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PubMed1998

Energy intake in early infancy and childhood fatness.

OBJECTIVE: To investigate whether aspects of infant energy intake are related to fatness in early childhood. DESIGN: Longitudinal investigation of infants studied at 12 weeks and 2-3.5 y. SUBJECTS: 20 healthy infants, breast-fed or formula-fed, from the general population. MEASUREMENTS: Milk volume intake (MVI) by deuterium turnover, estimated energy intake, weaning status and body composition in infancy, body composition in childhood. RESULTS: MVI was not related to infant skinfolds or percentage fat. Weaning was inversely related to MVI (P < 0.04) at 12 weeks, and inversely related to skinfolds (P = 0.055) and fat mass (P = 0.020) in childhood. MVI and total energy intake were not related to childhood fatness. CONCLUSIONS: Early weaning was associated with a moderate reduction in childhood fatness. Two possible mechanisms are discussed. However, early infant energy intake was not an important determinant of later fatness in this population.

Aging↗

PubMed2000

Assessment of under-reporting of energy intake by elite female gymnast.

This study examines the degree of under-reporting of energy intake by elite, female gymnasts, and the impact this predicted under-reporting has on associated macro and micro nutrient intake. Twenty-eight female U.S. national team artistic gymnasts participated in the study. Dietary intake was assessed using 3-day food records, and the degree of under-reporting was predicted from the ratio of reported energy intake (EI) to predicted basal metabolic rate (BMRestd), using the standards described by Goldberg et al. (10). Sixty-one percent of the subjects had an EI/BMRestd ratio of < 1.44, and were classified as under-reporters. The under-reporters had higher BMIs and percent body fat, and lower reported total energy intakes than the adequate energy reporters. Additionally, under-reporting of energy intake had a significant impact on reported micro nutrient intake. The under-reporting of energy intake seen in these subjects has an impact on the reported intake of macro and micro nutrients that can influence the interpretation of the nutritional status of these athletes and the strategy for nutrition intervention. Therefore, when assessing dietary intakes of elite gymnasts, some means of determining the accuracy of the reported energy and nutrient intake should be employed to more accurately identify the true nutritional problems experienced by these elite athletes.

Adolescent↗

PubMed1997

Energy intake and net weight gain in pregnant women according to body mass index (BMI) status.

OBJECTIVE: To investigate whether body mass index (BMI) is related to energy intake during pregnancy, and whether BMI, energy intake and other factors are related to net weight gain. DESIGN: Longitudinal, duration of pregnancy. SUBJECTS: 156 healthy pregnant women residing in Quedlinburg county, Germany. METHODS: Weighed 7 d food records and standardized anthropometric measures in the first, second and third trimester. The analysis of variance (ANOVA) statistical technique was used to analyze differences in energy intake, net weight gain and birthweight across BMI groups, and the Cochran-Mantel Haenszel test was used to analyze food group intake by BMI group. RESULTS: Women at the highest level of BMI were significantly less often in the high energy intake category than women at the medium or low level of BMI (15% vs 36% and 48%). Net weight gain during pregnancy was independently influenced by BMI status and energy intake. Women at the highest level of BMI gained significantly less weight (4.2 kg) from first to third trimester than women at the medium or low levels of BMI (weight gains of 6.2 kg and 5.9 kg, respectively). Women with a low daily energy intake gained 4.6 kg during pregnancy, while women with medium and high energy intakes gained 6.0 kg and 6.1 kg, respectively. Examination of net weight gain simultaneously across BMI and parity groups revealed a much lower net weight gain among multigravid women at the highest BMI level (3.3 kg). Primigravid high BMI women, in contrast, gained 6.9 kg, whereas multigravid and primigravid women at medium and low BMI levels gained average of 4.8 kg and 6.5 kg, respectively. The mean birth weight in the three BMI groups did not differ and was not influenced by age, marital status, education, parity or smoking. CONCLUSION: Because other studies have shown that weight gain during pregnancy increases the risk of subsequent overweight, multigravid high BMI women may prevent an increased weight retention after pregnancy due to lower weight gain in the current gestation. A lower caloric diet may help to accomplish a lower weight gain during pregnancy in overweight women without increased risk of low birth weight infants. These findings indicate further investigation of the associations between BMI, parity and caloric intake during pregnancy are needed to increase understanding of factors affecting subsequent weight gain.

