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PubMed1980

[Effect of protein and energy intake on nitrogen metabolism of undernourished patients on continuous enteral nutrition].

Nitrogen balance, energy balance and respiratory quotient were measured in 18 undernourished patients fed with continuous enteral nutrition in order to assess the effects of: a) various levels of protein and energy intakes with a fixed diet composition; b) energy/nitrogen ratio; c) proportions of carbohydrates in energy intake. The results were the following: 1) With energy intakes from 4,880 to 8,360 kJ/m2/day (protein: 18 p. 100) nitrogen balance and net protein absorption were significantly correlated with nitrogen intake (respectively P less than 0.01 and P less than 0.001). 2) Nitrogen balance was not significantly different whether the patient received normo (energy/nitrogen = 476 kJ/g) or hypernutrition ( energy /nitrogen = 1,056 kJ/g). 3) Nitrogen balance was not different in 6 patients receiving the same energy and nitrogen intakes but 80 or 55 p. 100 carbohydrates; high carbohydrates diet induced lipid synthesis. These results confirm the value of continuous enteral nutrition to positive nitrogen balance in undernourished patients. Except when energy expenditure level is very high they do not support a policy of routinely use hypernutrition with high carbohydrates diet.

Adult↗

PubMed1998

An assessment of the use of simple methods to predict individual energy intakes for intervention studies.

OBJECTIVE: To investigate to what extent individual energy intakes can be predicted by rapid easily available low-cost estimation methods. DESIGN: Data were obtained from a controlled dietary intervention study period of nine weeks in which the subjects should be weight stable. SUBJECTS: Thirty-one male students in domestic and kitchen management aged 29 +/- 6 y. METHODS: (1) energy intake calculated from a quantitative food frequency questionnaire (FFQEI); (2) energy expenditure derived from estimates of basal metabolic rate (BMR) (FAO/WHO/UNU, 1985) based on weight, gender, age and low (1.55 x BMR), medium (1.78 x BMR) or high (2.10 x BMR) level of activity. Level of activity was determined by questions concerning habitual activities lasting more than 20 min (WHOEE); (3) energy expenditure derived from individual recording in a specially prepared activity diary (ADEE). During the intervention, the subjects were to be fed test diets which should provide them with enough energy to keep them weight stable. The energy levels were established after taking both the FFQEIs, WHOEEs and ADEEs into consideration, and 10 MJ, 13 MJ, 15 MJ and 17 MJ per day were chosen because these levels were estimated to closely match the energy requirements of most of the subjects. The levels of energy were changed during the intervention period if the weight of the subjects fluctuated. The served level of energy at the last day of the intervention was denoted the weight maintenance energy intake (WMEI). WMEI was compared to FFQEI, WHOEE and ADEE in order to evaluate if one estimation method predicted WMEI better than the two others. RESULTS: None of the three methods provided accurate estimates of WMEI of 13.3 +/- 1.8 MJ. However, WHOEE, gave the best estimate as demonstrated by the limits of agreement: -8.7 MJ to +8.9 MJ for FFQEI, -5.4 MJ to +3.9 MJ for WHOEE and -7.2 MJ to +5.2 MJ for ADEE. The coefficients of correlation between the differences and the means of WMEI and FFQEI, WHOEE and ADEE were -0.8 (P < or = 0.001), 0.1 (P = 0.6, NS) and -0.5 (P < or = 0.01), respectively. The coefficients of variation were 34.6% for FFQEI, 11.3% for WHOEE, and 21.0% for ADEE. CONCLUSIONS: Although not precise, WHOEE showed the best agreement with the WMEI. These results demonstrate that a rapid and simple low-cost method predicted WMEI closely enough to avoid major weight fluctuations among these men during the intervention period.

Adult↗

PubMed1995

Differential fatty acid accretion in heart, liver and adipose tissues of rats fed beef tallow, fish oil, olive oil and safflower oils at three levels of energy intake.

