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Relation between gastric emptying rate and energy intake in children compared with adults.

Measurement of gastric emptying rate of solids in children is difficult because the available methods are either invasive or induce a substantial radiation burden. In this study the newly developed 13C octanoic acid breath test was used to examine the gastric emptying rate of solids and milk in healthy children and to compare gastric emptying in children and adults. Fifteen healthy children and three groups of nine healthy adults were studied, using three different test meals labelled with 50 mg of 13C octanoic acid: a low caloric pancake (150 kcal), a high caloric pancake (250 kcal), and 210 ml of milk (134 kcal). Breath samples were taken before and at regular intervals after ingestion of the test meal, and analysed by isotope ratio mass spectrometry. The gastric emptying parameters were derived from the 13CO2 excretion curves by non-linear regression analysis. No significant difference was found between children and adults in the emptying rate of the low caloric solid test meal. In children as well as in adults, increasing the energy content of the solid meal resulted in a significantly slower emptying rate. The milk test meal, however, was emptied at a faster rate in adults and at slower rate in children compared with the low caloric solid test meal. Moreover, the emptying rate of milk in children was significantly slower than in adults. In conclusion, a similar gastric emptying rate of solids but a slower emptying of full cream milk was shown in children of school age compared with adults, using the non-radioactive 13C octanoic acid breath test.

Adolescent↗

Association of macronutrients and energy intake with hypertension.

Hypertension, a major public health problem, becomes more prevalent during aging. Epidemiological studies suggest that environmental factors such as nutrition may play a major role in blood pressure (BP) regulation. It is generally accepted that obesity and sodium/alcohol consumption are important factors, and many believe that calcium, magnesium and potassium consumption are regulatory as well. Less emphasis has been placed on whether macronutrients influence blood pressure significantly. This review focused on the ability of excess calories and consumption of carbohydrates, fats, and proteins to regulate blood pressure.

Dietary Carbohydrates↗

Effects of fast-food consumption on energy intake and diet quality among children in a national household survey.

BACKGROUND: Fast food has become a prominent feature of the diet of children in the United States and, increasingly, throughout the world. However, few studies have examined the effects of fast-food consumption on any nutrition or health-related outcome. The aim of this study was to test the hypothesis that fast-food consumption adversely affects dietary factors linked to obesity risk. METHODS: This study included 6212 children and adolescents 4 to 19 years old in the United States participating in the nationally representative Continuing Survey of Food Intake by Individuals conducted from 1994 to 1996 and the Supplemental Children's Survey conducted in 1998. We examined the associations between fast-food consumption and measures of dietary quality using between-subject comparisons involving the whole cohort and within-subject comparisons involving 2080 individuals who ate fast food on one but not both survey days. RESULTS: On a typical day, 30.3% of the total sample reported consuming fast food. Fast-food consumption was highly prevalent in both genders, all racial/ethnic groups, and all regions of the country. Controlling for socioeconomic and demographic variables, increased fast-food consumption was independently associated with male gender, older age, higher household incomes, non-Hispanic black race/ethnicity, and residing in the South. Children who ate fast food, compared with those who did not, consumed more total energy (187 kcal; 95% confidence interval [CI]: 109-265), more energy per gram of food (0.29 kcal/g; 95% CI: 0.25-0.33), more total fat (9 g; 95% CI: 5.0-13.0), more total carbohydrate (24 g; 95% CI: 12.6-35.4), more added sugars (26 g; 95% CI: 18.2-34.6), more sugar-sweetened beverages (228 g; 95% CI: 184-272), less fiber (-1.1 g; 95% CI: -1.8 to -0.4), less milk (-65 g; 95% CI: -95 to -30), and fewer fruits and nonstarchy vegetables (-45 g; 95% CI: -58.6 to -31.4). Very similar results were observed by using within-subject analyses in which subjects served as their own controls: that is, children ate more total energy and had poorer diet quality on days with, compared with without, fast food. CONCLUSION: Consumption of fast food among children in the United States seems to have an adverse effect on dietary quality in ways that plausibly could increase risk for obesity.

