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Physical activity, obesity, energy intake, and the risk of non-Hodgkin's lymphoma: a population-based case-control study.

The authors conducted a population-based case-control study of 1,030 cases with histologically confirmed, incident non-Hodgkin's lymphoma (NHL) and 3,106 controls to assess the impact of recreational physical activity, obesity, and energy intake on NHL risk in Canada from 1994 to 1997. Compared with those for subjects in the lowest quartiles of total recreational physical activity, multivariable-adjusted odds ratios for subjects in the highest quartile were 0.79 (95% confidence interval (CI): 0.59, 1.05) for men and 0.59 (95% CI: 0.42, 0.81) for women. Obesity (body mass index > or = 30 kg/m2) was associated with odds ratios of 1.59 (95% CI: 1.18, 2.12) for men and 1.36 (95% CI: 1.00, 1.84) for women. For men and women with a lifetime maximum body mass index of > or = 30 kg/m2, respective odds ratios were 1.55 (95% CI: 1.16, 2.06) and 1.10 (95% CI: 0.83, 1.46). For men and women in the highest quartiles of calorie intake, respective odds ratios were 1.95 (95% CI: 1.45, 2.62) and 1.13 (95% CI: 0.84, 1.52). Some differences were found between histologic subtypes of NHL for these associations. This study suggests that recreational physical activity decreases NHL risk, while obesity and excess calorie intake increase it. More studies are needed to confirm these results, especially the differences between histologic subtypes.

Adult↗

Are the proposed limits of energy intake:basal metabolic rate and dietary nitrogen:urinary nitrogen ratios suitable for validation of food intake?

The validity of 7 d weighed records of diet obtained for pre-menopausal Mexican women was assessed by two independent methods: the energy intake:BMR (EI:BMR) and the dietary N:urinary N (DN:UN). For the latter, complete urine collections are required and completeness was assessed from measurements of para-aminobenzoic acid (PABA) excretion. There were forty-six adult female subjects in the study, thirty-four were from Mexico City and twelve were from a rural population in the Central Highlands, Mexico. However, data were rejected from five urban women for whom the PABA excretion data suggested incomplete urine collection on four or more days. BMR was measured with Oxylog portable O2 consumption meters, and physical activity level was assessed from a self-completed activity diary. An approximate relationship between the EI:BMR ratio and the DN:UN ratio suggested that the rejection limits on the EI:BMR ratio recommended by are wider than the limits on the DN:UN ratio recommended by. Using the recommended cut-off points for EI:BMR but wider limits for DN:UN, twenty-one and twenty-five women respectively had acceptable intake records by the two methods, and sixteen of them by both methods. In conclusion the modification of the DN:UN limits to 0.92 and 1.70 to set acceptable intake values makes the use of measurements of N and energy balance comparable. Urine values with PABA recoveries greater than should be rejected, as should UN values validated by less than 3 d.

Adult↗

Increase in plasma concentrations of 3,5,3'-triiodothyronine and thyroxine after a meal, and its dependence on energy intake.

Plasma concentrations of 3,5,3'-triiodothyronine (T3) and thyroxine (T4) were measured before, during and for between 2 and 6 hr following a meal, in young growing piglets. T3 increased after a meal and reached a peak at approximately 60 min. The magnitude of the rise was dependent on both the energy content and nutrient composition of the meal. In animals given either a high or low energy intake baseline values of T3 were similar, whereas there was a difference in the response to a meal (P less than 0.01). Average increases in hormone concentration were 120% (P less than 0.001) and 50% (P less than 0.05) on the high and low intakes respectively. Plasma T4 also increased in those on high intake (P less than 0.025), but no change was detected when the intake was low. The response of T3 to a meal high in either glucose, sucrose, fat or protein was statistically significant except for the protein meal. The rise in T4 after each of these four meals was less consistent, although it did increase significantly after meals high in sucrose or fat. Amongst several possibilities, these results suggest that a meal may induce an increase in secretion of T3 and T4 from the thyroid gland.