Adult↗

PubMed1994

Within- and between-individual variation in energy intakes by low-income Peruvian infants.

OBJECTIVES: (i) To examine the components of variation in infant energy intake. (ii) To calculate the precision of estimates of energy intake from different sources. (iii) To estimate the number of dietary studies required to estimate true energy intake with varying degrees of precision. DESIGN: Energy intakes were determined from monthly 12-h observations with test-weighing of breastmilk and all foods consumed. Variance components were evaluated by pooling results of studies performed when infants were 1-4, 5-8 and 9-12 months old. SETTING: Pueblo Joven Huáscar, a low-income, peri-urban community in Lima, Peru. SUBJECTS: 124 infants who were enrolled at birth and followed monthly. RESULTS: Within-to-between infant variance ratios were > 1.0 for total energy and energy from solid foods, and < 1.0 for energy from breast- and non-human milks during the 4-month periods examined. Total energy and energy from breastmilk were estimated to within 13-24% of infants' true intake. Non-breastmilk energy was estimated to within 19-143% of true intake. Four dietary studies per age period are required to estimate total energy and breastmilk energy consumption with 20-30% precision. At least 16 studies are required to estimate infants' average energy intake from solid foods from 5-8 months with 30% precision. CONCLUSIONS: The degree of precision achieved during assessment of infants' usual energy intake changes with age and composition of the diet. Thus, the number of dietary studies required to obtain a fixed level of precision differs according to these characteristics.

Breast Feeding↗

PubMed2007

Financial incentive for diet recall accuracy does not affect reported energy intake or number of underreporters in a sample of overweight females.

Underreporting of energy intake in diet recalls is common, especially among obese individuals. Incentives have been used to ameliorate the problem, but are typically provided without efficacy assessment. The present study sought to determine whether financial incentives decrease underreporting in diet recalls. Three groups were used to assess incentive timing effects in this parallel group crossover study. One group received a $50 bonus for accurate diet recalls on the first two of four recalls. Accuracy was purportedly verified by salivary analysis. Another group received the $50 bonus for the last two recalls. A third group received no incentive. Mean energy intake during the first two visits was compared to mean energy intake during the last two visits to assess differences resulting from the incentive. Underreporters were identified using a Goldberg cutoff and energy intake <76% of estimated energy expenditure. Energy intake did not differ within or between groups at any time, and the number of underreporters was not associated with group at any time. Overall, the incentive was ineffective in this small, homogeneous sample. Future studies should assess different forms of incentives, other study populations, and the probability of incentives causing undereating.

Adult↗

PubMedDate not supplied

Factors associated with low reported energy intake in the elderly.

BACKGROUND: Underreporting of dietary intake can be estimated by the Energy Ratio (ER) between reported energy intake (EI) and calculated total energy expenditure (TEE). The gap between EI and TEE is usually attributed to underreporting. In elderly populations, compromised dietary intake and health status may offer alternative explanations to this gap. OBJECTIVE: This study aimed to characterize "underreporting" of dietary intake and low energy reporters (LER) among the elderly. DESIGN: Participants aged 65 years and over, were recruited using random population sampling of the Negev population. Data were collected using the 24-h recall method with additional demographic and age-specific health questionnaires. ER was calculated using the ratio between reported energy intake and calculated TEE computed by the Schofield formula. LER were defined as those with reported energy intake of less than 0.8 calculated BMR using the Schofield formula. RESULTS: We restricted our analysis to 191 elderly aged 65-74 y and 177 aged 75 y and older who reported their diet to be "as usual." In univariate analyses, BMI < 22, better health status, use of fewer than four medications and good reported appetite were significantly related to higher ER. No difference was shown in ER by gender, level of education, and family status. Weight loss superior 5 kg was associated with low ER (p = 0.049). In a linear regression model, low ER (indicating "underreporting") was significantly associated with higher activity level and use of over four medications. Using a dichotomous approach, Low Energy Reporters (LER) used a higher number of medications, ate fewer food items per day and suffered from poorer appetite. CONCLUSIONS: In the elderly, ER < 1 may indicate underreporting in dietary intake, and indeed, is frequent among the obese. Nonetheless, among the elderly, ER < 1 may reflect truly low caloric intake. Our results suggest that, to some degree, health status variables are associated with decreased ER, supporting a true caloric deprivation state.

