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PubMed2005

Snacking frequency in relation to energy intake and food choices in obese men and women compared to a reference population.

OBJECTIVE: To investigate snacking frequency in relation to energy intake and food choices, taking physical activity into account, in obese vs reference men and women. DESIGN: Cross-sectional, descriptive study. SUBJECTS: In total, 4259 obese, middle-aged subjects (1891 men and 2368 women) from the baseline examination of the XENDOS study and 1092 subjects (505 men and 587 women) from the SOS reference study were included. MEASUREMENTS: A meal pattern questionnaire describing habitual intake occasions (main meals, light meals/breakfast, snacks, drink-only), a dietary questionnaire describing habitual energy and macronutrient intake and a questionnaire assessing physical activity at work and during leisure time were used. RESULTS: The obese group consumed snacks more frequently compared to the reference group (P<0.001) and women more frequently than men (P<0.001). Energy intake increased with increasing snacking frequency, irrespective of physical activity. Statistically significant differences in trends were found for cakes/cookies, candies/chocolate and desserts for the relation between energy intake and snacking frequency, where energy intake increased more by snacking frequency in obese subjects than in reference subjects. CONCLUSION: Obese subjects were more frequent snackers than reference subjects and women were more frequent snackers than men. Snacks were positively related to energy intake, irrespective of physical activity. Sweet, fatty food groups were associated with snacking and contributed considerably to energy intake. Snacking needs to be considered in obesity treatment, prevention and general dietary recommendations.

Adult↗

PubMed1992

[Analysis of energy intake, macronutrients and micronutrients in a child population].

With the objective to know precisely the qualitative and quantitative food intake of the infant population of a Health Care Area, the weekly intake of Energy, Proteins, Total and Saturated Fat, Food Fiber, Cholesterol, Calcium, Phosphorus, Magnesium. Iron, Zinc and Vitamin A is studied in 187 pupils, representative of the whole (835 children) population of two schools of Fuenlabrada and Leganés (Madrid), following the Weekly Register technique. Total consumption is quantified, and stratified according to sex and age groups. In order to perform a proper evaluation of these parameters, their adequacy to the Intake Recommendations for age and sex is analyzed, finding an excessive intake of calories, proteins and lipids in all age groups: being saturated Fat a third of the total daily Fat; Carbohydrates intake less than 50% of total energy, which would be desirable to maintain the nutritional ratio. Calcium intake, insufficient in some age group, together with the strong correlation proteins-phosphorus as well as total and saturated Fat with Cholesterol of the diet, allow to conclude that the excessive protein intake is predominantly due to meat products. It is also noted the lower intake of Zinc, Calcium, Magnesium, as to the recommended in certain age groups, therefore said individuals are at risk to suffer deficit of these micronutrients.

Adolescent↗

PubMed2005

Physical activity and energy intake in adolescent girls with Type 1 diabetes.

AIMS: Girls with Type 1 diabetes often gain excessive weight during puberty. The aims of this study were to compare objectively assessed physical activity and energy intake in girls with Type 1 diabetes with those in healthy age-matched controls. METHODS: This prospective cohort study comprised 26 girls with Type 1 diabetes and 49 control girls. The mean age of the diabetic girls was 15.7 +/- 2.1 years and that of the control girls 15.8 +/- 2.1 years. In the diabetic group, mean haemoglobin A1c was 7.6 +/- 1.4% and daily insulin dosage was 1.1 +/- 0.3 U/kg. Physical activity was measured during 7 consecutive days with a uniaxial accelerometer, and energy intake was assessed concurrently with a 7-day food diary. RESULTS: There was a tendency towards lower total amount of physical activity in the diabetes group but the difference between the study groups did not reach statistical significance (Diabetes: 464 +/- 123 counts/min/day; CONTROLS: 523 +/- 138 counts/min/day; P = 0.06). No difference was found between the groups regarding total energy intake (Diabetes: 8.5 +/- 1.8 MJ/day; CONTROLS: 8.4 +/- 2.6 MJ/day). The carbohydrate intake was lower and the protein and fibre intakes were higher in girls with diabetes. No association was observed between physical activity, energy intake and HbA1c. CONCLUSIONS: In this prospective cohort study, we found a tendency towards lower physical activity but no differences in energy intake between girls with Type 1 diabetes and age-matched controls. Larger studies are needed to further explore the importance of the total amount of physical activity for excessive weight gain in adolescent girls with Type 1 diabetes.