Animals↗

Relationship between dietary restraint, energy intake, physical activity, and body weight: a prospective analysis.

Dietary, activity, and body weight differences in high- and low-restrained eaters and the independent impact of dietary restraint on body weight change were evaluated in 287 adults (141 men, 146 women) followed over a 1-year period. Analyses of measures of energy intake, physical activity, and dietary restraint indicated that high-restrained eaters did not differ in physical activity compared to low-restrained eaters at baseline but were ingesting significantly fewer kcal/lb and a higher percentage of the diet from fat. Body mass was significantly greater in both high-restrained men and high-restrained women than in their low-restrained counterparts. Regression modeling procedures revealed that weight and body mass at baseline were related to weight gain in men. In contrast, weight gain in women was predicted by baseline weight and higher restraint scores. These results indicate that dietary restraint is associated with weight gain in women but not in men.

Adult↗

Beneficial physiological and performance responses to a month of restricted energy intake in healthy overweight women.

Changes in mood, performance, cortisol, and physiological variables with a month-long energy restricting diet (3.347 MJ/day) were studied in nine overweight (mean mass 71.2 +/- 8 kg; body mass index 26.1 +/- 2.8 kg/m(2)), healthy premenopausal (age 20-36 years) women. Measurements were taken in the 2 weeks before the diet (baseline) and again in the final 2 weeks of the diet to attenuate menstrual cycle differences. A reduction in energy intake and concomitant weight loss (5.80 +/- 1.65 kg) were accompanied by a significant decline in systolic blood pressure (5.4%), heart rate (7.6%), and cortisol concentration (13.6%). Fatigue and vigour on the Profile of Mood States (POMS) questionnaire were adversely affected; however, subjective assessments of mood, concentration, temperature sensitivity, appetite, and sleep quality using visual analogue scales, were not significantly altered during the month-long period of energy restriction. Motor performance, as assessed by hand-eye coordination, improved with both a reduction in mean reaction time and improved accuracy in response to visual stimuli. The very low-energy diet appeared to be neither physiologically nor psychologically stressful. Beneficial effects were evident with a reduction in BMI, reduced risk of cardiovascular stress, improved motor performance, and a decline in physiological stress with dieting success.

Adult↗

Management of protein and energy intake in dialysis patients.

Malnutrition is not uncommon in patients with end-stage renal disease treated with maintenance dialysis. The presence of several abnormal parameters of nutritional status are reported to be predictive of poorer outcomes in these patients, compared to dialysis patients without evidence of malnutrition. This article describes methods that may be used to recognize the presence of malnutrition in end-stage renal disease patients and the management of protein and energy intake. Whether the correction of malnutrition will improve outcomes, such as morbidity and mortality, is unknown.

Dietary Proteins↗

Reduced energy intake and moderate exercise reduce mammary tumor incidence in virgin female BALB/c mice treated with 7,12-dimethylbenz(a)anthracene.

This study evaluated the concurrent effects of diet (standard AIN-76A, restricted AIN-76A and high-fat diet) and moderate rotating-drum treadmill exercise on the incidence of 7,12-dimethylbenz(a)anthracene-induced mammary carcinomas in virgin female BALB/cMed mice free of murine mammary tumor virus. Exercise significantly reduced food consumption in the groups fed the standard diet and high fat diet. Although food consumption varied widely, final body weight was similar in all groups. Exercise had no effect on mammary tumor incidence in the standard diet-fed groups (without exercise, 47%; with exercise, 45%); however, exercise reduced mammary tumor incidence in the other groups as follows: restricted diet/no exercise, 28%; restricted diet/with exercise, 13%; high fat diet/no exercise, 31%; high fat diet/with exercise, 19%. Restricting food intake reduced mammary tumor incidence, but had no effect on body weight. Although energy intake was related to mammary tumor incidence, neither body weight nor dietary fat predicted tumor incidence.