Aged↗

PubMed2006

Increased energy intake for preterm infants with (or developing) bronchopulmonary dysplasia/ chronic lung disease.

BACKGROUND: Preterm infants with bronchopulmonary dysplasia/chronic lung disease have nutritional deficits that may contribute to short and long term morbidity and mortality. Increasing the daily energy intake for these infants may improve their respiratory, growth and neurodevelopmental outcomes. OBJECTIVES: To assess the effect of increased energy intake on mortality and respiratory, growth and neurodevelopmental outcomes for preterm infants with (or developing) CLD/BPD. Secondarily, the review examines any adverse effects associated with increased energy intake. SEARCH STRATEGY: The standard search strategy of the Cochrane Neonatal Review Group was used. This included searches of the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library, Issue 1, 2006) , MEDLINE (accessed via Ovid), references cited in previous relevant Cochrane reviews and in other relevant studies, review articles, standard textbooks, and manuals of neonatal medicine. Hand search results of the Cochrane Neonatal Review Group were also assessed. SELECTION CRITERIA: All randomized and quasi-randomized trials comparing the outcomes of preterm infants with (or developing) CLD/BPD who had either increased (> 135 kcal/kg/day) or standard energy intake (98 to 135 kcal/kg/day). Increasing energy intake might be achieved enterally and/or parenterally, enterally by increasing the energy content of the milk, increasing feed volume, or by nutrient supplementation with protein, carbohydrate or fat. The primary outcomes were the development of CLD and neonatal mortality; secondary outcomes included respiratory morbidities, growth, neurodevelopmental status and possible complications with increased energy intake. DATA COLLECTION AND ANALYSIS: We planned to extract data using the standard methods of the Cochrane Neonatal Review Group. Relevant trials would be scrutinized for methodological quality independently by the reviewers to determine their eligibility for inclusion. Data of the included trials would be expressed as relative risk, risk difference, NNT and weighted mean difference where appropriate, using a fixed effect model. MAIN RESULTS: No eligible trials were identified. Twelve studies that appeared to be relevant were excluded, as no study directly compared increased versus standard energy intakes in infants with CLD/BPD. However, two excluded trials provided some insights into the topic. One study showed that infants with CLD/BPD who were fed formula enriched with protein and minerals had improved growth parameters up until the cessation of the intervention at three months of corrected age. The other study compared different energy density of formula but identical energy intake by setting different feed volumes for both groups. It showed that both groups were unable to achieve the pre-designated feed volumes, and that there were no differences in growth, respiratory outcomes, oedema and the diuretic requirements. AUTHORS' CONCLUSIONS: To date, no randomized controlled trials are available that examine the effects of increased versus standard energy intake for preterm infants with (or developing) CLD/BPD. Research should be directed at evaluating the effects of various levels of energy intake on this group of infants on clinically important outcomes like mortality, respiratory status, growth and neurodevelopment. The benefits and harms of various ways of increasing energy intake, including higher energy density of milk feed and/or fluid volume (clinically realistic target volume should be set), parenteral nutrition, and the use of various constituents of energy like carbohydrate, protein and fat for this purpose also need to be assessed.

Bronchopulmonary Dysplasia↗

PubMed2006

Appetite sensations and satiety quotient: predictors of energy intake and weight loss.

PURPOSE: The aim of this study was to further evaluate the validity and clinical meaningfulness of appetite sensations to predict overall energy intake as well as body weight loss. METHODS: Men (n = 176) and women (n = 139) involved in six weight loss studies were selected to participate in this study. Visual analogue scales were used to measure appetite sensations before and after a fixed test meal. Fasting appetite sensations, 1 h post-prandial area under the curve (AUC) and the satiety quotient (SQ) were used as predictors of energy intake and body weight loss. Two separate measures of energy intake were used: a buffet style ad libitum test lunch and a three-day self-report dietary record. RESULTS: One-hour post-prandial AUC for all appetite sensations represented the strongest predictors of ad libitum test lunch energy intake (p < or = 0.001). These associations were more consistent and pronounced for women than men. Only SQ for fullness was associated with ad libitum test lunch energy intake in women. Similar but weaker relationships were found between appetite sensations and the 3-day self-reported energy intake. Weight loss was associated with changes in appetite sensations (p < or = 0.01) and the best predictors of body weight loss were fasting desire to eat; hunger; and PFC (p < or = 0.01). CONCLUSIONS: These results demonstrate that appetite sensations are relatively useful predictors of spontaneous energy intake, free-living total energy intake and body weight loss. They also confirm that SQ for fullness predicts energy intake, at least in women.

