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Long-term exercise training with constant energy intake. 1: Effect on body composition and selected metabolic variables.

The effects of long-term negative energy balance generated by exercise while maintaining a constant energy intake were studied in five healthy young males (25 +/- 3 years; mean +/- s.d.). After 2 weeks of monitoring to determine habitual energy intake, they were subjected to a 100-day experimental period during which they exercised on a cycle ergometer, 6 days a week, twice a day at 55 per cent of VO2 max. The daily energy deficit was 4.2 MJ for a total of 353 MJ for the duration of the treatment. Body weight decreased from 86.7 to 78.7 kg (P less than 0.001). More than 80 per cent of the weight loss was accounted for by the reductions in fat mass. Fat-free mass did not change significantly. The data suggest that subcutaneous fat was lost about evenly from the trunk and from the limbs as estimated from skinfolds. Cardiorespiratory and metabolic responses to submaximal work loads indicate that the low intensity exercise regimen was capable of inducing some of the known adaptations of exercise training such as a decrease in plasma insulin and norepinephrine concentrations during exercise, reductions in heart rate, pulmonary ventilation and blood lactate concentration at a given exercise intensity, and an increase in skeletal muscle oxidative capacity. The energy cost of sitting and standing was not decreased in spite of the loss in body mass. However, the energy cost of submaximal cycling and walking exercises was reduced considerably. These results clearly demonstrate that it is quite possible to lose fat while preserving fat-free mass through regular prolonged exercise of moderate intensity if energy intake is kept constant at baseline level. They also emphasize the importance of the individual differences in response to negative energy balance.

Adult↗

Relationships between blood pressure and measures of dietary energy intake, physical fitness, and physical activity in Australian children aged 11-12 years.

STUDY OBJECTIVE: The aim was to examine associations between blood pressure and dietary energy intake, physical activity, and physical fitness in Australian children. DESIGN: The study was a survey of year 7 children attending schools in metropolitan Perth. SETTING: Survey schools were located in suburbs representative of the range of socioeconomic strata in metropolitan Perth. PARTICIPANTS: Data were obtained on 1311 out of 2045 eligible children (64%). The sample included 681 boys and 630 girls. Mean age was 12.0 (SD 0.4) years. MEASUREMENTS AND MAIN RESULTS: Triplicate blood pressure measurements were obtained using a Dinamap oscillometric recorder. Dietary energy intakes were computed from two week day 24 h records. Physical activity was assessed using questionnaires. Physical fitness was measured using a shuttle run test. Additional measurements included weight, height, and skinfold thickness at four sites. A previous observation of an inverse relationship between diastolic blood pressure and dietary energy intake in boys was confirmed. There was evidence of an inverse relationship in girls but not in boys between blood pressure and physical activity. There was little evidence of relationships between blood pressure and physical fitness. CONCLUSIONS: Compared with weight and body mass index, dietary energy intake and the chosen measures of physical activity and physical fitness are poor predictors of blood pressure in the population studied.

Blood Pressure↗

Familial aggregation of energy intake in children.

BACKGROUND: Uncompensated overnutrition promotes obesity, but the controls of children's eating behavior are poorly understood. Insights may be achieved by testing whether the eating patterns of children are associated with demographic variables or whether they aggregate among family members. OBJECTIVE: We tested whether children's total energy intake and macronutrient intake and their ability to compensate for earlier energy intake were associated with sociodemographic variables and anthropometric indexes. We also tested whether these behavioral traits aggregate among siblings. DESIGN: Thirty-two sibling pairs aged 3-7 y consumed a multi-item lunch preceded by a low-energy (12.55 kJ) or high-energy (627.60 kJ) preload drink. Mixed-models regression tested the associations between children's energy intake, demographic variables, and anthropometric measures. An intraclass correlation coefficient quantified the family correlation of the measures of children's eating. RESULTS: Children consumed significantly more total energy after consuming the low-energy preload ( +/- SD: 2237.39 +/- 1176.45 kJ) than after consuming the high-energy preload (1601.18 +/- 930.65 kJ). Compensation ability was unrelated to the children's age, sex, or ethnicity. Total energy and macronutrient intake, but not compensation propensity, were associated among siblings. CONCLUSIONS: The familial association of total energy and macronutrient intakes, independent of anthropometric measures, suggests genetic or home environmental influences specific to these behaviors. Short-term energy compensation, although very accurate within this sample, showed no significant familial correlation.