Adolescent↗

Alcohol and energy intake.

One hundred years of research about the metabolism of alcohol have provided many details, but some general aspects of the physiologic value of alcohol remain uncertain or inadequately proven. Results from epidemiologic studies appear to be in conflict with interpretations based on results from indirect calorimetric studies. The apparent inability of body mass index to be maintained in women when alcohol is consumed with food may indicate impaired metabolic processes that need to be better understood. Current evidence on the effects of alcohol are summarized to identify experimental approaches that may provide information needed to resolve the current contradictions.

Alcohol Oxidoreductases↗

Acquisition of texture-cued fasting-anticipatory meal-size change in rats with adequate energy intake.

To determine if an increase in intake at a meal before a long fast can be conditioned to food texture cues, male Sprague-Dawley rats were given a high- or low-fat diet in one texture (powder or pellet) for 1 h prior to a 12.5-h fast and in the other texture before a 3-h fast. Each group (N = 9) went through a pseudorandom sequence of four duplicates of each texture-fast pairing over 4 experimental days in each of three training trials, followed by one 4-day trial under extinction, i.e. without the difference in fast lengths between textures. Neither the high-fat group nor the low-fat group as a whole gave a clear indication of a learnt texture-cued increase in meal size before the longer fast relative to the shorter fast. However, the rats trained on the high-fat diet that had the highest intakes on the first 4 days of training showed a relative increase in the amount eaten of the texture predicting the longer fast during the third training trial, and this effect also approached statistical significance in the extinction test. These results provide some support for the conclusion that anticipatory hunger/satiety can be differentially conditioned to dietary texture cues, but only if sufficient food is eaten before a short fast to prevent the rise in hunger during longer fasts that reinforces the discriminative increase in meal size.

Animals↗

Thyroid hormone nuclear receptors in skeletal muscle as influenced by environmental temperature and energy intake.

Young litter-mate pigs were kept at either 10 or 35 degrees C and fed either a high (H) or a low (L) food intake producing four groups: 10 H, 10 L, 35 H and 35 L. The numbers of receptors for thyroid hormone in the nuclei of skeletal muscle were estimated and found to be greatest in the 35 H group and least in the 10 L group. The numbers of receptors in the 10 H and 35 L groups were similar and took intermediate values. It is suggested that the differences in receptor numbers represent an adaptation which regulates the tissue response to thyroid hormone. Some possible consequences of this adaptation are discussed.

Animals↗

Short-term changes in energy intake and serum insulin, neutral amino acids, and urinary catecholamine excretion in women.

The effect of short-term undereating (4.2 MJ [1000 kcal] for 4 d) followed by overeating (12.6 MJ [3000 kcal] for 2 d) on fasting and 2-h postprandial serum glucose, insulin, and neutral amino acids and on urinary free and total norepinephrine and dopamine excretion was studied in 12 normal women. Protein and sodium intake was constant throughout the study. Serum glucose concentration was not affected by diet but the serum total neutral amino acids (ie, sum of valine, leucine, isoleucine, and phenylalanine) tended to increase during undereating and decrease during overeating. Serum tryptophan concentration, relative to the remaining neutral amino acids, was consequently lower during undereating than overeating. The postprandial increase in serum insulin level was greater during overeating than undereating. Urinary free norepinephrine and total dopamine levels were also increased during overeating, suggesting both sympathetic and dopaminergic activation during overeating after undereating.

Adult↗

Body mass, energy intake, and water consumption of rats and humans during space flight.

Alteration of metabolism has been suggested as a major limiting factor to long-term space flight. In humans and primates, a negative energy balance has been reported. The metabolic response of rats to space flight has been suggested to result in a negative energy balance. We hypothesized that rats flown in space would maintain energy balance as indicated by maintenance of caloric intake and body mass gain. Further, the metabolism of the rat would be similar to that of laboratory-reared animals. We studied the results from 15 space flights lasting 4 to 19 d. There was no difference in average body weight (206 +/- 13.9 versus 206 +/- 14.8 g), body weight gain (5.8 +/- 0.48 versus 5.9 +/- 0.56 g/d), caloric intake (309 +/- 21.0 versus 309 +/- 20.1 kcal/kg of body mass per day), or water intake (200 +/- 8.6 versus 199 +/- 9.3 mL/kg of body mass per day) between flight and ground control animals. Compared with standard laboratory animals of similar body mass, no differences were noted. The observations suggested that the negative balance observed in humans and non-human primates may be due to other factors in the space-flight environment.

