Specific dynamic action

Factors that affect the specific dynamic action

The specific dynamic action is increased by both aerobic training of sufficient duration and intensity or by anaerobic weight training. Caffeine intake at meals also has been shown to increase TEF by enhancing sympathetic arousal. However, these effects are marginal, amounting to 7-8 calories per hour. The primary determinants of daily TEF are the total caloric content of the meals and the macronutrient composition of the meals ingested. Meal frequency has little to no effect on TEF, assuming total calorie intake for the days are equivalent.

Some studies suggest that SDA may be reduced in patients with obesity, especially those with insulin resistance, although research findings are mixed. A low TEF could potentially predispose to obesity by reducing energy expenditure and promoting a positive energy balance. Alternatively, the presence of a low TEF in many patients with obesity may be explained by insulin resistance, which can be related to excess dietary energy and vary in severity with the degree of obesity. Over time, chronic hyperinsulinemia could diminish the ability of cells to respond to insulin, promote adiposity and peripheral insulin resistance, and worsen the risk for type 2 diabetes. Some research shows that TEF may be more severely impaired in patients depending on the grade of insulin resistance, although some other studies have not reproduced that finding.

The mechanism of SDA is unknown, but in the case of dietary carbohydrates, it has been shown to be strongly related to increases in sympathetic activity. TEF has been described as the energy used in the distribution of nutrients and metabolic processes in the liver. For example, dietary protein produces a high TEF because of the high energy costs associated with processing it, and it has been shown that hepatectomized animal exhibits no signs of TEF. By contrast, the energy costs of the digestion and absorption of food play a much less significant role; indeed, research shows that intravenous injections of nutrients such as glucose or amino acids results in an effect equal to that of oral ingestion of the same nutrients.