Appetite Regulation↗

Normal energy intake range in children with chronic nonspecific diarrhea: association of relapses with the higher level.

An increase in energy intake often occurs at weaning. The increase may be due partly to prompting by the caregiver to accelerate the child's weight gain and partly motivated by the palatability of common weaning foods. Increased food intakes initiated during weaning and continued into the second year of life may be associated with chronic, nonspecific diarrhea in selected children. An educational project was designed to reduce intakes augmented by either cause. Reductions were achieved by the regulation of energy-dense foods in the child's diet and reliance on the child's appetite control to determine meal size. The educational intervention was applied prospectively under nonblinded, controlled conditions. Children, 1 to 2 years of age, with chronic nonspecific diarrhea were assigned randomly to either a treatment or control group. Compliance, food consumption, preprandial glycemia, and outdoor activities were reported by the children's mothers in four 7-day diaries; symptoms related to the children's clinical condition and anthropometric and biochemical indices of nutritional status were noted at the beginning and end of a 7-month period. Forty-four of 53 children in the experimental group maintained compliance, and 44 of 47 children in the control group completed the follow-up. Energy intake decreased significantly by almost one-third in the experimental group. Growth, skinfold thickness measurements, and outdoor activities were similar between experimental and control groups over the 7-month period. Diarrheal episodes occurred in 6, 1, and 2 children in the experimental group at 1.5, 3, and 7 months and in 22, 18, and 15 children in the control group, respectively (p less than 0.002).(ABSTRACT TRUNCATED AT 250 WORDS)

Child, Preschool↗

Macronutrient energy intake and adiposity in non obese prepubertal children aged 5-11 y (the Fleurbaix Laventie Ville Santé Study).

OBJECTIVE: To investigate associations between adiposity indices and food intake in nonobese prepubertal free-living children. SUBJECTS: Five-hundred and one children, 280 boys and 221 girls aged 5-11 y in two little towns in northern France. DESIGN: Cross-sectional survey. MAIN OUTCOME MEASURES: Height and weight, four skinfolds (biceps, triceps, subscapular, suprailiac), waist and hip girths, were measured. Sum of skinfolds (SSF), body mass index (BMI), and relative weight (RW) were calculated. Energy intake (EI), percentage of energy intake ascribed to carbohydrates (%EIC), complex carbohydrates (%EICC), fats (%EIF), saturated fats (%EISF) and proteins (%EIP) were assessed by a single 24 h record. Basal metabolic rate (BMRI was estimated according to Schofield's equations. Obese (RW > or = 120%), and underreporting children according to Goldberg's and Black's equations were excluded. RESULTS: In multiple linear regressions analyses performed with hierarchical mixed models, adiposity indices were significantly and inversely associated in girls with %EIC (all P-values < 0.02), and positively with %EIF (all P-values < 0.05, waist girth and BMI excepted). Similar but non-significant trends were observed in boys. The relationships were not linear, and thresholds close to current dietary recommendations were highlighted. When %EIF was low, a lower percentage of energy intake ascribed to %EISF was associated with thinness. These associations remained after the exclusion of children who had an EI/BMR > or = 1.50. CONCLUSIONS: In nonobese prepubertal children aged 5-11 y, a high %EIC, close to dietary recommendations (> or = 55%), was associated with thinness. A high %EIF, over the upper dietary recommendation (< or = 35%), was associated with a greater adiposity thickness. There was no further increase in adiposity beyond this threshold. Reasons for the absence of a linear relationship pattern between adiposity and macronutrient intake remain to be determined.