9,10-Dimethyl-1,2-benzanthracene↗

Prediction of energy expenditure: simplified FAO/WHO/UNU factorial method vs continuous respirometry and habitual energy intake.

This study assessed a simple factorial method to predict energy expenditure (EE) in confined and free-living subjects. Thirteen subjects (seven male, 6 female) were studied on four occasions each. Measurements included BMR, 24-h EE by continuous respirometry, 4-d records of intake and activities, body weight, and urine collections. Agreement between measured and predicted 24-h EE was within +/- 2% for group results and +/- 10% for most individuals. Individual agreement was improved to within +/- 5% by using measured rather than predicted BMR. Habitual energy intake was 7.3% greater (p less than 0.05) than predicted EE in males and 5.1% less (NS) in females. Validatory data suggested overrecording of intake in males and underrecording in females. Large individual differences between habitual intake and predicted EE were observed but were significantly (p less than 0.01) correlated with both weight change and protein balance. Our simple factorial method provided acceptable estimates of EE in the subjects studied.

Adult↗

A comparison of energy intake between eating positions in a NHS hospital--a pilot study.

Malnutrition and the under-consumption of food in hospitals is prevalent and in UK hospitals, the consumption of meals is mainly a solitude event, despite evidence to show that eating in the presence of others can actually increase food intake. Dietary data were collected for three consecutive 24 h periods (n=13) from patients who consumed their meals either in bed, at the side of the bed or in the presence of others. Results show a significant increase (p<0.05) in the mean daily energy intake for those sitting around a table in the presence of others. Although a small pilot study, the results confirm the value of social facilitation in improving the under-consumption of food when in hospital.

Adult↗

Dietary fat and coronary heart disease: a comparison of approaches for adjusting for total energy intake and modeling repeated dietary measurements.

Previous cohort studies of fat intake and risk of coronary heart disease (CHD) have been inconsistent, probably due in part to methodological differences and various limitations, including inadequate dietary assessment and incomplete adjustment for total energy intake. The authors analyzed repeated assessment of diet from the Nurses' Health Study to examine the associations between intakes of four major types of fat (saturated, monounsaturated, polyunsaturated, and trans fats) and risk of CHD during 14 years of follow-up (1980-1994) by using alternative methods for energy adjustment. In particular, the authors compared four risk models for energy adjustment: the standard multivariate model, the energy-partition model, the nutrient residual model, and the multivariate nutrient density model. Within each model, the authors compared four different approaches for analyzing repeated dietary measurements: baseline diet only, the most recent diet, and two different algorithms for calculating cumulative average diets. The substantive results were consistent across all models; that is, higher intakes of saturated and trans fats were associated with increased risk of CHD, while higher intakes of monounsaturated and polyunsaturated fats were associated with reduced risk. When nutrients were considered as continuous variables, the four energy-adjustment methods yielded similar associationS. However, the interpretation of the relative risks differed across models. In addition, within each model, the methods using the cumulative averages in general yielded stronger associations than did those using either only baseline diet or the most recent diet. When the nutrients were categorized according to quintiles, the residual and the nutrient density models, which gave similar results, yielded statistically more significant tests for linear trend than did the standard and the partition models.

Adult↗

Protein requirements of young Chinese male adults on ordinary Chinese mixed diet and egg diet at ordinary levels of energy intake.

