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PubMed1978

Changes in taste sensation and feeding behaviour in cancer patients: a review.

Recent studies suggest the importance of alterations in taste sensation as a determinant of anorexia in cancer patients. These studies collectively support the conclusions that the likelihood of developing abnormalities in taste increases with increasing body burden of tumour, that taste abnormality is reversible on response of the underlying tumour to therapy, and that the abnormalities in taste can be correlated with decreased intake of energy. It is suggested that these studies, and studies currently in progress, may aid our understanding of food choices in cancer patients and may guide the use of food supplements to assist the cancer patient in maintaining adequate energy intake.

Anorexia↗

PubMed1985

Dietary intake in thyrotoxicosis before and after adequate carbimazole therapy; the impact of dietary advice.

Dietary intake, including actual nutrient and energy intake, was assessed in 21 successive thyrotoxic patients before and after adequate carbimazole therapy. Group A (10 subjects) received regular formal dietary advice whereas Group B (11 subjects) did not. An age and sex matched control group, comprising 23 normal individuals, was also studied. The mean energy intake of all the thyrotoxic subjects was significantly greater than that of the normal control group (P less than 0.0025). There was a greater overall reduction in the energy intake of Group A as compared with Group B (P less than 0.01) and the former gained less weight, when expressed as a percentage of pretreatment weight. The mean final weight of all the thyrotoxic subjects exceeded the mean ideal weight for the group, reflecting a degree of true obesity at this stage. The simple measure of incorporating dietary advice into the treatment programme of thyrotoxic patients will usually result in some reduction of energy intake, and thus weight gain, en route to euthyroidism.

Adult↗

PubMed2001

An approach to assessment of the efficiency of dietary energy utilization by horses and ponies kept at riding schools.

The ratio of calculated net energy intake (NEi) to calculate net energy requirement (NEr) might serve as an indicator of the efficiency of dietary energy utilization. The ratio was determined for 93 horses and ponies from 10 riding schools. For each animal with an assumed constant body weight, energy intake and energy requirements were assessed. On average, the estimated NEi was 14% greater than NEr. There was a significant, negative association between crude fibre intake and the NEi: NEr ratio. Earlier work indicated that extra fat intake may lead to over estimation of the calculated energy value of the ration due to changes in macronutrient digestibility. Dietary fat concentration was found to range from 32 to 52 g/kg dry matter (5 to 6 g/MJ net energy), but on the basis of digestibility trials this range in fat concentration is too small to significantly influence the NEi: NEr ratio. This study shows that assessment of the efficiency of dietary energy utilization under normal conditions, on the basis of the NEi: NEr ratio is fraught with uncertainty.

Animal Feed↗

PubMed1988

Maintenance energy requirements of laying hens: a comparison of measurements made by two methods based on indirect calorimetry.

1. The aims of this study were to compare maintenance metabolisable energy requirement estimates obtained in laying hens by two methods of respiration calorimetry, to investigate the changes in the heat production and energy retention of laying hens associated with temporarily reduced energy intake and to demonstrate the errors caused by using inappropriate values of net efficiency of energy utilisation (k) when extrapolating to maintenance energy requirement from a range of energy retention values. 2. One of the methods used regression of a range of energy retentions on energy intakes, followed by interpolation of zero energy retention; the other method employed extrapolation to zero energy retention from a single level of energy intake and retention. 3. Maintenance energy requirements derived from the two methods were similar. There was no indication that repeated temporary reduction of energy intake for the regression method gave a reduced value for maintenance energy requirement. The main potential advantage of the single-point method is therefore rapidity. 4. The single-point method relies for accuracy either on fixing an energy intake near the expected maintenance or on having a very accurate value for k. For example, the error attributable to using an assumed net efficiency (k) value of 0.7 when the true value was 0.8 was shown to vary between 0 if energy retention was measured at the equilibrium point and about 70 kJ/kgW0.75 d, or +15%, if energy retention was measured in the fasted state. 5. Stability of heat production and energy intake was approached after 2 d of reduced energy intake.