Adipose Tissue↗

Physical activity levels from a meta-analysis of doubly labeled water studies for validating energy intake as measured by dietary assessment.

Studies using doubly labeled water have identified underreporting of food intake as a problem of dietary surveys. However, reported energy intakes may be evaluated by comparison with energy requirements expressed as multiples of the basal metabolic rate, and a formula for calculating the value below which reported intake cannot be either a valid measure of habitual intake or a true low intake obtained by chance is presented. The energy requirements of different age-sex groups needed for the comparison with energy intakes have been obtained from a meta-analysis of doubly labeled water data.

Adolescent↗

Errors in reporting habitual energy intake.

Seventy-six subjects of a long-term epidemiologic study were selected by random sampling to represent the range of energy intakes and retrained in keeping weighed food records. Their energy intake was measured concurrently with doubly labeled water. For over half the group, errors in reported intake exceeded 20% as compared with the doubly labeled water measurements.

Bias↗

Within- and between-subject variation in energy expenditure measured by the doubly-labelled water technique: implications for validating reported dietary energy intake.

OBJECTIVES: To estimate the total (CVt), within-subject (CVw) and between-subject (CVb) variation in free-living energy expenditure as measured by the doubly-labelled water (DLW) technique. To examine the limitation of the DLW measurement of energy expenditure for evaluating reported energy intake. To estimate the probable minimum and maximum 'habitual' energy expenditures for a sustainable lifestyle. DESIGN: Review and analysis of individual data from 25 studies with repeat DLW measurements of energy expenditure (EE). RESULTS: Pooled mean CVw derived from 21 studies was 11.8% for EE and 12.3% for physical activity level (PAL). Multiple regression analysis of CVw in 25 studies found a positive association with time span between measurements. At zero time CVw for EE was 8.2% rising to 9.6% at 13 weeks and 15.4% at 52 weeks. At the same time points CVw for PAL was 9.1%, 10.0% and 13.4% respectively. Pooled mean CVt was 13.0% for EE and 10.7% for PAL. CVb calculated from pooled mean CVt and CVw was 20.6% for EE and 7.2% for PAL. 95% confidence limits of PAL in 11 age-sex groups averaged 1.2 to 2.2. CONCLUSIONS: The analysis supported previous estimates of 8% for within-subject variation in DLW measurements including analytic plus inherent biologic variation. Variation that included changes in weight, season and activity increased with increased time between measurements to about 15% at a time span of 12 months. Confidence limits of agreement between EE and reported energy intake were estimated to range from +/-15% to +/-32%. Estimates of the range of usual EE for normally active persons ranged from 1.3 to 2.2.

Adolescent↗

Effects of aspartame and sucrose on hunger and energy intake in humans.

Physiological and behavioral responses to high intensity sweeteners have been poorly characterized, leading to questions regarding their utility in weight management regimens. To address this issue, studies must independently control attributes such as the taste properties, chemical composition and energy contribution of a given sweetener, as well as subject expectations of its effects. In the present study, 24 adults of normal weight consumed breakfasts including unsweetened or sweetened (sucrose or aspartame) cereal for 5 days, during which hunger and energy intake were monitored. The cereals were rated as equally sweet and pleasant and were equicaloric. Half of the subjects were aware of the cereal composition. Neither sweet taste nor aspartame alone significantly affected reported hunger, daily energy intake or subsequent selection of foods with varying taste qualities. Energy intake tended to be more strongly influenced by perceptions of the energy value of the experimental breakfast. Thus, this study failed to find an appetite stimulating effect of either sweetness or sweetener (aspartame or sucrose).

Adult↗

Influence of environmental temperature and energy intake on skeletal muscle respiratory enzymes and morphology.