With a total of 28 normal, healthy male adults, N balance studies with both Chinese mixed diet and egg diet were conducted at four protein levels with the former (0.45, 0.55, 0.65 and 0.75 g . kg-1 . day-1) and at three protein levels with the latter (0.35, 0.45 and 0.55 g . kg-1 . day-1) at ordinary levels of energy intake. By regression analysis, the mean maintenance N requirement (PRm) of the mixed Chinese diet calculated was 127.0 mg . kg-1 . day-1 (0.79 g protein . kg-1 . day-1). Estimate a allowance for individual variation to cover the 97.5% population (PR0.975) was 188.1 mg . kg-1 . day-1 (1.18 g protein . kg-1 . day-1). As for the egg diet series, PRm and PR0.975 were 98.2 mg N . kg-1 . day-1 (0.61 g protein . kg-1 . day-1) and 141.6 mg N . kg-1 . day-1 (0.89 g protein . kg-1 . day-1), respectively. Net protein utilization (NPU) of egg diet protein was significantly higher than that of the Chinese mixed diet protein (P less than 0.01), with mean values of 56 versus 43. True digestibility of the mixed diet and egg diet proteins was 96.5 and 98%, respectively. The efficiency of utilization of the Chinese mixed diet protein was 73-77% of the egg protein, based on relative N requirements.

Adult↗

Variation in energy intake during the menstrual cycle: implications for food-intake research.

The relationship between spontaneous energy consumption and menstrual cycle was evaluated in 23 subjects who participated in one of two independent studies. Ad libitum intakes of experimental diets were measured by food weighing and bomb calorimetry for 56 or 42 d. Comparisons were made between each woman's mean energy during the 10 d before and after the onset of menstruation. The significant decline (364 kJ, or 87 kcal) between these two 10-d intervals was smaller than but consistent with findings from previous studies of data from food journals. In a separate analysis with time-series techniques, two distinct periods of elevated intake were identified (during the midluteal and midfollicular phases) that were independent of illness and menstrual symptoms. This pattern of food intake is discussed with reference to normal hormonal fluctuations. These findings confirm that menstrual cycle is a potential confounding variable that should be controlled in research on human food intake.

Adult↗

Influence of insulin and energy intake on ovulation rate, luteinizing hormone and progesterone in beef heifers.

Ovarian and gonadotropin responses to insulin and energy restriction were investigated in a 2 X 2 factorial experiment using 2-yr-old Brangus heifers. Thirty heifers were paired by weight and body condition, then assigned to treatment groups receiving 75 (LE) or 180% (HE) of NRC recommendations for dietary energy for maintenance. Diets were adjusted weekly to maintain daily .25 to .5 kg weight loss or 0 to .25 kg weight gain, respectively. On d 10 of the first estrous cycle subsequent to the initial 45 d of feeding, heifers within each dietary group were allocated to receive twice daily infusions of either 40 U insulin (I) or saline (C). Infusions began at 5 and 10 h postprandial and were given in six boluses, 20 min apart. Infusions continued daily until d 20 or estrus, whichever occurred first. On d 11, blood samples were collected at 15-min intervals for 12 h to determine luteinizing hormone (LH) and insulin concentrations. On d 16 to 20, twice daily im injections of 1 mg follicle stimulating hormone (FSH) were administered. Heifers were ovariectomized on d 11 after estrus. Number of corpora lutea (CL) in LE-I heifers was greater (P less than .05) in LE-C, HE-C or HE-I. Total CL weight (g) per heifer was greater (P less than .05) in HE-C and LE-I heifers than in LE-C. Individual CL wt was heavier in HE than in LE heifers (P less than .05).(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Amelioration of the inhibition of fibrinolysis in elderly, obese subjects by moderate energy intake restriction.