Adolescent↗

PubMed1999

The effect of energy intake, genotype, and body weight on protein retention in pigs when dietary lysine is the first-limiting factor.

This study tested the hypothesis that the effect of lysine intake, if first-limiting, on protein retention in growing pigs is completely independent of the effects of energy intake, differences in the protein retention capacity among genotypes and gender, and body weight. Protein retention, using the nitrogen balance technique, was measured in 12 castrated male German Landrace and Pietrain pigs at 44 and 77 kg of BW and at two energy intake levels (1.1 and 1.3 MJ ME/kg BW.75). All animals received a constant amount of a basal diet that provided a protein intake of 220 g/d and a total lysine intake of 13 g/d. Appropriate amounts of cornstarch were offered additionally to reach the intended energy intake levels. The results show that neither energy intake nor breed had any effect on the level of protein retention, whereas, at 77 kg BW, protein retention was significantly lower than at 44 kg (117.8 and 123.5 g/d, respectively), which can be attributed to the higher requirement for maintenance. The results of this experiment and the linearity of the relationship between protein retention and lysine intake as shown by several authors simplify both the prediction of protein retention from lysine intake and the calculation of the lysine requirement for a particular protein retention. However, to ensure accuracy of these predictions, it is essential to know when ratios of lysine to other amino acids and to energy and capacity for protein retention in the animal become first-limiting.

Animal Feed↗

PubMed1997

Randomised comparison of diets for maintaining obese subjects' weight after major weight loss: ad lib, low fat, high carbohydrate diet v fixed energy intake.

OBJECTIVES: To compare importance of rate of initial weight loss for long term outcome in obese patients and to compare efficacy of two different weight maintenance programmes. DESIGN: Subjects were randomised to either rapid or slow initial weight loss. Completing patients were re-randomised to one year weight maintenance programme of ad lib diet or fixed energy intake diet. Patients were followed up one year later. SETTING: University research department in Copenhagen, Denmark. SUBJECTS: 43 (41 women) obese adults (body mass index 27-40) who were otherwise healthy living in or around Copenhagen. INTERVENTIONS: 8 weeks of low energy diet (2 MJ/day) or 17 weeks of conventional diet (5 MJ/day), both supported by an anorectic compound (ephedrine 20 mg and caffeine 200 mg thrice daily); one year weight maintenance programme of ad lib, low fat, high carbohydrate diet or fixed energy intake diet (< or = 7.8 MJ/day), both with reinforcement sessions 2-3 times monthly. MAIN OUTCOME MEASURES: Mean initial weight loss and proportion of patients maintaining a weight loss of > 5 kg at follow up. RESULTS: Mean initial weight loss was 12.6 kg (95% confidence interval 10.9 to 14.3 kg) in rapid weight loss group and 12.6 (9.9 to 15.3) kg in conventional diet group. Rate of initial weight loss had no effect on weight maintenance after 6 or 12 months of weight maintenance or at follow up. After weight maintenance programme, the ad lib group had maintained 13.2 (8.1 to 18.3) kg of the initial weight loss of 13.5 (11.4 to 15.5) kg, and the fixed energy intake group had maintained 9.7 (6.1 to 13.3) kg of the initial 13.8 (11.8 to 15.7) kg weight loss (group difference 3.5 (-2.4 to 9.3) kg). Regained weight at follow up was greater in fixed energy intake group than in ad lib group (11.3 (7.1 to 15.5) kg v 5.4 (2.3 to 8.6) kg, group difference 5.9 (0.7 to 11.1) kg, P < 0.03). At follow up, 65% of ad lib group and 40% of fixed energy intake group had maintained a weight loss of > 5 kg (P < 0.07). CONCLUSION: Ad lib, low fat, high carbohydrate diet was superior to fixed energy intake for maintaining weight after a major weight loss. The rate of the initial weight loss did not influence long term outcome.

Adult↗

PubMed2006

Oxyntomodulin increases energy expenditure in addition to decreasing energy intake in overweight and obese humans: a randomised controlled trial.