Animals↗

PubMed1990

Nitrogen and purine metabolism at varying energy and protein supplies in sheep sustained on intragastric infusion.

Wether sheep were fitted with rumen fistulas and polyethylene tubes to the abomasum and were given all nutrients by intragastric infusion. In Expt 1 volatile fatty acids (VFA) were given at 340, 450 and 630 kJ gross energy (GE)/kg metabolic weight (W0-75) and protein at 0, 150, 300, 600, 900 and 1500 mg nitrogen/kg W0-75. In Expt 2 VFA were infused at 450 kJ GE/kg W0-75 and protein at 0 and 300 mg N/kg W0-75. At all levels of energy intake in Expt 1 the N retention was significantly (P less than 0.01) related to N intake. The basal N requirement was estimated to be 281 mg (SE 21.8) N/kg W0-75 at 340 kJ VFA/kg W0-75, 226 (SE 21.8) mg N/kg W0-75 at 450 kJ VFA/kg W0-75 and 207 (SE 19.4) mg N/kg W0-75 at 630 kJ VFA/kg W0-75. Plasma urea concentrations varied markedly in relation to protein intake and to energy supply. On the other hand plasma ammonia, glucose, insulin and creatinine concentrations, and also urinary excretion of purine derivatives and creatinine were not significantly affected by the treatments imposed. It was concluded that the urinary excretion of purine derivatives in ruminants was largely unaffected by moderate changes in energy intake and by large changes in protein intake.

Allantoin↗

PubMed1980

The effect of 6 weeks of overfeeding on the body weight, body composition, and energy metabolism of young men.

The effect of overfeeding on the body weight, body fat, water content, energy expenditure, and digestibility of energy and nitrogen was investigated over 42 days in six young men. The metabolic rates in standard situations of work and rest were determined. Energy intakes were apparently increased by 6.2 MJ/day and energy expenditure fell slightly by 0.3 MG/day during overfeeding. Fecal and urinary losses of energy were a similar proportion of the gross energy intake in control and overfeeding periods (8%). Metabolizable energy intakes calculated from food tables agreed well with values derived from digestibility measurements in the control period (mean difference = +2%) but not in the overfeeding period (+8%). The implications of this are discussed. Mean body weight gain was 6.0 kg, 10% of initial weight; mean fat gain was 3.7 kg and water gain 1.8 liter. There were considerable interindividual differences in the weight and fat gain for a given excess energy intake. Metabolic rates in standard tasks were 10% higher at the end of overfeeding but expressed as kilojoules per kilogram per minute were similar to control values. Mean energy gain (144 MJ = fat gain X 39 kJ/g) was less than excess energy intake even allowing for overestimation of intakes using food tables and increases in metabolic rate. Such a discrepancy is unlikely to be due to unmeasured increases in metabolic rate but could have arisen from errors in the calculation of the variables involved. In this study where moderate weight gains were achieved by overfeeding mainly fat, increases in metabolic rate appear to be associated with increased body size and tissue gain rather than a luxuskonsumption mechanism.

Adult↗

PubMed1983

How much food does man require? An evaluation of human energy needs.