Influence of a cold (10 degrees C) or warm (35 degrees C) environment and a high or low level of energy intake on respiratory enzyme activities has been investigated in porcine skeletal muscle. Scanning microdensitometry was used to measure the reaction products from mitochondrial enzymes in individual slow- and fast-twitch muscle fibres. A cold environment was found to increase the activity of succinate dehydrogenase in both types of muscle fibre (P less than 0.001 for dark fibres, P less than 0.01 for light fibres) from young growing animals. Enzyme activity was also increased in animals on a low compared with a high energy intake (P less than 0.01) when living at 10 degrees C but not at 35 degrees C. Similar findings were obtained for NADH diaphorase and cytochrome oxidase aa3. The numbers of slow-twitch muscle fibres also increased after exposure to cold (P less than 0.01) and as a result of a low energy intake (P less than 0.01). These results are similar to those obtained in other species after exercise or as a result of peripheral arterial insufficiency. The extent to which they could be related to local tissue hypoxia or to changes in metabolic hormones is discussed.

Animals↗

Circadian rhythm of energy intake and corpulence status in adults.

The relationship between circadian distribution of energy intake and corpulence was studied in 1312 subjects seeking medical advice for their weight. The corpulence categories (non-obese, mildly obese and massively obese) were defined on the basis of NHANES II. Food consumption was assessed through the dietary history method. The 24 h energy intake increased with corpulence. The lunch represented higher (P less than 0.001) proportions of daily intake in mildly and in massively obese than in non-obese. The reverse occurred for the breakfast (P less than 0.001). The relationships of corpulence with breakfast and lunch persisted after adjustment for nutrient intake. No difference was found for dinner and extra-prandial food intake. Such data suggests several behavioural and/or metabolic hypothesis.

Adult↗

Is low energy intake a risk factor for ischaemic heart disease?

The relation between total energy intake and the development of ischaemic heart disease was investigated from a review of all available data including the results of 26 years of follow up from a longitudinal study of diet and ischaemic heart disease. A consistent inverse relation was found, whose strength and consistency are similar to those of other established risk factors. It is concluded that there may be a minimum energy intake below which the risk of ischaemic heart disease is increased.

Adult↗

Increased risk of obesity resulting from the interaction between high energy intake and the Trp64Arg polymorphism of the beta3-adrenergic receptor gene in healthy Japanese men.

BACKGROUND: Few studies have investigated the interaction between the Trp64Arg polymorphism of the beta3-adrenergic receptor gene (ADRB3) and environmental factors. This study aimed to investigate whether energy intake affects the relationship between this polymorphism and obesity. METHODS: Healthy Japanese men (n=295; age 46.1+/-11.5 years (mean +/-standard deviation); waist circumference 83.9+/-9.3 cm; body mass index (BMI) 23.3+/-3.3 kg/m2) recruited in a Japanese chemical industry firm were eligible for analysis. Daily energy intake, protein, fat, and carbohydrate (PFC) ratio and daily physical activity were assessed by self-reported questionnaires. Genotyping for the polymorphism was performed with written informed consent. RESULTS: When the subjects were classified into two groups according to presence of the polymorphism, the groups were not significantly different in waist circumference or BMI. Quartile classification of energy intake, however, demonstrated a significantly larger ratio of obese subjects to non-obese subjects in the group with the polymorphism in the highest 4th quartile alone. Multiple logistic regression analysis also revealed that the presence of the polymorphism increased the risk of obesity significantly in the 4th quartile alone (adjusted odds ratio=3.37, 95% confidence interval=1.12-10.2). CONCLUSION: Presence of the polymorphism alone does not significantly increase the risk of obesity. However, high energy intake interacts with the polymorphism and leads to a significant increase in risk of obesity. The Trp64Arg polymorphism of ADRB3 warrants consideration, along with other polymorphisms involved in the development of obesity, for tailor-made prevention of obesity.

Body Mass Index↗

The influence of food portion size and energy density on energy intake: implications for weight management.