To examine interactive effects of dietary fatty acid composition and energy restriction on tissue fatty acid accretion, mature rats consumed diets containing beef tallow, fish oil, olive oil or safflower oil with free access or at 85% or 68% of free access energy intakes. Restriction was accomplished by adjustment of dietary carbohydrate level. After 10 wk, animals were killed, and the fatty acid compositions of liver, heart and adipose tissues were examined. Compared with animals given free access to diets, body weight gains were reduced at wk 10 in fish oil- and olive oil-fed groups consuming 85% (P < 0.01) and in all groups consuming 68% (P < 0.005) of free access energy intake. Liver and heart weights were also lower (P < 0.05) in all groups restricted to 68% of free access energy intake. The type of dietary fat and the level of energy restriction influenced fatty acid composition in all three tissues at wk 10. In liver tissue, graded energy restriction increased (P < 0.02) proportions of stearic acid and decreased (P < 0.03) those of palmitic acid. In heart tissue, palmitic acid levels decreased (P < 0.01) with energy restriction. In adipose tissue, significant energy restriction-related changes in fatty acid composition varied with type of fat consumed. These results emphasize the importance of whole-body energy balance in addition to dietary fatty acid supply in utilization of dietary fatty acids for tissue deposition vs. oxidation.

Adipose Tissue↗

PubMed1997

An experimental study of the effects of energy intake at breakfast on the test performance of 10-year-old children in school.

In order to examine the effect of energy intake at breakfast on school performance the same morning, the parents of ten parallel school classes of 10-year-old school children at five different schools were persuaded to alter their child's breakfast regimen at home over a period of 4 successive days. A total of 195 families were provided with standard breakfasts with either low or high energy content. Uneaten food was returned and weighed. Individual children were randomly assigned to breakfast alternative on any given day. The teachers who carried out the performance assessments at school were blind to treatment condition. Voluntary physical endurance and the performance of a creativity test were significantly better after a breakfast from which children derived over 20% of their recommended daily energy intake than after a breakfast from which they obtained less than 10% of recommended values. The error rate in an addition task was negatively correlated and the rate of working in a number checking task was positively correlated with individual energy intake from the low-energy breakfast. Significantly fewer children reported feeling bad and self-estimates of hunger sensation were lower during the morning at school after the high energy breakfast. Estimates of energy intake at breakfast based on 24-h dietary recall interviews with the children carried out by telephone at their homes showed good correlation with estimates based on returned food (r = 0.89). Energy intake at breakfast as estimated from returned food had no significant effect on energy intake at school lunch as estimated by dietary recall.

Child↗

PubMed1979

Effect of varying protein and energy intakes on nitrogen balance in Indian preschool children.

1. The effect of varying protein intake at two energy levels of 334 and 418 kJ/kg body-weight was studied in four preschool children belonging to the low socio-economic group. 2. Results indicated a curvilinear relationship between N intake and N rentention. From this relationship, the protein requirement of the children at adequate energy intake was calculated. 3. At adequate energy intake (418 kJ/kg body-weight) the protein requirement of the children was 1.33 g/kg. On decreasing the energy intake by 20% to 334 kJ/kg body-weight the protein requirement was found to be increased by 20% to 1.64 g/kg. 4. Based on this study, a safe level of protein intake for Indian preschool children subsisting on a diet based predominantly on vegetable proteins has been suggested.

Child, Preschool↗

PubMed1996

Effect of protein and protein-free energy intake on protein and fat deposition rates in preruminant calves of 80 to 240 kg live weight.