Adult↗

PubMed1985

Effect of dietary energy intake during lactation on performance of primiparous sows and their litters.

A total of 146 primiparous sows was used in four replications of an experiment to investigate the effect of energy intake during a 28-d lactation on sow and litter performance. Dietary treatments consisted of three energy intakes; 10, 12 or 14 Mcal of metabolizable energy (ME) X sow-1 X d-1. All sows were fed equal amounts of crude protein, vitamins and minerals daily, which met or exceeded standard recommendations. The experiment was initiated at parturition. Sow weight and backfat loss during lactation decreased linearly (P less than .001) as energy intake increased. There were no differences in litter size at either 14 d of lactation or weaning. Pig weights on d 14 increased linearly (P less than .05) and litter weights tended to increase linearly (P = .13) as energy intake increased. At weaning, pig weights and litter weights increased (P less than .05) as sow energy intake increased. There were no significant differences in the percentages of sows in estrus by 7, 14, 21 and 70 d postweaning, but sows fed 10 Mcal ME/d had a slightly longer interval from weaning to first estrus than sows fed higher energy intakes. Serum urea concentrations of sows were inversely related to energy intake during lactation. Serum creatinine concentrations were not affected by energy intake. An intake of 10 Mcal ME/d by primiparous sows during a 28-d lactation resulted in reduced sow and litter performance; there was little difference between sows fed 12 and 14 Mcal ME/d.

Animals↗

PubMed2004

Effects of alcohol on food and energy intake in human subjects: evidence for passive and active over-consumption of energy.

The effects of alcohol on food and energy intake in human subjects have been the subject of a number of controlled studies recently. Unlike the evidence for other macronutrients, there is minimal evidence for any compensatory reduction in food intake in response to energy ingested as alcohol. In contrast, all studies testing intake within 1 h of preload ingestion report a higher intake of food following alcohol relative to energy-matched controls, although this short-term stimulatory effect is not evident if the test meal is delayed beyond 1 h. This time-course suggests that short-term stimulation of appetite may be mediated by the pharmacological action of alcohol on the appetite control system, either through enhanced orosensory reward or impaired satiety. In the long term, energy ingested as alcohol is additive to energy from other sources, suggesting that moderate alcohol consumption results in long-term passive over-consumption alongside short-term active over-consumption of energy through appetite stimulation. Despite the consistency of enhanced energy intake after moderate alcohol, evidence of an association between alcohol in the diet and obesity remains contentious, although the most recent results suggest that alcohol intake correlates with BMI. Future research needs to address this issue and clarify the mechanisms underlying appetite stimulation by alcohol.

Alcohol Drinking↗

PubMed2002

The effect of wine or beer versus a carbonated soft drink, served at a meal, on ad libitum energy intake.

BACKGROUND: Alcoholic beverage drinking may increase total energy intake at a meal by various mechanisms and this effect may depend on the sort of beverage. OBJECTIVE: To test the effect of wine, beer and a soft drink served with a normal meal on food and total energy intake in non-obese men. DESIGN: A supper meal consisting of three consecutive dishes was presented to 22 young men. Ad libitum energy intakes (EI) of the meal were measured at three different occasions in a cross-over design with red wine, lager beer or a carbonated soft drink. This was done in two studies with different design. In the first study the beverages were supplied ad libitum and in a second study the intake of the beverages was fixed: beer and soft drink at 9 ml/kg body weight and wine isoalcoholic to beer, 3.185 ml/kg body weight. RESULTS: In the ad libitum beverage study total EI was higher with wine than with the soft drink and beer (P<0.05). In the fixed beverage study differences in total EI did not reach statistical significance (P=0.14), although the intake of goulash was higher with wine and beer than with the soft drink (P<0.005). CONCLUSION: These data indicate that alcoholic beverages, and wine in particular, may enhance total EI at a meal relative to a soft drink, when served with no restriction.