Adaptation, Physiological↗

Iron deficiency negatively affects vertebrae and femurs of rats independently of energy intake and body weight.

The question of whether iron deficiency has direct adverse effects on vertebral trabecular bone and long bones was answered by this study. Four groups of female weanling rats were fed for 5 wk diets that were 1) control; 2) calcium restricted, 1.0 g Ca/kg diet; 3) iron deficient, <8 mg Fe/kg diet; or 4) control, pair-fed to the iron-deficient group. Whole body and femur DEXA analysis revealed that calcium-restricted and iron-deficient rats had lower bone mineral density (BMD) and content (BMC) than pair-fed and control rats. However, pair-fed rats also had decreased BMD and BMC compared to control rats. The third lumbar trabecular bone microarchitecture in both diet-restricted groups had decreased bone volume fraction (BV/TV) and trabecular number and thickness, a less favorable structural model index, and increased trabecular separation compared with the controls and the pair-fed groups as determined by microcomputer tomography. The control and pair-fed groups did not differ from one another, suggesting that iron deficiency and calcium restriction affected vertebrae independently of food intake and body weight. Finite element analysis revealed lower force to compress the vertebrae and lower stiffness but greater von Mises stress in calcium-restricted and iron-deficient groups compared to the control and pair-fed groups. Urinary deoxypyridinium crosslinks, serum osteocalcin, and cholcalciferol were increased in calcium-restricted rats compared to the other 3 groups. Using micro-CT imaging technology, this study demonstrated microarchitectural pathology due to iron deficiency upon vertebral trabecular bone compared to the control and pair-fed rats, although not to the same extent as severe calcium restriction.

Absorptiometry, Photon↗

Effects of dietary energy intake and protein concentration on performance and visceral organ mass in lambs.

Eighty-eight early-weaned Hampshire x Targhee crossbred lambs (initial BW 23 +/- 3.9 kg) were used in a 2 x 2 factorial design experiment to determine the effects of DM and CP intake on lamb performance and weight and accretion rates of visceral organs during two periods of growth, divided at 36 kg live weight. There were 10 lambs per replicate and two replicate pens per treatment. Dry matter intake was 100 or 85% of ad libitum, and protein intake was 100 (normal) or 125% (high) of the calculated NRC (1985) requirement. Over both periods, lambs allowed ad libitum access to feed had greater (P < .05) ADG, rumen/reticulum, large intestine, and liver weights and faster accretion rates than lambs fed at 85% of ad libitum; however, there were no differences (P = .87) in feed efficiency. For the total trial, lambs fed high protein had greater (P < .01) DMI, ADG, liver and kidney weight and accretion rates, and increased (P < .01) feed efficiency during period 1 compared with lambs fed normal protein concentrations. Diets containing high concentrations of dietary protein resulted in greater DMI and ADG throughout the feeding period compared with diets formulated at NRC (1985) recommended concentrations, indicating that NRC (1985) protein recommendations may limit lamb performance. Restricted feeding resulted in reduced visceral organ mass compared with offering feed for ad libitum consumption. Restricted feeding increased efficiency of feed utilization for gain, in part, through reductions in visceral organ mass.

Animals↗

The retardation of aging in mice by dietary restriction: longevity, cancer, immunity and lifetime energy intake.