The increase in the prevalence of obesity has coincided with an increase in portion sizes of foods both inside and outside the home, suggesting that larger portions may play a role in the obesity epidemic. Although it will be difficult to establish a causal relationship between increasing portion size and obesity, data indicate that portion size does influence energy intake. Several well-controlled, laboratory-based studies have shown that providing older children and adults with larger food portions can lead to significant increases in energy intake. This effect has been demonstrated for snacks and a variety of single meals and shown to persist over a 2-d period. Despite increases in intake, individuals presented with large portions generally do not report or respond to increased levels of fullness, suggesting that hunger and satiety signals are ignored or overridden. One strategy to address the effect of portion size is decreasing the energy density (kilojoules per gram; kilocalories per gram) of foods. Several studies have demonstrated that eating low-energy-dense foods (such as fruits, vegetables, and soups) maintains satiety while reducing energy intake. In a clinical trial, advising individuals to eat portions of low-energy-dense foods was a more successful weight loss strategy than fat reduction coupled with restriction of portion sizes. Eating satisfying portions of low-energy-dense foods can help to enhance satiety and control hunger while restricting energy intake for weight management.

Adolescent↗

Energy intake, expenditure and pattern of daily activity of Nigerian male students.

1. Twenty apparently healthy and normal Nigerian male students, resident at the University of Ibadan campus, were studied for seven consecutive days to assess their food energy intake and expenditure and pattern of their daily activities. 2. The mean age (years) of the group was 24.0 (SD 3.23, range 20-30), mean height (m) 1.71 (SD 0.06, range 1.61-1.84) and body-weight (kg) was 61.1 (SD 5.01, range 51.0-69.5). 3. The food intake of each subject was obtained by direct weighing and its energy value determined using a ballistic bomb calorimeter. Patterns of daily activities were recorded and the energy costs of representative activities were determined by indirect calorimetry. 4. Activities mainly involved sitting, mean 580 (SD 167, range 394-732) min/d. Sleeping and standing activities took a mean of 445 (SD 112) and 115 (SD 75) min/d respectively. Personal domestic activities took a mean of 94 (SD 40) min/d. 5. The mean energy intake of the group was 11,182 (SD 1970) kJ/d or 183 (SD 32) kJ/kg body-weight per d. This value is lower than the 12.5 MJ/d recommended by the Food and Agriculture Organization (FAO)/World Health Organization (WHO) (1973) as the energy requirement for an adult man engaged in moderate activities, but it is higher than the FAO/WHO/United Nations University (UNU) (1985) recommended value of 10.8 MJ/d for a male office clerk (light activity). It is also lower than the recommended energy requirement of 11.6 MJ/d for a subsistence farmer (moderately active work) (FAO/WHO/UNU, 1985). 6. The mean energy expenditure of the male subjects was 9876 (SD 1064, range 7159-12,259) kJ/d and was lower than mean intake. 7. The energy intake and expenditure values indicated that the groups participating in the present study were not physically very active. It is an indication that the Nigerian male students expended less but probably consumed more energy than required. It is suggested for health reasons and for mental fitness that the Nigerian male students might undertake more physical exercise.

Activities of Daily Living↗

Effect of fat- and sucrose-containing foods on the size of eating episodes and energy intake in lean males: potential for causing overconsumption.

