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The obesogenic effects of polyunsaturated fatty acids are dependent ...

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metabolic syndrome in response to high fructose feeding (58). However, in C57BL/6 mice neither<br />

hyperinsulinemia nor hyperglycemia developed in response to high fructose feeding (58).<br />

<strong>The</strong> obesity promoting effect <strong>of</strong> fish oil can also be affected by different type <strong>of</strong> starch<br />

as mice receiving fish oil in combination with a high GI starch had higher adipose tissue mass than<br />

mice receiving fish oil in combination with low GI starch. <strong>The</strong>se results may also relate to the<br />

effect <strong>of</strong> the different type <strong>of</strong> starch on postprandial glucose levels and insulin secretion (33, 42,<br />

59). Low GI diets <strong>are</strong> becoming popular in weight management also in humans although their<br />

effectiveness in terms <strong>of</strong> lasting weight reduction is not commonly accepted (28-32). <strong>The</strong> lack <strong>of</strong><br />

acceptance may, however, partly be due to insufficient power <strong>of</strong> early studies as a meta-analysis has<br />

indicated that diets in which there was a reduction in the glycemic index produced moderately more<br />

weight loss than control low fat diets in humans (32). However, a recent large European study<br />

demonstrated that intake <strong>of</strong> low glycemic index carbohydrates combined with a modest increase in<br />

protein content improved maintenance <strong>of</strong> weight loss (60).<br />

Obviously, increased adipose tissue mass is related to energy-intake. However, as<br />

demonstrated here, the macronutrient composition can influence energy efficiency, and mice<br />

consuming the same amount <strong>of</strong> calories end up with quite different amounts <strong>of</strong> adipose tissue. Of<br />

note, increasing the amount <strong>of</strong> sucrose from 13 to 43% led to an approximately 5-fold higher energy<br />

efficiency. Circulating insulin levels may also indirectly influence energy efficiency. Hepatic PGC-<br />

1α is a central target <strong>of</strong> the insulin/glucagon axis regulating activation <strong>of</strong> the entire gluconeogenesis<br />

cascade in liver (61-63) and a dose-<strong>dependent</strong> decrease in Ppargc1a and Pck1 expression was<br />

observed in response to increasing intake <strong>of</strong> dietary sucrose. This might be <strong>of</strong> importance regarding<br />

energy efficiency as gluconeogenesis requires ATP and activation <strong>of</strong> gluconeogenesis reduces feed<br />

efficiency as protein is converted to glucose at a cost <strong>of</strong> 16-20 kJ/g protein (64). Moreover,<br />

increased catabolism <strong>of</strong> amino <strong>acids</strong> requires ATP for disposal <strong>of</strong> nitrogen as urea at an energy-cost<br />

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