We sought to clarify the impact of dietary restriction (undernutrition without malnutrition) on aging. Female mice from a long-lived strain were fed after weaning in one of six ways: group 1) a nonpurified diet ad libitum; 2) 85 kcal/wk of a purified diet (approximately 25% restriction); 3) 50 kcal/wk of a restricted purified diet enriched in protein, vitamin and mineral content to provide nearly equal intakes of these essentials as in group 2 (approximately 55% restriction); 4) as per group 3, but also restricted before weaning; 5) 50 kcal/wk of a vitamin- and mineral-enriched diet but with protein intake gradually reduced over the life span; 6) 40 kcal/wk of the diet fed to groups 3 and 4 (approximately 65% restriction). Mice from groups 3-6 exhibited mean and maximal life spans 35-65% greater than for group 1 and 20-40% greater than for group 2. Mice from group 6 lived longest of all. The longest lived 10% of mice from group 6 averaged 53.0 mo which, to our knowledge, exceeds reported values for any mice of any strain. Beneficial influences on tumor patterns and on declines with age in T-lymphocyte proliferation were most striking in group 6. Significant positive correlations between adult body weight and longevity occurred in groups 3-5 suggesting that increased metabolic efficiency may be related to longevity in restricted mice. Mice from groups 3-6 ate approximately 30% more calories per gram of mouse over the life span than did mice from group 2. These findings show the profound anti-aging effects of dietary restriction and provide new information for optimizing restriction regimes.

Aging↗

Self-regulation of energy intake in the prevention and treatment of obesity: is it feasible?

The prevalence of obesity in developed countries has been steadily increasing. Comprehensive lifestyle change programs for the treatment of obesity have garnered considerable empirical support, but most weight lost in lifestyle interventions is regained within several years. The outcome of obesity prevention programs has also been disappointing. One reason for this state of affairs may be that most weight control programs are based on an assumption of equipotentiality of their intervention components. That is, obesity prevention and treatment programs consist of a multitude of behavioral, cognitive, nutritional, physical activity, and interpersonal techniques, all of which are assumed to be of roughly equal importance in weight control. However, there is considerable evidence that our evolutionary heritage has made most humans highly sensitive to the availability and nature of food in the environment. It therefore may be unrealistic to expect that enhancing self-regulatory skills will be sufficient to overcome the combined influence of our appetitive predispositions and the obesigenic environment. However, there is growing evidence that weight control interventions that focus on the availability, structure, composition, and portion size of foods in the diet improve long-term weight control. Concerted efforts to change the availability and nature of foods at both the individual and population level may hold considerable promise for the treatment and prevention of obesity.

Diet, Reducing↗

Misclassification of nutrient and energy intake from use of closed-ended questions in epidemiologic research.

The authors investigated the effect of collecting food frequency intake data using questionnaires that record response intervals rather than exact frequencies of consumption. Measures of energy and 24 nutrients were calculated using both types of frequency data for subjects' mean intakes, rank classifications and group mean values. Frequency data obtained between 1987 and 1989 using the open-ended Health Habits and History Questionnaire (HHHQ) developed by Block and associates at the National Cancer Institute were recoded into the interval response formats used by the computer-scannable version of the HHHQ and into the format used in the food frequency questionnaire developed by Willett for the Nurses' Health Study and other studies. Compared with the open-ended HHHQ, for otherwise identical data sets, the closed-ended HHHQ and Willett response categories produced significantly different (p < 0.05) measures of intake on the individual level for 18 (72%) (HHHQ) and 16 (64%) (Willett) of the 25 nutrient and energy measures studied, and they ranked 13-53% (HHHQ) and 16-52% (Willett) of subjects in different quintiles for the various measures. Use of food frequency questionnaires with closed-ended response categories causes nondifferential misclassification that could bias study results. To reduce such misclassification in epidemiologic studies, the authors recommend that food frequency questionnaires obtain exact frequencies of intake for measurement of diet exposure, and they describe an open-ended questionnaire layout which does so and also permits computer scanning of data.

Adult↗

Effects of varying energy intake and sire breed on duration of postpartum anestrus, insulin like growth factor-1, and growth hormone in mature crossbred cows.

