Association between dietary factors and brown adipose tissue volume/18F-FDG uptake in young adults

Clin Nutr. 2021 Apr;40(4):1997-2008. doi: 10.1016/j.clnu.2020.09.020. Epub 2020 Sep 19.

Abstract

Objective: To study the association between usual dietary factors (dietary energy density, nutrient intake, food group consumption, and dietary pattern) and brown adipose tissue (BAT) volume/18F-fluorodeoxyglucose (18F-FDG) uptake after personalized cold exposure in young healthy adults.

Methods: A total of 122 young adults (n = 82 women; 22.0 ± 2.1 years old; 24.8 ± 4.8 kg/m2) took part in this cross-sectional study. Dietary factors were measured via a food frequency questionnaire and three non-consecutive 24 h recalls. Dietary energy density (foods and caloric beverages included) and macronutrient intakes were subsequently estimated using EvalFINUT® software, food group consumption was estimated from the food frequency questionnaire, and different dietary patterns and quality indices were determined according to the reference methods. BAT volume, BAT 18F-FDG uptake, and skeletal muscle 18F-FDG uptake were assessed by static 18F-FDG positron-emission tomography and computed tomography (PET-CT) scans after a 2 h personalized exposure to cold.

Results: A direct association was detected between dietary energy density and BAT Standardized Uptake Value (SUV)mean (β = 0.215; R2 = 0.044; P = 0.022), and between ethanol consumption and BAT volume (β = 0.215; R2 = 0.044; P = 0.022). The a priori Mediterranean dietary pattern was inversely associated with BAT SUVmean and SUVpeak (β = -0.273; R2 = 0.075; P = 0.003 and β = -0.255; R2 = 0.066; P = 0.005 respectively). In addition, the diet quality index for a Mediterranean diet and a pro-inflammatory dietary pattern (as determined via the dietary inflammatory index) were directly associated with BAT SUVmean and SUVpeak (SUVmean: β = 0.238; R2 = 0.053; P = 0.013 and β = 0.256; R2 = 0.052; P = 0.012 respectively; SUVpeak: β = 0.278; R2 = 0.073; P = 0.003 and β = 0.248; R2 = 0.049; P = 0.016 respectively). After controlling for multiplicity and possible confounders (sex, the evaluation wave and BMI), all the detected associations persisted.

Conclusion: Dietary factors are slightly associated with BAT volume and/or 18F-FDG uptake after a personalized cold exposure in young adults. Our results provide an overall picture of the potential relationships between dietary factors and BAT-related variables in humans.

Keywords: Brown fat; Diet; Food; Macronutrient; Nutrition; Thermogenesis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adipose Tissue, Brown / anatomy & histology
  • Adipose Tissue, Brown / metabolism*
  • Adult
  • Cross-Sectional Studies
  • Diet / methods*
  • Female
  • Fluorodeoxyglucose F18 / pharmacokinetics*
  • Humans
  • Male
  • Positron Emission Tomography Computed Tomography / methods*
  • Young Adult

Substances

  • Fluorodeoxyglucose F18