Two experiments were conducted to quantify the effects of protein intake on protein and fat deposition rates at two protein-free, energy intake levels in 90 preruminant Holstein Friesian x Dutch Friesian calves. The two experiments were similar in design, but were performed in two different weight ranges: 80 to 160 kg BW and 160 to 240 kg BW in Exp. 1 and 2, respectively. In each experiment, calves were allocated to either an initial slaughter group or to one of 12 treatments (three calves per treatment), which consisted of six protein intake levels at each of two protein-free energy intake levels. Calves were slaughtered and analyzed for body composition when they had reached the target weight. A balance study was conducted when calves reached 120 and 200 kg BW in Exp. 1 and 2, respectively. Protein digestibility increased with increasing protein intake in both experiments (P < .001). Average daily gain of the empty body varied between 640 and 1,340 g/d and between 420 and 1,370 g/d in Exp. 1 and 2, respectively, and was affected by protein (P < .001) and protein-free energy intake (P < .001). The calves responded to increased protein intake by increasing their protein (P < .001) and fat (P < .01) deposition rates. Maximum protein deposition was reached in the second experiment at 244 g/d. Extra protein-free energy intake resulted mainly in extra fat deposition (P < .001), but also increased the protein deposition (P < .01), even at low protein intake levels. In both experiments, the response of protein deposition rate to increased protein intakes was low: about 30% of the extra ingested protein was deposited. These results clearly demonstrate a low priority for partitioning dietary protein into protein gain in these calves.

Aging↗

PubMed2005

Energy intakes of children with Crohn's disease treated with enteral nutrition as primary therapy.

BACKGROUND: Enteral nutrition (EN) is widely used and is effective in the treatment of children with Crohn's disease given as an exclusive feed for 6-8 weeks. Current dietetic practice during EN is to recommend an energy intake based on estimated average requirement (EAR) for energy for age. AIMS: To examine factors affecting energy intake and weight gain during EN in relation to disease site and nutritional status. METHODS: A retrospective cohort study examining energy intake and weight gain during the exclusive EN feeding period in 40 patients newly diagnosed with Crohn's in relation to EAR, nutritional status, disease site. RESULTS: All patients improved clinically and gained weight during EN with improvement in the CRP as a marker of the systemic inflammatory response. Energy intake was higher than EAR in 82% (33/40 patients), with the median 117.5% of EAR. Weight gain correlated with body mass index standard deviation score (P = 0.001) at start of treatment, but not energy intake or CRP. CONCLUSION: Estimated average requirement underestimates energy intakes in most children with newly diagnosed Crohn's disease. During EN, an energy intake in the range of 100-149% (median 117.5%) EAR for energy for age may be required. Energy balance studies in children with active disease are required.

Adolescent↗

PubMed2000

Growth velocity, fat-free mass and energy intake are inversely related to viral load in HIV-infected children.

The study objectives were to assess the relationships among human immunodeficiency virus (HIV) replication, energy balance, body composition and growth in children with HIV-associated growth failure (GF). Energy intake and expenditure, body composition and level of HIV RNA were measured in 16 HIV-infected children with growth failure (HIV+/GF+), defined as a 12-mo height velocity </= 5th percentile for age, and 26 HIV-infected children with normal rates of growth (HIV+/GF-). Energy intake was measured by repeated 24-h dietary recall, resting energy expenditure (REE) by indirect calorimetry and total energy expenditure (TEE) by the doubly labeled water method. Fat-free mass (FFM) was determined by dual X-ray energy absorptiometry and plasma HIV RNA by the polymerase chain reaction method. The mean plasma HIV RNA content among the HIV+/GF+ group was nearly 1.5 log higher than that of the HIV+/GF- group (4. 89 +/- 1.08 vs. 3.43 +/- 1.64 x10(2) copies/L, P: = 0.009). The mean daily energy intake, and age-adjusted REE and TEE were lower in HIV+/GF+ children (P: = 0.003, 0.06 and 0.16, respectively). HIV+/GF+ children had a mean daily energy deficit of 674 +/- 732 kJ/d compared with HIV+/GF- children who had a mean energy surplus of 1448 +/- 515 kJ/d (P: = 0.030). There were no differences in REE after adjustment for differences in FFM and age using multiple regression analysis (P: = 0.88). There was a significant inverse relationship between FFM and plasma HIV RNA [R:(2) = 0.64, standard error of the estimate (SEE) = 3.23] and between viral load and 12-mo growth velocity (R:(2) = 0.61, SE = 1.51). Viral load and energy intake were also inversely related (R(2) = 0.17, SEE = 573.2, P: = 0. 0125). In HIV-infected children, rate of growth, quantity of FFM and energy intake are closely related to the level of HIV replication. The energy intake of children with HIV-associated GF may not be adequate for supporting normal development of FFM and growth, despite possible decreases in total energy expenditure.