Objectives of this study were to evaluate effects of seven sire breed groups and three levels of daily ME intake (DMEI = 132 or 189 kcal ME/kg BW(0.75) or ad libitum), beginning 5 mo prepartum, on BCS, length of postpartum anestrus, and circulating concentrations of IGF-1 and GH in F1 cows (six to eight cows per sire breed in each DMEI group) out of Angus or Hereford dams. At the initiation of the study, BW were 522, 530, 548, 572, 575, 577, and 595 kg for cows sired by Longhorn, Galloway, 1960s Hereford or Angus, 1980s Hereford or Angus, or Nellore, Salers, and Shorthorn bulls, respectively (SE = 13; P < 0.001 for sire breed). After 4 mo on DMEI treatment during the pre-partum period, cows fed 132 kcal of ME/kg BW(0.75)gained little to no BW; cows fed 189 kcal ME/kg BW(0.75) gained 50 kg; and cows fed ad libitum gained 70 kg (all groups differ P < 0.05). Concentrations of progesterone in weekly blood samples collected 2 to 14 wk after calving were used to establish when normal luteal function resumed to predict length of postpartum anestrus. Length of anestrus was affected by level of DMEI in cows sired by Galloway, Longhorn, and Nellore bulls, but not other breeds (P < 0.02 for interaction of sire breed and DMEI). Level of DMEI, but not sire breed, affected (P < 0.01) BCS at wk 2 postpartum. Concentrations of IGF-1 at wk 2 postpartum differed (P < 0.001) due to sire breed, and changes in concentrations of IGF-1 from wk 2 to 14 were influenced (P < 0.03) by the interaction of sire breed and level of DMEI; which was primarily the result of differences in rate of decrease over time among different sire breed x level of DMEI groupings. Concentrations of GH did not differ due to sire breed but varied (P < 0.001) due to the interaction of DMEI and week postpartum, for which concentrations of GH did not differ at wk 2 but increased over time at rates that were inversely proportional to level of DMEI. Length of anestrus was negatively associated (P < 0.05) with day of calving, BCS, and BW. When effects of sire breed and level of DMEI were accounted for (residual correlation), length of anestrus was inversely associated (P < 0.01) with IGF-1 concentrations. Breed of sire influenced length of postpartum anestrus and energy balance, as predicted by IGF-1, in crossbred cows fed varying levels of DMEI.

Anestrus↗

Interrelationships between dietary protein level, energy intake, and nitrogen retention in pregnant gilts.

Two experiments were conducted to study the effects of dietary protein levels and DE intake on N retention in pregnant gilts. Thirty-two gilts were used in Exp. 1 to investigate the response to eight levels of dietary CP ranging from 50 to 235 g/kg (3.3 to 14.5 lysine/kg). Gilts were given 1,400 g of feed daily throughout pregnancy; diets contained similar balances of amino acids and similar amounts of DE (3.60 to 3.63 Mcal/kg). Thirty gilts in Exp. 2 were allocated during pregnancy to six levels of feeding ranging from 1.1 to 3.1 kg/d. The common diet given to gilts contained 3.49 Mcal of DE/kg, 155 g of CP/kg, and 10.7 g of lysine/kg and was considered adequate in protein. Nitrogen balance trials were conducted during early, mid-, and late pregnancy and collection periods of 5 d duration commenced on d 30, 58, and 86 in Exp. 1 and d 30, 58, and 93 in Exp. 2. The average live weights of pigs on all treatments within each collection period were similar and were 112.5, 123.3, and 136.6 kg and 120.7, 136.3, and 158.3 kg in Exp. 1 and 2, respectively. At each stage of pregnancy increments of dietary protein increased N retention up to an inflection point, after which N retention remained at a constant level. The maximum rates of N retention, 10.0, 12.1, and 16.5 g/d during early, mid-, and late pregnancy, occurred at 142, 133, and 162 g of CP/kg, respectively; the corresponding dietary lysine:DE values were 2.4, 2.3, and 2.7 g of lysine/Mcal of DE.(ABSTRACT TRUNCATED AT 250 WORDS)

Amino Acids↗

Influence of dietary forage and energy intake on metabolism and acyl-CoA synthetase activity in bovine ruminal epithelial tissue.