Adult↗

PubMed2000

Cellular adaptations in fat tissue of exercise-trained miniature swine: role of excess energy intake.

This study examined the influence of energy expenditure and energy intake on cellular mechanisms regulating adipose tissue metabolism. Twenty-four swine were assigned to restricted-fed sedentary, restricted-fed exercise-trained, full-fed sedentary, or full-fed exercise-trained groups. After 3 mo of treatment, adipocytes were isolated and adipocyte size, adenosine A(1) receptor characteristics, and lipolytic sensitivity were measured. Swine were infused with epinephrine during which adipose tissue extracellular adenosine, plasma fatty acids, and plasma glycerol were measured. Results revealed that adipocytes isolated from restricted-fed exercised swine had a smaller diameter, a lower number of A(1) receptors, and a greater sensitivity to lipolytic stimulation, compared with adipocytes from full-fed exercised swine. Extracellular adenosine levels were transiently increased on infusion of epinephrine in adipose tissue of restricted-fed exercised but not full-fed exercised swine. These results suggest a role for adenosine in explaining the discrepancy between in vitro and in vivo lipolysis findings and underscore the notion that excess energy intake dampens the lipolytic sensitivity of adipocytes to beta-agonists and adenosine, even if accompanied by exercise training.

Adaptation, Physiological↗

PubMed2004

Increasing the portion size of a sandwich increases energy intake.

OBJECTIVE: This study investigated the effect on energy intake of increasing the portion size of a food served as a discrete unit. DESIGN: A within-subject design with repeated measures was used. SUBJECTS/SETTING: The sample comprised 75 young adults (37 females and 38 males) from a university community. INTERVENTION: Individuals ate lunch in the lab once a week for 4 weeks. Each week, they were served one of four sizes of a deli-style sandwich (6, 8, 10, or 12 inches), of which they could eat as much as they wanted. MAIN OUTCOME MEASURES: Energy intakes were determined for each meal, as were ratings of hunger and satiety before and after each meal. STATISTICAL ANALYSES PERFORMED: A linear mixed model with repeated measures was used. The influence of subject characteristics was examined using analysis of covariance. RESULTS: The portion size of the sandwich significantly influenced lunch intake for both males and females (P<.0001). The majority of individuals consumed the entire 6-inch sandwich. When served the 12-inch sandwich, compared with the 8-inch sandwich, females consumed 12% more energy (74 kcal) and males consumed 23% more energy (186 kcal). Despite these differences, ratings of hunger and fullness were not significantly different after eating the 12-inch and 8-inch sandwiches. APPLICATIONS/CONCLUSIONS: These results suggest that increasing the portion size of a food served as a discrete unit leads to increased energy intake at a single meal without differentially influencing ratings of hunger and satiety. Dietitians should educate their clients about strategies to moderate the effect on intake of increased portions of high-calorie foods.

Adult↗

PubMed2000

Serum amino acids in relation to nutritional status, lung function and energy intake in patients with advanced pulmonary disease.

Malnutrition, hypoxia and energy deficit may affect protein metabolism. We wanted to evaluate the cross-sectional association between serum amino acids and fat-free mass in a group of hypoxic patients. We also wanted to explore, in the same group of patients, whether the blood amino-acid pattern could possibly be influenced by differences in lung function and energy intake. Serum amino acids were measured in 71 hypoxic underweight and normal-weight patients with advanced pulmonary disease and related to the fat-free-mass index, arterial oxygen (PaO2) and carbon dioxide tension (PaCO2), forced vital capacity (FVC), forced expiratory volume in 1 sec (FEV1) and energy intake. Only one amino acid (aspartic acid) remained significantly correlated to the fat-free-mass index after adjustments for age and sex (beta = -0.30, P=0.011). None of the amino acids were significantly correlated to PaO2 but alanine was significantly negatively correlated to PaCO2 (beta = -0.46, P<0.001), phenylalanine to FVC1 (beta = 0.52, P=0.001) and tyrosine to FVC (beta = 0.36, P=0.008). Citrulline and tryptophan were significantly correlated to energy intake (beta = 0.32, P=0.008; beta=0.37, P=0.009 respectively). In conclusion, there was no convincing association between fat free mass and serum amino acids. The negative effect of hypercapnia and reduced lung function on some serum amino acids was suggested and some amino acids were sensitive to reduced energy intake.