Body Composition↗

PubMed1998

Short-term effects of macronutrient preloads on appetite and energy intake in lean women.

This study investigated the relative satiating hierarchy of the four energy-providing macronutrients (fat, carbohydrate (CHO), protein, and alcohol) in lean women. On four separate occasions, the composition of an iso-energetic lunch preload was manipulated in 12 lean (BMI < 25 kg/m2) women. The four treatments comprised a 1-MJ baseline meal and drink (40% fat, 48% CHO, 12% protein) to which was covertly added: 1) + 1MJ protein; 2) + 1MJ alcohol; 3) + 1MJ CHO; and 4) + 1MJ fat. Prior to and at 30-min intervals, subjects completed 100-mm visual analogue scales rating subjective hunger and satiety. Ninety min following the preload, an ad lib. lunch meal was given (40% fat, 48% CHO, and 12% protein) and energy intake (EI) measured. Energy intake at the lunch meal was 2195 (880, SD) kJ, 2772 (1191, SD) kJ, 2502 (681, SD), kJ and 2558 (1050, SD) kJ for the protein, alcohol, CHO, and fat preloads, respectively. There was no significant difference between the pleasantness of the preloads (p > 0.05). Macronutrient composition had a significant effect on short-term hunger (F = 3.19; p < 0.05), subjects being less hungry after the protein preload. Subjects also had a lower energy intake after the protein preload (F = 3.11; p < 0.05). We conclude that only protein has a differential short-term satiating effect when incorporated iso-energetically and at a similar energy density into the diet.

Adult↗

PubMed2003

Breast milk and energy intake in exclusively, predominantly, and partially breast-fed infants.

OBJECTIVE: To investigate the extent to which breast milk is replaced by intake of other liquids or foods, and to estimate energy intake of infants defined as exclusively (EBF), predominantly (PBF) and partially breast-fed (PartBF). DESIGN: Cross-sectional. SETTING: Community-based study in urban Pelotas, Southern Brazil. SUBJECTS: A total of 70 infants aged 4 months recruited at birth. MAIN OUTCOME MEASURES: Breast milk intake measured using a "dose-to-the-mother" deuterium-oxide turnover method; feeding pattern and macronutrient intake assessed using a frequency questionnaire. RESULTS: Adjusted mean breast milk intakes were not different between EBF and PBF (EBF, 806 g/day vs PBF, 778 g/day, P=0.59). The difference between EBF and PartBF was significant (PartBF, 603 g/day, P=0.004). Mean intakes of water from supplements were 10 g/day (EBF), 134 g/day (PBF) and 395 g/day (PartBF). Compared to EBF these differences were significant (EBF vs PBF, P=0.005; EBF vs PartBF, P<0.001). The energy intake of infants receiving cow or formula milk (BF+CM/FM) in addition to breast milk tended to be 20% higher than the energy intake of EBF infants (EBF, 347 kJ/kg/day vs BF+CM/FM, 418 kJ/kg/day, P=0.11). CONCLUSIONS: There was no evidence that breast milk was replaced by water, tea or juice in PBF compared to EBF infants. The energy intake in BF+CM/FM infants tended to be 20% above the latest recommendations (1996) for breast-fed and 9% above those for formula-fed infants. If high intakes are maintained, this may result in obesity later in life. SPONSORSHIP: International Atomic Energy Agency through RC 10981/R1.

Bottle Feeding↗

PubMed2006

Relationship between portion size and energy intake among infants and toddlers: evidence of self-regulation.