BACKGROUND: Oxyntomodulin has recently been found to decrease body-weight in obese humans and may be a potential anti-obesity therapy. OBJECTIVE: To determine whether oxyntomodulin alters energy expenditure, in addition to reducing energy intake, in 'free-living' overweight and obese volunteers. DESIGN: Randomized double-blind controlled cross-over trial. SETTING: Community and hospital-based. PARTICIPANTS: Fifteen healthy overweight and obese men and women (age: 23-49 years, BMI: 25.1-39.0 kg/m(2)). All volunteers completed the study protocol. INTERVENTIONS: Four-day subcutaneous self-administration of pre-prandial oxyntomodulin, three times daily. Participants were advised to maintain their normal dietary and exercise regimen. MEASUREMENTS: (1) Energy expenditure, measured by indirect calorimetry and combined heart rate and movement monitoring; (2) energy intake, measured during a study meal. RESULTS: Oxyntomodulin administration reduced energy intake at the study meal by 128+/-29 kcal (P=0.0006) or 17.3+/-5.5% (P=0.0071), with no change in meal palatability. Oxyntomodulin did not alter resting energy expenditure; but increased activity-related energy expenditure by 143+/-109 kcal/day or 26.2+/-9.9% (P=0.0221); total energy expenditure by 9.4+/-4.8% (P=0.0454) and physical activity level by 9.5+/-4.6% (P=0.0495). A reduction in body weight of 0.5+/-0.2% was observed during the oxyntomodulin administration period (P=0.0232). CONCLUSION: Oxyntomodulin increases energy expenditure while reducing energy intake resulting in negative energy balance. This data supports the role of oxyntomodulin as a potential anti-obesity therapy.

Adult↗

PubMed1990

How accurate is self-reported dietary energy intake?

The measurement of dietary intake by self-report has played a central role in nutritional science for decades. Despite its important role, however, little is known about the accuracy of self-reported intake. Recently, the doubly-labeled water method has been validated for the measurement of total energy expenditure in free-living subjects, and this method can serve as a reference for validating the accuracy of self-reported energy intake. Such comparisons have been made in nine recent studies, and considerable inaccuracy in self-reports of energy intake has been documented. Reported intakes tend to be lower than expenditure and thus are often underestimates of true habitual energy intake. Because the degree of underreporting increases with intake, it is speculated that individuals tend to report intakes that are closer to perceived norms than to actual intake.

Diet Records↗

PubMed2001

Meals and energy intake among elderly women--an analysis of qualitative and quantitative dietary assessment methods.

OBJECTIVE: The objective of this study was to analyse whether a qualitative method, in relation to traditional dietary assessment methods, was adequate to establish sufficient energy intake and energy content in separate meals in a population of elderly women. METHODS: One hundred and thirty-five elderly women, aged 63-88 years, living at home from three communities in mid-eastern Sweden participated in the present study. The quantitative methods used were a combination of repeated 24-h recall and a 3-day estimated food diary. The qualitative method used was the Food-Based Classification of Eating episodes model (FBCE). RESULTS: The mean intake of energy estimated by the 5-day registration was 6.8 +/- 1.9 MJ. The total number of eating events was 5.22 +/- 1.04 per day. On a group level, FBCE was useful to describe the diet among a group of elderly women; however, on an individual level, some complete meals were low or very low in energy, due to small portion sizes. CONCLUSION: The main conclusion was that a qualitative method, such as FBCE, must be supplemented with a dietary assessment method giving the energy intake to ensure that it is sufficient, especially when studying groups at risk for malnutrition.

Aged↗

PubMed1998

Energy density of foods affects energy intake in normal-weight women.

This study examined the effect of energy density, independent of fat content and palatability, on food and energy intakes. With use of a within-subjects design, normal-weight women (n = 18) were provided with meals for 2 d during each of three test sessions. During lunch, dinner, and an evening snack, subjects were given free access to a main entree varying in energy density (low, medium, or high). The manipulated main entrees were similar in palatability to their counterparts across conditions. Low-energy compulsory (consumption required) side dishes accompanied each meal. Subjects also consumed a standard, compulsory breakfast. Results showed that subjects consumed a similar amount of food (by weight) across the three conditions of energy density. Thus, significantly more energy was consumed in the condition of high energy density (7532 +/- 363 kJ, or 1800 +/- 86 kcal) than in the medium- (6356 +/- 281 kJ, or 1519 +/- 67 kcal) and low- (5756 +/- 178 kJ, or 1376 +/- 43 kcal) energy-density conditions (P < 0.0001). There were no differences in hunger or fullness before meals, after meals, or over the 2 d across conditions. The results from this study indicate that energy density affects energy intake independent of macronutrient content or palatability, suggesting that the overconsumption of high-fat foods may be due to their high energy density rather than to their fat content.

