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PubMed2003

Glycemic carbohydrate and body weight regulation.

The purpose of this review is to examine the relationship between glycemic carbohydrate and its effect on body weight regulation. By contrast to fat, carbohydrate has a positive impact on energy intake, energy expenditure, and body weight control. Despite some debate about the role of the carbohydrate-to-fat ratio in the diet and the prevalence of obesity, metabolic studies show that diets high in fat are more likely to result in body weight gain than diets high in carbohydrate. So far there are no indications that carbohydrate classes differ greatly with respect to energy expenditure and energy balance. However, the impact of carbohydrate source and class, as well as the form in which carbohydrate is consumed (i.e., solid or liquid) on body weight control requires further consideration.

Blood Glucose↗

PubMed2002

Hormones and weight change.

Dysregulation of body weight has been a common complaint of women on hormonal contraception but an inconsistent event in controlled clinical studies. In a prospective trial to evaluate the relationship between depot medroxyprogesterone acetate (DMPA) and change in energy intake, energy expenditure and weight change, no effect from DMPA could be documented. These results refute a causal relationship between use of DPMA and increased weight. While weight gain and use of contraception may be common concomitant events in a population with a substantial propensity for weight fluctuation, the objective data suggest that factors other than contraceptive method are important. The controlled data have major implications for appropriate management and counseling of women seeking a highly effective method of protection against pregnancy.

Contraceptive Agents, Female↗

PubMed1987

Food stamps and the energy status of the U.S. elderly poor.

The energy status of poor elderly individuals in relation to the nonpoor elderly was examined using data from NHANES I and II. Within the poor population, the status of Food Stamp Program participants was compared with that of nonparticipants. The indicators of energy status used were weight (adjusted for height), triceps skinfold, subscapular skinfold, and energy intake. Energy status was examined by analyses of variance; the effects associated with sex, race, age, geographic region, and other potentially confounding variables were included in the model. In both surveys, there were interactions of income and food stamp use with sex. That is, poor women had greater means for weight and triceps skinfold than the nonpoor. Among the poor women, the Food Stamp Program participants weighed more than the nonparticipants, and their triceps skinfold mean was greater in NHANES II than in NHANES I. The poor men had a lower mean for triceps skinfold than the nonpoor, but there was no difference between the program participants and nonparticipants. Hence, for the poor elderly in NHANES I and II, food stamp use was not consistently associated with differences in energy status, as indicated by weight, skinfold, and energy intake.

Aged↗

PubMed2005

Deleterious effects of omitting breakfast on insulin sensitivity and fasting lipid profiles in healthy lean women.

BACKGROUND: Breakfast consumption is recommended, despite inconclusive evidence of health benefits. OBJECTIVE: The study's aim was to ascertain whether eating breakfast (EB) or omitting breakfast (OB) affects energy intake, energy expenditure, and circulating insulin, glucose, and lipid concentrations in healthy women. DESIGN: In a randomized crossover trial, 10 women [x+/-SD body mass index (BMI; in kg/m2): 23.2+/-1.4] underwent two 14-d EB or OB interventions separated by a 2-wk interval. In the EB period, subjects consumed breakfast cereal with 2%-fat milk before 0800 and a chocolate-covered cookie between 1030 and 1100. In the OB period, subjects consumed the cookie between 1030 and 1100 and the cereal and milk between 1200 and 1330. Subjects then consumed 4 additional meals with content similar to usual at predetermined times later in the day and recorded food intake on 3 d during each period. Fasting and posttest meal glucose, lipid, and insulin concentrations and resting energy expenditure were measured before and after each period. RESULTS: Reported energy intake was significantly lower in the EB period (P=0.001), and resting energy expenditure did not differ significantly between the 2 periods. OB was associated with significantly higher fasting total and LDL cholesterol than was EB (3.14 and 3.43 mmol/L and 1.55 and 1.82 mmol/L, respectively; P=0.001). The area under the curve of insulin response to the test meal was significantly lower after EB than after OB (P<0.01). CONCLUSION: OB impairs fasting lipids and postprandial insulin sensitivity and could lead to weight gain if the observed higher energy intake was sustained.