Adult↗

PubMed1984

Comparison of dietary energy intakes and sources by race, sex, and age for adults in Mississippi.

Energy intake and sources and alcohol and caffeine consumption of 384 Mississippians older than 34 were studied by 24-hour recall. The data were compared by race, sex, and age. Whites consumed more energy and had more adequate energy intake than blacks. Energy intake was more adequate in women than in men. The mean protein intake for all groups, except black men, was in excess of the Recommended Dietary Allowance (RDA). Protein represented 12% of the calories consumed daily by whites and 14% by blacks. Both figures are slightly more than the RDA for this age group. Whites consumed 66 gm fat and blacks 56 gm, representing 33% of total energy for whites and 38% for blacks. The mean cholesterol consumption was 339 mg for blacks and 310 mg for whites. Men consumed slightly more cholesterol than women. Whites consumed 334 gm total carbohydrates and blacks 202 gm. Starch and sugar provided 59% of total energy for whites and 52% for blacks. Whites drank 4 times more alcohol than blacks, with alcohol representing 3% of energy for whites and 1% for blacks. Whites consumed 2.5 times more caffeine than blacks. Young individuals consumed more caffeine than older ones. This study clearly shows a significant racial difference in energy content and sources in the diet of adults in Mississippi.

Adult↗

PubMed1991

The nature and individuality of within-subject variation in energy intake.

Examinations of observed within-subject variation in the energy intake of 29 adults participating in the Beltsville One-Year Dietary Intake Study suggest that individuals possess characteristic patterns of variability in total food intake (expressed as energy intake). Although the day-to-day variation appears to contain a sizable random component, significant nonrandom components were detected in the observed variation of all but one subject. Up to 37% of the total variance observed for a subject could be explained by the long- and short-term patterns identified in food intake. Both the shape and the amplitude of these patterns were unique to the individual subject, suggesting that observed within-subject variance is a function of the particular combination of environmental and biological pressures on the individual's total food intake at any one time and of the methodological errors inherent in the estimation of this intake.

Adult↗

PubMed2001

Energy density, energy intake and weight status in a large free-living sample of Chinese adults: exploring the underlying roles of fat, protein, carbohydrate, fiber and water intakes.

OBJECTIVE: This paper uses observational data to explore what dietary constituents might be responsible for associations between energy density, energy intake and weight status among free-living individuals. DESIGN: Cross-sectional data on 5783 Chinese adults (aged 20-59 y) from the 1991 China Health and Nutrition Surveys were used to test for associations between energy density, energy intake and weight status, controlling for age, sex, height, activity level, smoking status, urban residence and income. Pearson correlation coefficients were calculated to identify nutrient intake correlates of energy density. Replacing energy density with its nutrient correlates (3 day mean estimates of fat, protein, fiber and water intakes) in the models predicting energy intake and overweight status, the independent effects of specific nutrients were investigated. RESULTS: Energy density was positively and significantly associated with energy intake and overweight status. Energy density was significantly correlated with every nutrient examined, although the correlations were weak for most variables except water intake. Only water intake behaved consistently across analyses. It was negatively correlated with energy density, negatively, significantly and independently associated with energy intake as well as overweight status. Despite positive associations with energy intake, fat and protein intake were not significant predictors of overweight status. Fiber intake was strongly and positively associated with overweight status. CONCLUSIONS: Of the nutrients examined, only water intake appeared to explain the effects of energy density on energy intake and overweight status.

Adult↗

PubMed1989

Body composition and energy intake: do overweight women overeat and underreport?

The relationship between energy consumption and body composition was evaluated in 63 women by use of energy-intake values that were precisely measured in a metabolic unit and corrected for deviations from energy balance. Energy requirement for the maintenance of body weight was not significantly correlated with adiposity expressed as percent body fat. However, energy requirement was positively associated with lean mass (p less than 0.0001) whereas fat mass added no predictive value to the same multivariate regression equation. Self-reported energy intake (before the experiments) was not correlated with lean mass and was underestimated by lean subjects at least as much as by obese subjects. Discrepant findings in the literature concerning relationships between obesity and energy intake may be explained by reporting error and by the relative lean mass of obese vs nonobese women but not by systematic underreporting unique to obese subjects.

Adult↗