Adult↗

PubMed1989

Sources of variation in energy intake by men and women as determined from one year's daily dietary records.

Data from a year-long study conducted by the US Department of Agriculture's Beltsville Human Nutrition Research Center were used to identify sources of variation in daily energy intakes. A specific hypothesis was that an inverse relationship exists between past body weight and future energy intake whereas a direct relationship exists between past energy intake and future weight. Daily energy intakes of 29 male (n = 13) and female (n = 16) adult subjects were related through linear-regression analysis to sex (+ for males), age (-), height (+), weight (- for past and present measurements, + for future measurement), data collection method (- for duplicate plate), day of week (+ for Friday and Saturday), and month (+ for May, July, August, December, and January). These relationships were statistically significant (p less than 0.05). The results confirmed the hypothesis and were in general agreement with previously published studies that used larger samples but fewer days of data.

Adult↗

PubMed1989

Changes in the basal metabolic rate of a normal woman induced by short-term and long-term alterations of energy intake.

A long-term experiment was carried out to study the effects of alterations in energy intake and meal contents on basal metabolic rate (BMR) of a normal woman. Alterations of energy intake induced changes in BMR and pulse rate in addition to body weight changes. Whether BMR was expressed per whole body, per unit body weight, or per unit body surface area, it increased progressively during long-term overeating periods, and decreased markedly during long-term undereating periods. These results suggest that there exists 'Luxuskonsumption', or adaptive diet-induced thermogenesis, during an overeating period and hypometabolism during an undereating period. BMR was affected significantly by the menstrual cycle but not by nutrient composition when daily energy intake was fixed at 2000 kcal for a long time.

Adult↗

PubMed1995

Short-term effects of high-fat and low-fat/high-SPE croissants on appetite and energy intake at three deprivation periods.

The short-term satiating effects of croissants with different amounts of fat and sucrose polyester (SPE) followed by three lengths of deprivation were investigated. Sixteen male and 18 female normal-weight subjects each received six different experimental conditions in a two x three factorial design. Energy content was the first factor with two levels: 1.80 MJ and 3.45 MJ. The second factor was the deprivation period after the lunch preload with three levels: 0.25, 2.25, and 4.75 h. Subjects ate ad lib after the deprivation period. The effects of the croissants were determined by motivational ratings and reported food consumption on the study day and the day after the study day. The SPE croissants (1.80 MJ) and the high-fat croissants (3.45 MJ) did not result in different subsequent energy intakes. Differences in energy intake were found between the three deprivation conditions, with the lowest intake with the 4.75-h deprivation condition. This was due to differences in the energy intake during the afternoon. The two energy levels of the preloads had similar effects on the motivational ratings. Higher appetite ratings were found after the 4.75-h compared to the 0.25 h and the 2.25-h deprivation condition.

Adult↗

PubMed2002

Family resemblance in breakfast energy intake: the Stanislas Family Study.

BACKGROUND: There seems to be a consensus that family influences on dietary habits are important. However, no data relative to breakfast have been published yet. OBJECTIVE: To investigate whether and how breakfast energy intake aggregates within French families. DESIGN: A total of 398 families of the Stanislas Family Study who filled in a 3 day food consumption diary were selected. Absolute and relative breakfast energy intakes (BEI in kcal/day and RBEI in percentage of daily intake, respectively) were both studied. RESULTS: By using a variance component analysis, no genetic influence was shown in family aggregation of both BEI and RBEI. Intra-generation common environmental contribution to total phenotypic variance of BEI and RBEI was higher than inter-generation; both were increased with frequency of sharing breakfast. Furthermore frequency of sharing breakfast contributed to increase family resemblance in breakfast energy intake, particularly in offspring for BEI and RBEI, and in spouses for RBEI. Smoking habits, alcohol consumption, BMI or physical activity were related to family resemblance, but after adjustment on each factor degrees of resemblance were almost unchanged. CONCLUSION: General findings of this study were that family aggregation in breakfast absolute and relative energy intakes was significant within Stanislas families. Family resemblance depended on inter- and intra-generation components and was modified by the number of shared breakfasts. Our study confirmed that familial habits act on family resemblance in both absolute and relative breakfast energy intakes, so that family should be a favorite unit for health and diet promotion programs. SPONSORSHIP: Kellogg's PA, France.