Adult↗

PubMed1997

Diet-induced thermogenesis in cockerels is modulated by genetic selection for high or low residual feed intake.

Energy balance of adult cockerels genetically selected for high (R+) or low (R-) residual feed consumption was investigated by using indirect calorimetry. Although no between-line difference was found in digestion of ingested energy, the true metabolizable energy (ME) intake was 40% greater in R+ than in R- birds. Basal heat production (HP) did not significantly differ between genotypes. Diet-induced thermogenesis (DIT) was significantly enhanced in R+ compared with R- birds, i.e., +84% when expressed as the difference in kilojoules of heat production determined in feed-deprived and fed cockerels, +31% when calculated as a percentage of ME intake (P < 0.01). The difference in DIT calculated from the regression between HP and physical activity explained 75% of the difference in HP; the remaining 25% could be explained by activity-related HP. The results cannot be explained by differences in the plasma concentration of circulating thyroid hormones: plasma thyroxine concentration did not differ between genotypes, whereas plasma triiodothyronine concentration was lower in feed-deprived R+ than in R- birds and indistinguishable in fed birds of the two lines. Heat production, however, was higher in the R+ line. Propranolol decreased HP only in the R+ line, suggesting a beta-adrenergic control of DIT at least in cockerels of this line. Plasma triglyceride concentration was lower in the R+ than in the R- line in fed cockerels, and plasma nonesterified fatty acid concentration was higher in the R+ than in the R- line in feed-deprived cockerels. These results are consistent with the leanness of the R+ compared with the R- line. The R+ and R- lines constitute an original model of diet-induced thermogenesis (DIT), a process that is under genetic control of appetite and allows R+ birds to balance all of their excessive energy intake without any adipose tissue storage.

Animals↗

PubMed1991

Effects of ovarian steroids on energy balance in rats fed a highly palatable diet.

The effects of progesterone and estradiol on body weight, energy intake, energy expenditure, body composition, and brown adipose tissue activity were investigated in female rats fed a highly palatable diet (association of chow and full milk with sugar), which, by itself, induced an increase in food intake and energy expenditure. Progesterone and estradiol were administered in the form of implants. Ovariectomized animals were used in the estradiol studies. Energy expenditure was assessed through oxygen consumption, body composition through carcass analysis, brown adipose tissue activity through measurements of uncoupling-protein, guanosine diphosphate (GDP) binding capacity, and assay of uncoupling-protein mRNA. Body weight and food intake were increased by progesterone and decreased by estradiol. Energy expenditure was not altered by progesterone. Indirect evidence showed that estradiol increased energy expenditure, but direct measurements showed no modification. Changes in body weight under progesterone or under estradiol were not due to brown adipose tissue activity. The results indicate that ovarian hormones act on energy balance mainly by altering food intake, and possibly in the case of estradiol by increasing energy expenditure. These effects persist in rats fed a highly palatable diet, despite increases in energy intake and expenditure induced by the diet alone.

Adipose Tissue, Brown↗

PubMed2005

Consuming fructose-sweetened beverages increases body adiposity in mice.

OBJECTIVE: The marked increase in the prevalence of obesity in the United States has recently been attributed to the increased fructose consumption. To determine if and how fructose might promote obesity in an animal model, we measured body composition, energy intake, energy expenditure, substrate oxidation, and several endocrine parameters related to energy homeostasis in mice consuming fructose. RESEARCH METHODS AND PROCEDURES: We compared the effects of ad libitum access to fructose (15% solution in water), sucrose (10%, popular soft drink), and artificial sweetener (0% calories, popular diet soft drink) on adipogenesis and energy metabolism in mice. RESULTS: Exposure to fructose water increased adiposity, whereas increased fat mass after consumption of soft drinks or diet soft drinks did not reach statistical significance (n = 9 each group). Total intake of energy was unaltered, because mice proportionally reduced their caloric intake from chow. There was a trend toward reduced energy expenditure and increased respiratory quotient, albeit not significant, in the fructose group. Furthermore, fructose produced a hepatic lipid accumulation with a characteristic pericentral pattern. DISCUSSION: These data are compatible with the conclusion that a high intake of fructose selectively enhances adipogenesis, possibly through a shift of substrate use to lipogenesis.