Twenty calves (7 mo old) were blocked by breed, sex, and weight into five groups of four calves and randomly assigned to either a 90% forage (alfalfa) or a 90% grain (50% sorghum and 50% wheat) diet fed at one (1M) or two (2M) times NEm for 140 d. Samples of ruminal epithelial tissue were collected from the anterior ventral sac, and papillae were cut free by hand and used for in vitro incubations and acyl-CoA synthetase assays. Substrates were acetate (90 mM), propionate (60 mM), butyrate (30 mM), and glucose (20 mM). Net productions of beta-hydroxybutyrate and acetoacetate from acetate were greater (P less than .01) with the 2M feeding; however, 14CO2 production from acetate was greater (P less than .05) with the grain diet. Net production of lactate (P = .09) and pyruvate (P less than .01) from propionate increased with the 2M feeding, whereas net lactate production from glucose decreased (P less than .01). Uptakes of VFA were similar with 1M and 2M feeding and were about 10-fold greater than uptakes of glucose. Production of 14CO2 from propionate was two- to fivefold greater than from acetate, butyrate, or glucose. Oxygen consumption was greater (P less than .01) with 2M feeding and unaffected by substrate. Activities of butyryl-CoA synthetase (nmol.mg of tissue-1.h-1) were greater (P less than .05) for animals consuming the forage diets. Addition of butyrate inhibited acetyl- and propionyl-CoA synthetase activity by 63 and 92%, respectively for all dietary treatments. Overall, metabolism of ruminal epithelial tissue tended to increase with the 2M feeding. Influence of dietary forage content on metabolism and activity of acyl-CoA synthetases was minimal, but the high-forage diet caused slight increases.

Animal Feed↗

Impact of energy intake and pregnancy status on rate and efficiency of gain and backfat changes of sows postweaning.

A collaborative study was conducted to evaluate factors related to determining optimal feeding and management programs for increasing net returns from marketing cull sows. A total of 269 multiparous sows averaging 192 kg of body weight were weaned, moved to individual gestation crates, and assigned to one of eight treatment combinations in a 2 x 2 x 2 factorial arrangement for a 42-d postweaning feeding experiment. Factors included limited (L) (1.8 kg/sow/d) or ad libitum (AL) access to feed during wk 1 postweaning, a corn-soybean meal (corn) or barley-sunflower meal (barley) diet, and pregnant or nonpregnant status. All sows were provided ad libitum access to feed from wk 2 to 6 postweaning. Gain and feed intake (FI) data were collected weekly for each sow and used to calculate gain:feed (G/F). Ultrasonic backfat (BF) data were collected on d 0, 21, and 42 postweaning. Sows on the AL treatment had greater FI (P < 0.05) but similar gain (P = 0.80) for the 42-d postweaning period compared to sows on the L treatment. Most of this response was due to lower sow body weight loss during wk 1 postweaning (P < 0.01) when sows were provided AL (-7.2 kg) vs L (-13.2 kg) access to feed. Sows fed the corn diet had higher gain (P < 0.01), improved G/F (P < 0.01), and increased BF (P < 0.01) over the 42-d feeding period than sows fed barley. The corn diet resulted in less sow BW loss (P < 0.01) during wk 1 (-8.8 kg) than the barley diet (-11.6 kg). Pregnant sows had higher gain, FI, G/ F, and BF (P < 0.01) than nonpregnant sows over the 42-d feeding period. Most of this advantage occurred during wk 4 postweaning when FI and gain of nonpregnant sows was lower (P < 0.01) than for pregnant sows. An economic analysis indicated that, when cull sow prices are relatively high and feed prices are moderate to low, maintaining and managing cull sows for an additional 6 wk postweaning may be economically advantageous compared to 0 or 3 wk. Pregnant sows fed the corn diet produced the greatest economic return. These results suggest that mating sows as they return to estrus postweaning and providing ad libitum access to a corn-soybean meal diet improves growth performance and feed efficiency, and may thereby provide increased returns when marketing cull sows.

Adipose Tissue↗