A possible cause of accelerated atherothrombosis in the syndrome of insulin resistance appears to be an elevated blood concentration of plasminogen activator inhibitor type-1 (PAI-1). Insulin resistance occurs with aging, attributable partly to increased adiposity. Scarce information exists regarding the effects of weight loss in elderly, obese individuals on PAI-1 concentrations. Consequently, weight loss (9 +/- 1 kg) was induced by energy intake restriction in 19 elderly, obese individuals, and its effect on fibrinolytic system peptides was measured. Initially elevated PAI-1 concentrations decreased by 50%, with a simultaneous decrease in the concentration of tissue-type plasminogen activator (t-PA)/PAI-1 complexes but no significant change in t-PA suggested a decrease in inhibition of the fibrinolytic system. The concentration of plasmin/antiplasmin complexes (PAP complex) increased by approximately 20%, indicating augmented fibrinolytic system activity. The decline in PAI-1 correlated with that of the decrease in body weight (r = 0.5, P < 0.05) and fat mass losses (r = 0.46, P < 0.05). The increase in PAP complexes correlated with weight and fat mass losses (r = 0.4 and r = 0.46, respectively; P < 0.05 for both). No correlation was seen between fibrinolytic system variables and baseline concentrations of substrates or insulin, but the change in PAI-1 correlated with the change in plasma triacylglycerols (r = 0.58, P < 0.05). Results indicate that energy restriction sufficient to induce moderate weight loss leads to diminution of elevated plasma PAI-1 and relief of inhibition of the fibrinolytic system in elderly, obese subjects. To the extent that these changes are associated with a decrease in the progression of vasculopathy, weight loss in elderly, obese individuals may be a useful means to reduce cardiovascular morbidity and mortality.

Aged↗

No effect of glucagon-like peptide-1 on short-term satiety and energy intake in man.

Centrally administered glucagon-like peptide-1 (GLP-1) inhibits feeding in fasted rats, but its role in human satiety has been largely unexplored. The present study investigated the effect of peripheral GLP-1 infusion on gastric emptying and satiety in man. Ten non-obese male subjects were infused in a randomized single-blind within-subject crossover study using saline infusion as control. They received either a GLP-1 infusion (1.2 pmol/kg per min) or a saline infusion for 1 h, at 18.00 hours. At 20 min after starting the infusion the gastric emptying of a 400 ml water load was measured. Subjects completed behavioural self-rating scales to assess hunger and satiety. After 40 min subjects were given a buffet meal ad libitum and their food intake was recorded. GLP-1 infusion raised circulating GLP-1 concentrations to approximately twice those seen following a meal. It did not affect circulating insulin levels but caused a small fall in glucose levels. Gastric emptying of the water load was significantly delayed by the GLP-1 infusion. Energy intake from the buffet was unaffected by GLP-1 infusion. Self-assessment of hunger and satiety was similarly unaffected by the infusion before the buffet meal, although subjects tended to be less hungry after the buffet meal following GLP-1 infusion (P < 0.09). GLP-1 infusion delayed gastric emptying but had a minimal effect on food intake and satiety. This study casts doubts on whether GLP-1 is a major satiety factor in man, although a raised circulating plasma glucose level, as would normally occur postprandially, might be necessary for GLP-1 to increase satiety.

Adult↗

Effect of protein and energy intake of broiler breeder hens on performance of broiler chicken offspring.

Two hundred and forty individually caged Hubbard x Hubbard broiler breeders (BB) were fed one of six diets at 150 g/bird per day, which provided 19 or 25 g protein and 325, 385, or 450 kcal nitrogen-corrected metabolizable energy. In Trial 1, chicks hatched from 29-wk-old BB were sexed and 12 females and 12 males placed in each of four replicate floor pens per treatment. A 23% crude protein (CP) starter (0 to 20 day), 20% CP grower (21 to 34 day) and 18% CP finisher (35 to 41 day) diets were fed. Protein intake of BB had no effect on body weight of offspring. Energy intake of BB had no effect on growth of female offspring; however body weights of 20 day-old-male offspring were 575, 586, and 601 g for low, medium, and high energy intake, respectively (P less than or equal to .01). Increasing BB energy intake increased carcass protein and reduced fat in male offspring (P less than or equal to .01) and decreased the percentage of Canada Grade B ratings for both sexes (P less than or equal to .05). In Trials 2 to 4, chicks from BB at 32, 36, and 40 wk were sexed and cage-reared to 21 days of age. The energy intake of BB had no effect on female offspring growth. Male offspring weighed 570, 563, and 585 g for the low, medium, and high energy intakes, respectively (P less than or equal to .01).

Animal Nutritional Physiological Phenomena↗