Adipose Tissue↗

PubMed1995

Covert manipulation of the ratio of dietary fat to carbohydrate and energy density: effect on food intake and energy balance in free-living men eating ad libitum.

We previously increased the energy density and fat content across three diets (factorial design), which led to a marked increase in energy intake in six men over 7 d while continuously resident in a whole-body indirect calorimeter. In the present study we fed the same diets to seven men who were resident in, but not confined to, a metabolic suite for 2 wk/diet. This added a component of increased physical activity. The fat, carbohydrate, and protein contents, respectively, of each diet (as a percent of energy) were as follows: low-fat (LF), 20:67:13; medium-fat (MF), 40:47:13; and high-fat (HF), 60:27:13. Energy density increased as the percent of fat in the diet increased. Energy intakes from the LF, MF, and HF diets (9.11, 10.32, and 12.78 MJ/d, respectively) were almost identical to those in our calorimeter study (9.02, 10.2, and 12.35 MJ/d, respectively) whereas energy expenditures (estimated by the doubly labeled water method) were 12.45, 12.10, and 11.97 MJ/d on the LF, MF and HF diets, respectively, compared with 9.48, 9.53, and 9.78 MJ/d, respectively, in our calorimeter study. This finding suggests that diet composition and energy expenditure combined influence energy balance in humans.

Adult↗

PubMed1978

Requirement and utilization of egg protein by Japanese young men with marginal intakes of energy.

The effect of marginal intakes of energy on the requirement and utilization of egg protein was evaluated in 46 Japanese young men. The subjects were given a standard diet for 1 week and then low protein diets for 2 weeks. These diets contained about 32, 64, and 80 mgN/kg with whole eggs as the protein source. In the first experiment with excess energy, the energy intakes of 31 subjects were kept constant during the 3 week experiment, the mean intakes being 48.2 +/- 1.5 kcal/kg. The body weight was affected by changing protein intakes while maintaining energy intakes at 48 kcal/kg. From regression analysis, the N requirement for apparent N equilibrium was estimated to be 82.0 +/- 8.0 mgN/kg, where NPU was calculated as 56. In the second experiment with submaintenance energy, 15 subjects received 40 kcal/kg. The N requirement was 124 +/- 21 mgN/kg, where NPU was calculated as 37. From these results and those of previous studies, it was concluded as follows: 1) N balance and NPU were remarkably affected by energy intake changed around maintenance level; and 2) the NPU for egg protein in young men for maintenance intakes of energy and N is about 50 to 55. For estimation of the protein requirement for Japanese adults, a correction factor of 100/55 (about 1.8) was used instead of 1.3 adopted by the 1973 FAO/WHO.

Adult↗

PubMed1998

Energy expenditure in Alzheimer's disease.

Alzheimer's disease type dementia is a growing health problem and is one of the leading causes of death among elderly people. Unexplained weight loss and cachexia is a frequent clinical finding in patients with Alzheimer's disease. It has been postulated that Alzheimer's disease may by characterized by dysfunction in body weight regulation. This brief review examines energy intake, energy expenditure and body composition in Alzheimer's disease. We consider whether inappropriately high levels of energy expenditure may contribute to unexplained weight loss and decline in nutritional status. Specifically, we will consider studies that have examined body composition, daily energy expenditure and its components. The application of doubly labeled water and indirect calorimetry to problems of "wasting" has increased our knowledge regarding energy expenditure and physical activity levels in Alzheimer's patients. Although the number of studies are limited, results do not support the notion that a "hypermetabolic" state contributes to unexplained weight loss in Alzheimer's disease, even in cachectic patients. Clinical strategies aimed at developing feeding strategies to maintain adequate caloric intake and the restoration of energy balance should be a future area of investigation in Alzheimer's research.