OBJECTIVES: To assess whether dietary intakes of infants and young toddlers show evidence of energy self-regulation. DESIGN: Data from 24-hour recalls collected in the 2002 Feeding Infants and Toddlers Study were analyzed. Multivariate regressions were used to explore the relationship between portion size and usual energy intake as well as the relationship between portion size, number of eating occasions, number of unique foods, and energy density. SUBJECTS/SETTING: A national random sample of 3,022 US infants and toddlers 4 to 24 months of age. STATISTICAL ANALYSES PERFORMED: To measure variability in portion size, an average portion size z score was computed for each child in the sample, across 45 different food groups. The number of eating occasions was defined as the total number of times a child had anything to eat or drink during the day, excluding eating occasions that included only water and/or supplements. The total number of unique foods in a day was defined as the number of unique food codes included in the 24-hour recall, and energy density was computed as kilocalories/gram, including all foods, beverages, and water. Linear regression models were used to assess the effect of portion size and other self-regulation mechanisms on energy intake and to assess the effect of these self-regulation mechanisms on portion size. Separate analyses were performed for three age groups: 4 to 5 months, 6 to 11 months, and 12 to 24 months. RESULTS: A significant negative association was found for all age groups between the number of eating occasions and average portion size z scores, indicating that children who eat less often during the day consume larger-than-average-portion sizes and children who eat more often during the day consume smaller-than-average portions. For infants (11 months and younger), a significant negative association was noted between energy density and average portion size z scores, indicating that, as the energy density of the diet goes down, infants consume larger-than-average portions and, as the energy density of the diet goes up, they consume smaller-than-average portions. Among infants 6 to 11 months, there was a significant positive relationship between portion size and the number of unique foods consumed. For toddlers, there was no association between average portion size z scores and energy density, suggesting that energy self-regulation mechanisms are diminished in this age group. CONCLUSIONS: Our findings confirm the presence of energy self-regulation among infants and young toddlers. These findings can be used to assure parents and caregivers that infants have an innate ability to regulate energy intake. At the same time, it is important to educate parents and caregivers about the potential for environmental cues to diminish natural hunger-driven eating behaviors, even among young toddlers. Dietetics professionals should emphasize the potential adverse effects that coercive feeding behaviors can have on children's innate ability to regulate energy intake. This includes not only admonitions to "clean your plate," but overrestriction of intake that may be motivated by concerns that children are overeating.

Appetite Regulation↗

PubMed2006

Effect of family-style meals on energy intake and risk of malnutrition in dutch nursing home residents: a randomized controlled trial.

BACKGROUND: Social facilitation and meal ambiance have beneficial effects on food intake in healthy adults. Extrapolation to the nursing home setting may lead to less malnutrition among the residents. Therefore, we investigate the effect of family-style meals on energy intake and the risk of malnutrition in Dutch nursing home residents. METHODS: In 2002 and 2003, a randomized controlled trial was conducted among 178 residents (mean age 77 years) in five Dutch nursing homes. Within each home, two wards were randomized into an intervention (n = 94) and a control group (n = 84). For 6 months, the intervention group received their meals family style, and the control group received the usual individual preplating services. Outcome measures were intakes of energy (kJ), carbohydrates (g), fat (g), and protein (g) and Mini Nutritional Assessment (MNA) score (0-30). RESULTS: The change in daily energy intake between the control and intervention group differed significantly (991 kJ; 95% confidence interval [CI], 504-1479). The difference in intake of macronutrients was 29.2 g (95% CI, 13.5-44.9) for carbohydrate, 9.1 g (95% CI, 2.9-15.2) for fat, and 8.6 g (95% CI, 3.4-13.6) for protein. The percentage of residents in the intervention group classified by the MNA as malnourished decreased from 17% to 4%, whereas this percentage increased from 11% to 23% in the control group. CONCLUSIONS: Family-style meals stimulate daily energy intake and protect nursing home residents against malnourishment. Therefore, replacement of the preplating meal services with family-style meals in nursing homes is recommended.

Aged↗

PubMed1988

Genotype and sex effects on the relationship between energy intake and protein deposition in growing pigs.

