranges and energy expenditure under known conditions. This study will provide potential interventions regarding the obesity epidemic and weight management with New Zealand specific parameters, and suggest a method for its application elsewhere. It may also advise the public health sector as to a further effect of cold housing on physical health. [1] Celi FS, Brychta RJ, Linderman JD, Butler PW, Alberobello AT, Smith S, Courville AB, Lai EW, Costello R, Skarulis MC, Csako G. Minimal changes in environmental temperature result in a significant increase in energy expenditure and changes in the hormonal homeostasis in healthy adults. European journal of endocrinology. 2010 Dec 1;163(6):863-72. [2] Hill JO, Wyatt HR, Reed GW, Peters JC. Obesity and the environment: where do we go from here?. Science. 2003 Feb 7;299(5608):853-5.


Eligibility

Sex: Both males and femalesMin Age: 18 YearssMax Age: 60 Yearss

Plain Language Summary

Simplified for easier understanding

This study is looking at the "thermoneutral zone" — the range of temperatures at which the body doesn't have to work hard to stay warm or cool down — and whether spending time in slightly cooler environments can help people burn more calories and manage their weight. Researchers will measure energy use, body temperature, and other health data at different room temperatures. You may be eligible if: - You are between 18 and 60 years old - You are generally healthy (male or female) - Your BMI is between 18 and 30 You may NOT be eligible if: - You have a major heart or cardiovascular disease - Your BMI is above 30 - You are pregnant - You have diabetes - You take prescription medications that affect the nervous system's automatic functions Talk to your doctor about whether this trial might be right for you.

This is a simplified summary. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

The intervention in this research program is the ambient temperature to which participants will be exposed. Two separate protocols will be investigated: 1. Ambient temperature will begin at 23 degree

The intervention in this research program is the ambient temperature to which participants will be exposed. Two separate protocols will be investigated: 1. Ambient temperature will begin at 23 degrees, and over the course of 90 minutes, will either be increased to 35 degrees or decreased down to 11 degrees. These temperature ramps will be linear and controlled with automatic feedback loop programs within the environmental simulation suite. The cooling and warming exposures will both be carried out by the same participants but on separate days. To allow for further clarification of the thermo-neutral zone (TNZ), participants will have these expired gases measured with indirect hood calorimetry throughout the exposure. Participants will be asked to wear scrubs and sit in a semi-reclined position. 2. During the second protocol, participants will visit the environmental simulation suite for three sessions. Whilst wearing standardised scrubs, they will be asked to live and work inside the room calorimeter for 8 hours in an effort to replicate a normal office day experience. For the control condition, temperature will be kept at the thermo-neutral temperature of 23 degrees. The two intervention exposures will lower the temperature to 18 degrees for the 8 hour exposure or fluctuate the temperature between 23 and 18 throughout the exposure. Indirect room calorimetry will be collected throughout the exposure so that the energy expenditure response to temperature changes may be monitored. For both protocols, a DXA scan will be performed to gain accurate anthtropometry measurements for subsequent analysis with the calorimetry data. Testing for both protocols will be performed in the Global Energetic Environmental Simulation Suite (GEnESiS), which is situated in the Centre for Translational Physiology at the University of Otago Wellington. Set up and observation will be performed by Mr. Terry O'Donnell, who established the GEnESiS at the centre, and has a history of research and publication in the relationship of metabolism and environment. Due to the cross over design of both protocols, at least a 2 day wash our period will be implemented between exposures.


Locations(1)

Wellington, New Zealand

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