We read with interest the study by Bahler et al. [
[1]
] that discusses the findings observed in two studies comparing brown adipose tissue
(BAT) activity and volume in healthy young white Caucasians and South Asians [
- Bahler L.
- Holleman F.
- Booij J.
- Hoekstra J.B.
- Verberne H.J.
Hot heads & cool bodies: the conundrums of human BAT activity research.
Eur J Intern Med. 2017; 10–3https://doi.org/10.1016/j.ejim.2016.12.023
2
,
3
]. While Admiraal et al. [
[2]
] found no differences in BAT activity and volume between groups, Bakker et al. [
[3]
] reported lower BAT volume in South Asians, despite the fact that both studies were
comparable in terms of age, body mass index, sex, ethnicity and country of the participants.
Bahler et al. [
[1]
] argued that such discrepancy between studies could be due to the use of different
cooling methods to activate BAT, i.e. air-conditioning [
- Bahler L.
- Holleman F.
- Booij J.
- Hoekstra J.B.
- Verberne H.J.
Hot heads & cool bodies: the conundrums of human BAT activity research.
Eur J Intern Med. 2017; 10–3https://doi.org/10.1016/j.ejim.2016.12.023
[2]
] vs. cooling blankets [
[3]
]. They point to facial skin cold exposure, associated with air-conditioned cooling
and not blanket-mediated cooling, as the possible key factor that would cause additional
activation of BAT.Keywords
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References
- Hot heads & cool bodies: the conundrums of human BAT activity research.Eur J Intern Med. 2017; 10–3https://doi.org/10.1016/j.ejim.2016.12.023
- Cold-induced activity of brown adipose tissue in young lean men of South-Asian and European origin.Diabetologia. 2013; 56: 2231-2237https://doi.org/10.1007/s00125-013-2938-5
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Article info
Publication history
Published online: February 16, 2017
Accepted:
February 9,
2017
Received:
February 6,
2017
Identification
Copyright
© 2017 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
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- Hot heads & cool bodies: The conundrums of human brown adipose tissue (BAT) activity researchEuropean Journal of Internal MedicineVol. 40
- PreviewBrown adipose tissue is able to increase energy expenditure by converting glucose and fatty acids into heat. Therefore, BAT is able to increase energy expenditure and could thereby facilitate weight loss or at least weight maintenance. Since cold is a strong activator of BAT, most prospective research is performed during cold to activate BAT. In current research, there are roughly two methods of cooling. Cooling by lowering ambient air temperature, which uses a fixed temperature for all subjects and personalized cooling, which uses cooling blankets or vests with temperatures that can be adjusted to the individual set point of shivering.
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- Reply to: Activation and quantification of human brown adipose tissue: Methodological considerations for between studies comparisonsEuropean Journal of Internal MedicineVol. 41
- PreviewWe thank Martinez-Tellez and co-authors for their interest in our article. Martinez-Tellez et al. are quite right in their statement that there are more factors involved in activation of human BAT than we described in our article [1]. However, the main aim of our manuscript was to speculate on/discuss the potential influence of facial cooling in the activation of BAT and therefore we did not focus on other differences between the publication of Admiraal et al. and Bakker et al. [2,3].
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