Seventy-two crossbred (Large White X Landrace) pigs were used in a 3 X 7 factorial experiment to investigate the response of two strains of boars (strains A and B) and of castrated male pigs (strain B) to seven levels of intake of a single diet (ranging from 5.3 Mcal digestible energy [DE]/d to ad libitum) between 45 and 90 kg live weight. All aspects of growth performance and body composition were affected to different degrees by both strain and sex. At all levels of energy intake strain A boars grew faster, had a lower feed to gain ratio and contained less fat and more water in the empty body than strain B boars, which in turn exhibited faster live weight gain and more efficient and leaner growth than castrated males. The magnitude of the differences in growth performance between strain A and strain B boars and castrates increased with increased energy intake above 7.88 Mcal DE/d, and these differences were associated with concomitant strain differences in their respective capacity for protein growth and in the relationship between energy intake and protein deposition. For strain A boars the rate of protein deposition increased linearly from 92 to 188 g/d with increased energy intake from 5.3 Mcal DE/d to ad libitum. For strain B boars and castrates the rate of protein deposition increased linearly with increased energy intake up to 7.88 Mcal DE/d, but thereafter it remained constant at 128 and 85 g/d, respectively. For castrates protein deposition was depressed (P less than .01) when the diet was offered ad libitum. Strain A boars had a higher energy requirement for maintenance (3.55 Mcal DE/d) than strain B boars (2.77 Mcal DE/d) or castrates (2.60 Mcal DE/d). Strain A boars also contained less protein and more water in the fat free empty body than the other two pig types.

Animals↗

PubMed2005

Does the consumption of caloric and non-caloric beverages with a meal affect energy intake?

Beverages are frequently consumed with meals, but their influence on meal energy intake is not understood. We hypothesized that differences in the energy, nutrient content, and sensory properties of beverages consumed with a meal would affect intake. Forty-four women ate lunch in the laboratory once a week for 6 weeks. Lunch was consumed ad libitum, and was served with one of five beverages that were consumed in full, or no beverage. The beverages were 360 g of water, diet cola, regular cola, orange juice, and 1% milk. Results showed an effect of beverage type on meal intake (p<0.0001). Energy intake did not differ among the non-caloric and no-beverage conditions. Similarly, energy intake from lunch (including beverage) did not differ among the caloric beverage conditions. When a caloric beverage (156 kcal; 653 kJ) was consumed with the meal, energy intake was 104+/-16 kcal (435+/-67 kJ) greater than when a non-caloric beverage or no beverage was consumed. Subjects' ratings of fullness after lunch did not differ among the beverage conditions, but were lower for the no-beverage condition. These results show that when caloric beverages are consumed with a meal they add to energy intake from food, without significantly affecting satiety ratings.

Adolescent↗

PubMed2005

Do protein and energy intakes explain long-term changes in body composition?

BACKGROUND: Despite evidence that profiles of protein and energy intake can determine short-term (< 1 y) change in both lean and fat compartments,the role of diet in longer-term, age-related changes in body composition remains unclear. OBJECTIVE: This paper tests for long-term counterparts to the well-established short-term relationships between protein and energy intake and changes in body composition. DESIGN: Using longitudinal data on 608 healthy, non-obese Chinese (50-69 y)from the 1993 and 1997 China Health and Nutrition Surveys, sex-specific regression models were created to determine if 3-day mean protein (%of energy) and energy (kJ) intakes at baseline predicted change in mid arm muscle area (MAMA) and waist circumference (WC). RESULTS: Although sex-specific U-shaped associations were observed,higher energy intakes were associated with greater gain in WC and less loss of MAMA, and higher protein intakes with less loss of MAMA than lower intakes for both sexes, adjusting for baseline age, height, weight, MAMA, WC, smoking status, activity level, income and urban residence. For males, energy intake be low 95%of the Chinese RDA was associated with significantly smaller gains in WC and greater loss of MAMA than energy intake between 95-125% RDA. For both sexes, protein intake be low 10.4% of energy was associated with significantly greater loss of MAMA than intake between 10.4-12.1% of energy. For females, energy intake above 125% RDA was associated with significantly greater gains in body fat than intake between 95-125% RDA. CONCLUSION: The results suggest that diet may play an important role in age-related change in body composition.

Adipose Tissue↗

PubMed1988

Prevention of cancer: restriction of nutritional energy intake (joules).