Alzheimer Disease↗

PubMed1982

Nutritional status in a healthy elderly population: dietary and supplemental intakes.

Dietary and supplemental intakes were assessed from 3-day food records collected from 270 free-living, middle income and healthy men and women over 60 yr of age residing in the Albuquerque, NM vicinity. The 1980 Recommended Dietary Allowances (RDA) were used to assess adequacy of intake. Energy intake, as percentage of the RDA, was 90 +/- 23 (mean +/- SD) for men (n = 125) and 87 +/- 22 for women (n = 145). Mean daily protein intake was 83 g for men and 67 g for women and only 11% of men and 14% of women failed to receive at least 100% of the RDA for protein. Frequency and amount of vitamin and mineral supplementation was substantial. Approximately 60% of both men and women ingested one or more supplements; vitamins C and E were the most popular. In general, dietary intakes in this population appear to be adequate with the possible exception of vitamin D and calcium intakes in women.

Aged↗

PubMed1977

Protein intake and serum albumin levels in the elderly.

Protein intakes, energy intakes and serum albumin levels were measured in a long-stay geriatric unit. There was a significant positive correlation between albumin levels and protein intake in women, but not in men. A positive correlation was found between albumin levels and protein to calorie ratios in both men and women. This suggests that the protein intakes of long-stay geriatric patients may be suboptimal.

Age Factors↗

PubMed1989

Insulin-like growth factor-I in the parenterally fed low birth weight infant.

Postnatal change in insulin-like growth factor-1 (IGF-I) was studied longitudinally in 9 very low birth weight infants (less than 1,200 g, less than 30 weeks at birth) who were receiving 85% or more of their nutrient intake via the parenteral route. There was no apparent relationship between IGF-I, nitrogen intake, energy intake, or nitrogen retention. In 6/9 infants IGF-I decreased with postnatal age. A low IGF-I may reflect the poor nutritional status and growth rate commonly seen in sick preterm infants.

Energy Intake↗

PubMed1991

Determinants of pregnancy outcome and newborn behavior of a semirural Egyptian population.

Several potential determinants of birth weight and neonatal behavioral organization, ie, maternal anthropometry, food intake (energy, protein, and plant- and animal-source foods), morbidity, and household socioeconomic status, were followed systematically in a semirural Egyptian population during greater than or equal to 6 mo of pregnancy. In early pregnancy mothers were generally normal weight to moderately overweight. Their mean energy intake, largely from plant sources, was approximately 8.37 MJ/d (2000 kcal/d) during trimesters 2 and 3. Early (3 mo) pregnancy weight and weight gain during trimesters 2 and 3 were significantly positively related to birth weight Z scores. The best predictor model examined for birth weight included early pregnancy weight, weight gain, and length of gestation (R2 = 0.45). Early pregnancy weight and maternal intake of animal-source foods were significant positive predictors of the newborn's orientation and habituation behavior, respectively. Habituation and orientation measures assess the infant's early ability to process information.

Adult↗

PubMed2006

Fiber but not conjugated linoleic acid influences adiposity in dogs.

Feeding obese dogs a high-fiber food with or without added conjugated linoleic acid (CLA) resulted in reduced caloric consumption, reduced body weight, and a 3.3% reduction in body fat, whereas feeding a low-fiber food resulted in a comparable increase in caloric consumption and a 2.4% gain in body fat. The addition of CLA did not significantly affect food intake, energy intake, final lean body percent, change in lean body percent, or final fat percent. These results suggest that the addition of dietary fiber but not CLA to foods may be helpful in the treatment of canine obesity.

Adipose Tissue↗

PubMed2001

Macronutrients and health-steps to ameliorating the nutrition transition trap.