Adolescent↗

PubMed1996

Performance and body composition of finishing gilts (45 to 85 kilograms) as affected by energy intake and nutrition in earlier life: II. Protein and lipid accretion in body components.

Forty-eight commercial hybrid gilts were used to investigate the response relationships between energy intake and deposition of protein and lipid in body components of finishing pigs (45 to 85 kg) as affected by previous nutrition. Two groups of 24 gilts received a single diet either at 2.2 (restricted pigs) or 3.7 (control pigs) times maintenance (M) from 20 to 45 kg. From 45 to 85 kg, pigs from each of these two groups were fed the same diet at one of six intake levels (1.7, 2.2, 2.7, 3.2, or 3.7 x M, or adlibitum). At 85 kg, the gilts were dissected and analyzed. Protein content in the whole body decreased curvilinearly from 190 to 166 g/kg (P < .001) and lipid content increased from 116 to 210 g/kg (P < .001) with increasing energy intake. The mean content of protein was 6 g/kg higher and of lipid 29 g/kg lower (both P < .001) in previously restricted gilts. Protein (PD) and lipid deposition (LD) in the whole body, organs, lean, and fat tissue increased linearly (P < .001) with increasing energy intake. In the whole body, PD increased from 83 to 187 g/d and LD from 46 to 392 g/d. The respective response relationships in grams/day were PD = 21.8 + 3.78 x DEI and LD = -193 + 13.7 x DEI(DEI is digestible energy intake, MJ/d). The LD:PD ratio increased curvilinearly from .6 to 2.2. Previous nutrition had only small effects on PD and LD. Only PD in the organs was on average 7 g/d higher (P < .001) in previously restricted gilts. Thus, the higher protein content and the lower lipid content in previously restricted gilts was not primarily the results of compensation but was almost entirely present at the end of the restriction phase at 45 kg.

Aging↗

PubMed1975

Safe protein-calorie ratios in diets. The relative importance of protein and energy intake as causal factors in malnutrition.

There has been up to now a lack of agreement as to the way in which protein and energy requirements could be combined to give estimates of adequate dietary protein-energy ratios. In particular, the relevance of the simple ratio, average protein--average energy requirement as a basis for assessing diets, has been questioned on the grounds that it fails to take account of individual variability in needs for energy, and of the extent to which these may be independent of variability in protein requirements. The main problem is to evaluate the range over which individuals can adapt either energy intake to suit expenditure, or expenditure to suit intake, without detriment to health or growth. One solution adopted by Beaton and Swiss in a recent paper is to accept the range of observed variability of energy intakes in normal populations as a measure of this. An alterative is to make use of experimental evidence for the minimum energy intake for maintenance of body energy content. These two approaches are compared, and are shown to give quantitatively similar results. The method based on minimum maintenance requirements offers the further advantage that it allows an assessment of dietary situations in relation to the likelihood of occurrence of different forms of protein--energy malnutrition; those situations in which protein deficiency is a secondary consequence of low energy intake are differentiated from those in which the primary cause is an inadequate level of protein in the diet. The adequate "safe" level of protein-energy ratio in the diets of 2- to 3-year old children is close to 5% and since most varieties of cereal grains appear to provide utilizable protein levels of close to this amount, this lends further support to the view that primary protein deficiency is unlikely to be the main factor causing protein-energy malnutrition in communities for which cereals are the cheapest source of energy.

Breast Feeding↗

PubMed2006

Obesity, high energy intake, lack of physical activity, and the risk of kidney cancer.