OBJECTIVE: This study compared the action of sucrose- and fat-containing foods on the size of eating episodes (satiation) and postingestive energy intake (satiety). DESIGN: The study was a 2 x 2 within-subjects design, each subject received each of four conditions in a counterbalanced order. SETTING: The study was carried out in the Human Appetite and Nutrition Research Unit. SUBJECTS: Eighteen normal-weight young male University students. INTERVENTIONS: Subjects consumed a low (2238 kJ) or high (3962 kJ) energy lunch followed 2 h later by the opportunity to eat freely from an ad libitum selection of high fat, low sucrose or high sucrose, low fat snacks. Visual analogue rating scales to record subjective feelings of hunger, fullness and related sensations were completed periodically through the test day. RESULTS: When offered a high sucrose, low fat selection of snacks subjects consumed less energy than when offered a high fat, low sucrose selection (P < 0.0001). However postingestive satiety was similar. The energy intake of snacks consumed was also determined by hunger; the low energy lunch gave rise to a higher level of hunger and greater intake (P < 0.01). Energy intake for the total day was significantly more when high fat, low sucrose snacks were consumed (P < 0.001). CONCLUSIONS: These results have indicated that the size of an eating episode is influenced by the level of hunger and the nutrient composition of the foods consumed. High fat foods (probably due to higher energy density) lead to a passive overconsumption which generates a relatively weak satiety.

Adult↗

Acute effects of knowledge-based work on feeding behavior and energy intake.

The aim of this study was to evaluate the impact of knowledge-based work (KBW) on feeding behavior and spontaneous energy intake with the use of a repeated measures/within-subjects design. We used a two-session protocol including an ad libitum buffet preceded by either rest in a sitting position for 45 min or a cognitive task (reading a document and writing a summary of 350 words using a computer) over the same time period. In this regard, 15 healthy Laval University female students (mean age = 24.1+/-2.2 years, mean BMI = 24.0+/-4.3 kg/m2) were recruited to participate in this study. Anthropometric variables, energy expenditure, heart rate, blood pressure, food intake (dietary record), and appetite sensation markers were measured at each testing session, and two questionnaires [Three-Factor Eating Questionnaire (TFEQ) and State-Trait Anxiety Inventory (STAI)] were administered. In addition, a buffet-type meal was used to measure spontaneous energy intake and macronutrient preferences. We found that the mean energy expenditure of the two conditions was about comparable (difference of 13 kJ between the two tasks) whereas the mean ad libitum energy intake after the KBW task exceeded that measured after rest by 959 kJ (p < 0.01). Although a higher absolute energy intake was observed for the three macronutrients after the KBW task (p < 0.05), no specific preference was detected, as reflected by the comparable percent of energy from each macronutrient in the two conditions. No significant difference in appetite sensation markers was observed between the two conditions, although the subjects ate more in the buffet-type meal after the KBW task. Furthermore, the subjects did not compensate by decreasing food intake for the rest of the day, suggesting a net caloric surplus. We also observed negative correlations between cognitive dietary restraint (TFEQ) and spontaneous energy intake in both conditions. In conclusion, our results demonstrate that mental work solicited by KBW has the potential to induce a higher spontaneous energy intake. This also raises the possibility that KBW adds a new component to sedentariness that might further accentuate the positive energy balance that is more likely to occur when one is inactive.

Adult↗

The impact of feeding problems on growth and energy intake in children with cerebral palsy.

Retrospective data on growth and cross-sectional data on growth outcome, anthropometric measurements and energy intake have been analysed according to the presence or absence of feeding problems in 42 children with cerebral palsy (CP) between 1 and 13 years of age. The mean age for boys and girls was 5.1 and 5.9 years, respectively. The study revealed a high frequency of feeding problems (50%) and growth retardation (48%) in the group. The results of weight for height, triceps skinfold thickness and energy intake indicate that 15% of the children were undernourished at the time of study. The cross-sectional analyses showed that children with feeding problems at the time of study (n = 22) had significantly lower height for age, weight for height, triceps skinfold thickness and upper-arm circumference than children without problems (P less than 0.05). Children with feeding problems also tended to have lower energy intake, but the differences were not significant. The feeding problems were most frequent among the severely disabled children. This study has shown that the presence of feeding problems is one important predictor of low growth outcome in children with CP. When parents report on feeding problems, feeding evaluation, training and nutritional intervention should be offered immediately. This is important for alleviating the heavy care-load for parents and health-workers and for some children it may be necessary to maintain an acceptable nutritional state.

Adolescent↗