Countries that have made the health transition from a communicable disease base to a non-communicable disease base find themselves gripped in an epidemic of wealth created diseases mediated by altered macronutrient intakes, energy intakes and reduction in physical activity. Avoiding the negative impact of the nutrition transition while accepting the positive aspects of the wealth transition can best be achieved by focussing on publicising the benefits of a low fat diet in the context of an active lifestyle. How this is achieved should reflect ecologically sound food production appropriate to national needs. Countries that achieve this will be in the best position to capitalize on the reduction in communicable disease rates without causing a rise in non-communicable disease rates.

Dietary Fats↗

PubMed1996

Serotoninergic drug-induced weight loss in carbohydrate craving obese patients.

RATIONALE: Serotoninergic neurotransmission, mainly in specific hypothalamic nuclei, plays an important role in the regulation of appetite. Dysfunction of this system has been postulated to result in the clinical picture of carbohydrate craving obesity. This subgroup of obese patients is characterized by a specific preference for high-carbohydrate and low-protein snacks. Centrally acting serotoninergic drugs, such as the serotonin re-uptake inhibitor d-fenfluramine, have been hypothesized to restore serotonin mediated control of food intake. OBJECTIVE: To test the hypothesis that serotoninergic drugs would induce a greater weight loss in carbohydrate craving (CC) than in non-carbohydrate craving (NC) obese patients. DESIGN: A three months open intervention study with d-fenfluramine 15 mg twice daily. In order to be able to study the effect of the drug alone, no dietary restrictions were imposed. Both the medical doctor and the patient were unaware of who was a carbohydrate craving obese patient and who was not. SUBJECTS: 10 CC and 10 NC patients, matched for sex, age, body mass index and family history of obesity. MEASUREMENTS: Height, body weight, food intake (energy intake and macronutrient selection) and patient compliance. RESULTS: CC patients lost 4.8 +/- 3.9 kg body weight or 15.9 +/- 13.5% of their pretreatment overweight, whereas NC patients lost 4.5 +/- 2.9 kg or 16.4 +/- 11.6% of their overweight (t-test for paired samples, P = 0.82 and P = 0.93 respectively). CONCLUSION: We conclude that CC patients do not constitute a subgroup of obese patients that should be treated with a serotoninergic drug preferentially.

Appetite Depressants↗

PubMed2000

Randomised controlled trial of postnatal sodium supplementation on body composition in 25 to 30 week gestational age infants.

AIMS: To compare the effects of early and delayed sodium supplementation on body composition and body water compartments during the first two weeks of postnatal life. METHODS: Preterm infants of 25-30 weeks' gestation were stratified and randomly assigned according to gender and gestational age, to receive a sodium intake of 4 mmol/kg/day beginning either on the second day after birth or when weight loss of 6% of birthweight had been achieved. Daily sodium intake, total fluid intake, energy intake, urine volume, and urinary sodium excretion were recorded. Total body water was measured by H(2)(18)O dilution on days 1, 7, and 14, and extracellular fluid volume by sodium bromide dilution on days 1 and 14. RESULTS: Twenty four infants received early, and 22 delayed, sodium supplementation. There were no significant differences between the groups in body water compartments on day 1. In the delayed group, but not the early group, there was a significant loss of total body water during the first week (delayed -44 ml/kg, p=0. 048; early 6 ml/kg, p=0.970). By day 14 the delayed, but not the early group, also had a significant reduction in extracellular fluid volume (delayed -53 ml/kg, p=0.01; early -37 ml/kg, p=0.2). These changes resulted in a significant alteration in body composition at the end of the first week (total body weight: delayed 791 ml/kg; early 849 ml/kg, p=0.013). By day 14 there were once again no significant differences in body composition between the two groups. CONCLUSIONS: Body composition after preterm birth is influenced by the timing of introduction of routine sodium supplements. Early sodium supplementation can delay the physiological loss of body water that is part of normal postnatal adaptation. This is likely to be of particular relevance to babies with respiratory distress syndrome. A tailored approach to clinical management, delaying the introduction of routine sodium supplements until there has been postnatal loss of body water, is recommended.

Body Composition↗