1. The reduction of nutritional energy intake (joules) often reduces the incidence of both spontaneous and induced cancers in humans and experimental animals in an approximately dose-dependent manner. 2. To achieve the best preventive effect, the reduction of dietary intake should begin well before the carcinogen insult, should be intense enough (lowering the intake of joules by at least approx. 25-30%) and should last a long time, preferably even life-long. 3. This preventive effect depends upon the strain, sex and age of animals, the kind of carcinogenic insult and also the susceptibility of the target tissue. 4. The mechanism by which the dietary restriction may exert its protective action may involve changes in the hormonal equilibria, influences upon the immuno-surveillance, changes of activities of enzymes involved in carcinogen metabolism and other factors. 5. Since over-eating and the resulting obesity constitutes a pronounced risk factor for the incidence of cancer and other diseases, lowering the nutritional energy intake represents today the simplest, cheapest and most effective way to prevent cancer in the general population.

Animals↗

PubMed2001

Validity of self-reported energy intake in lean and obese young women, using two nutrient databases, compared with total energy expenditure assessed by doubly labeled water.

OBJECTIVE: To compare self-reported total energy intake (TEI) estimated using two databases with total energy expenditure (TEE) measured by doubly labeled water in physically active lean and sedentary obese young women, and to compare reporting accuracy between the two subject groups. DESIGN: A cross-sectional study in which dietary intakes of women trained in diet-recording procedures were analyzed using the Minnesota Nutrition Data System (NDS; versions 2.4/6A/21, 2.6/6A/23 and 2.6/8.A/23) and Nutritionist III (N3; version 7.0) software. Reporting accuracy was determined by comparison of average TEI assessed by an 8 day estimated diet record with average TEE for the same period. RESULTS: Reported TEI differed from TEE for both groups irrespective of nutrient database (P<0.01). Measured TEE was 11.10+/-2.54 and 11.96+/-1.21 MJ for lean and obese subjects, respectively. Reported TEI, using either database, did not differ between groups. For lean women, TEI calculated by NDS was 7.66+/-1.73 MJ and by N3 was 8.44+/-1.59 MJ. Corresponding TEI for obese women were 7.46+/-2.17 MJ from NDS and 7.34+/-2.27 MJ from N3. Lean women under-reported by 23% (N3) and 30% (NDS), and obese women under-reported by 39% (N3) and 38% (NDS). Regardless of database, lean women reported higher carbohydrate intakes, and obese women reported higher total fat and individual fatty acid intakes. Higher energy intakes from mono- and polyunsaturated fatty acids were estimated by NDS than by N3 in both groups of women (P< or =0.05). CONCLUSIONS: Both physically active lean and sedentary obese women under-reported TEI regardless of database, although the magnitude of under-reporting may be influenced by the database for the lean women. SPONSORSHIP: USDA Hatch Project award (ARZT-136528-H-23-111) to LB Houtkooper and WH Howell.

Adolescent↗

PubMed1994

Metabolic consequences of increasing energy intake by adding lipid to parenteral nutrition in full-term infants.

The effect on energy metabolism and fuel utilization of increasing energy intake by adding intravenous lipid to a glucose and amino acid regimen was examined. Twenty fullterm, appropriate-for-gestational-age, intravenously fed neonates were entered into one of two groups: total energy intake was 261 kJ.kg-1 x d-1 (62 kcal.kg-1 x d-1) in group 1 and 355 kJ.kg-1 x d-1 (85 kcal.kg-1 x d-1) in group 2. Both groups received 2.8 g protein.kg-1 x d-1 and 14 g glucose.kg-1 x d-1. Group 2 received an additional 2 g lipid.kg-1 x d-1. Metabolic rate, respiratory gas exchange, and nonprotein substrate oxidation were similar in both groups. The addition of energy as lipid enhanced nitrogen retention (230 vs 306 mg.kg-1 x d-1; P < 0.02) and utilization (52.8% vs 66.5%; P < 0.03). Our data suggest that nitrogen utilization is improved in parenterally fed neonates by adding fat and increasing energy intake without change in metabolic rate, carbon dioxide production, oxygen consumption, and nonprotein substrate utilization. Energy expenditure does not necessarily increase with increasing energy intake independently of diet composition.

Calorimetry↗