The authors conducted a population-based case-control study of 810 cases with histologically confirmed incident kidney cancer and 3,106 controls to assess the effect of obesity, energy intake, and recreational physical activity on renal cell and non-renal cell cancer risk in Canada from 1994 to 1997. Compared with normal body mass index (BMI; 18.5 to <25.0 kg/m2), obesity (BMI, >or=30.0 kg/m2) was associated with multivariable-adjusted odds ratios (OR) and 95% confidence intervals (95% CI) of 2.57 (2.02-3.28) for renal cell cancer and 2.79 (1.70-4.60) for non-renal cell cancer. The OR (95% CI) associated with the highest quartiles of calorie intake was 1.30 (1.02-1.66) for renal cell cancer and 1.53 (0.92-2.53) for non-renal cell cancer. Compared with the lowest quartile of total recreational physical activity, the highest quartile of total activity was associated with an OR (95% CI) of 1.00 (0.78-1.28) and 0.79 (0.46-1.36) for the two subtypes. There were no apparent differences between men and women about these associations. The influence of obesity and physical activity on the risk of renal cell and non-renal cell cancer did not change by age, whereas the effect of excess energy intake was stronger among older people. No significant effect modifications of physical activity on BMI among both genders and of energy intake on BMI among men were observed, with a synergic effect of obesity and high energy intake on renal cell cancer risk found among women. This study suggests that obesity and excess energy intake are important etiologic risk factors for renal cell and non-renal cell cancer. The role of physical activity needs further investigation.

Adult↗

PubMed1986

Response of body protein and energy gain in growing chicks to differences in energy intake and composition of diet.

Responses of metabolized energy, body protein gain and body energy gain of growing chicks to planes of energy intake and dietary composition of energy-yielding nutrients were studied. Ten diets were formulated to cover the entire range of composition (0-100%) of protein, fat and carbohydrate on the basis of gross energy (GE) and three sets of 10 groups of chicks were force-fed these diets at planes of 1380, 1076 and 773 kcal GE/chick per 10 d. The response surfaces of metabolized energy at each plane of GE intake were convex, and the upper two surfaces contacted in the field of 0% GE of dietary protein (PGE). The response surface of body energy gain was almost parallel to that of metabolized energy at each plane of GE intake, but the slopes of the body energy gain upward to the peak from the foot on the 100% PGE field were steep compared with those of the metabolized energy. On the other hand, the response surfaces of body protein gain at any plane of GE intake were also convex, and sloped down from the field of about 60% PGE to the higher PGE field and to the 0% PGE field. Regardless of the plane of GE intake, the body energy gain reached a plateau at about 25% PGE and the body protein gain at about 60% PGE. That body protein gain depends on both protein intake and plane of GE intake was clearly shown. On the basis of these results we calculated partial efficiency of metabolized energy utilization, and discussed validity of the classical definition of a "balanced ration."

Animal Feed↗

PubMed1994

Same growth and different energy intake over four years in children suffering from chronic non-specific diarrhoea.

An increase in energy intake often occurs at weaning and this may depend on the current practice of offering energy-dense foods ad libitum. In two-year-old lean infants suffering from chronic non-specific diarrhoea (CNSD), the offering of food was evaluated by caregivers at every meal on the basis of food need expressions and non-starchy vegetable acceptance, taking into account the maintenance of good temper and normal activity between meals. The purpose was to avoid diarrhoea recurrence. This form of regulation was continued in a prospective, controlled, randomized investigation to explore: (i) familial pre-determination of growth and (ii) the existence of an 'unnecessary' fraction of energy intake, i.e. a fraction which may habitually be excluded while still maintaining the same normal intermeal behaviour, intellectual and physical achievements, growth, skinfold thicknesses and blood parameters. Seven-day intake home diaries and clinical assessments were performed every 6 to 12 months. Growth records were investigated in siblings. Eighty-two of 91 experimental subjects and 32 of 41 randomized ones in the control group were followed for up to four years. The control group maintained a significantly higher (15-30%) energy intake than the experimental children, without any fattening or growth acceleration, or any improved results in inter-meal behaviour, intellectual and physical achievements or blood parameters for four years. The normal median weight was reached in the experimental and control children in the sixth year of life and in the siblings in the fourth year of life.(ABSTRACT TRUNCATED AT 250 WORDS)

Anthropometry↗