Nutritional individuality is a characteristic of mankind and this is as true of energy intakes and needs as of other attributes. Studies over the years have shown that individuals vary by a factor of two or more in their intakes of energy from the first year after birth to 75 years and over. The metabolic differences that must lie behind this are still not fully understood. Recent ideas about the importance of dietary thermogenesis in energy expenditure seemed as though they might provide an explanation, but not all investigators agree, and the problem has still not been satisfactorily solved. In spite of these individual variations, average intakes and expenditures show predictable changes with age, and males always seem to take more energy than females throughout their lives. This is still true when the intakes are expressed per kg body weight, per square metre surface area and per kg lean body mass. The explanation of this is not certain, but various suggestions have been made. There is evidence that energy intakes, at any rate in the United Kingdom, were falling between the 1950's and 1970's, and this has been attributed to a decrease in physical activity. However, some of the apparent difference is due to the fact that higher factors were used to calculate the energy derived from protein, fat and carbohydrate in the 1930's and 1940's than were used later; if the later factors are applied to the results of the earlier surveys the values for energy are reduced by about 10%. This correction brings the results of the earlier surveys into line with those of the later ones for boys up to 14 years and girls up to 10 years. Older children of both sexes and adults, however, do seem to be eating less than they used to do. The question as to whether women should and do increase their intake of food during pregnancy has been discussed at two previous meetings sponsored by Nestlé. The evidence seems to be that they do not, and it is postulated that metabolic economies enable the women to produce 4 kg of body fat and a foetus weighing 3.5 kg without any increase in energy intake at all.(ABSTRACT TRUNCATED AT 400 WORDS)

Adolescent↗

PubMed1999

Patterns of food and nutrient intakes of Dutch adults according to intakes of total fat, saturated fatty acids, dietary fibre, and of fruit and vegetables.

Dietary intake characteristics were studied among 3833 adults of the second Dutch National Food Consumption Survey held in 1992. The subjects were classified into three groups based on their intake of total fat (% energy), saturated fatty acids (% energy), dietary fibre (g/MJ), and fruit and vegetables (g/d). All the classifications resulted in differences in energy intake. Except for dietary fibre, the mean energy intake was higher in the higher-intake tertiles. For the classification based on total fat, saturated fatty acids and dietary fibre the more prudent diets were accompanied with a lower energy-intake. As to the consumption of food groups, differences existed in both the proportion of consumers and in the mean consumption among users. It is concluded that the trends observed are probably more important than the actual figures.

Adolescent↗

PubMed2003

Future directions in weight control. Molecular and genetic discoveries pave the way.

Obesity is the result of a long-standing imbalance between energy intake and energy expenditure, aided by a complex biologic system that regulates appetite and favors intake. New knowledge about substances that stimulate or inhibit appetite offers hope that drug-based solutions will be found for the current high prevalence of obesity in the United States. In this article, Dr Bessesen highlights some of the new molecular and genetic discoveries related to obesity and outlines the hypothalamic neural pathways involved in regulating food intake.

Animals↗

PubMed1999

Nutritional intake of elite Japanese track-and-field athletes.

Mean daily intakes of energy and nutrients were surveyed from 3-day food records for 62 elite Japanese track-and-field athletes (28 males and 34 females) selected to participate in the 1994 Asian Championship games held in Hiroshima, Japan. Mean energy intakes of male and female athletes were 3,141 kcal (+/-592) and 2,508 kcal (+/-537), respectively. Based on the Japanese Recommended Dietary Allowances (JRDAs), long-distance and middle-distance runners had significantly higher energy and macronutrient intakes than did sprinters, jumpers, and throwers. There was no significant difference in micronutrient intake among the different types of athletes. However, of the sprinters, jumpers, and throwers, 15 males (54%) and 22 females (65%) consumed less than the JRDA for at least one micronutrient (i.e., vitamin or mineral). For some athletes, nutritional counseling that provides strategies for increasing food intake is recommended to optimize nutrient intake.

Adolescent↗

PubMed1987

Regulatory alterations of daily energy expenditure induced by fasting or overfeeding in unrestrained rats.

The consequences of fasting or overfeeding during 2 days on energy expenditure were investigated by continuously monitoring O2 consumption in unrestrained, unanesthetized rats. O2 consumption decreased by 15% on the 1st day of fasting and then by an additional 15% on the 2nd day. On the 3rd day, when rats were fed again, energy intake increased by 30% above control (prefasting) values, whereas energy expenditure rapidly increased but no more than control values. On the other hand, when ad libitum fed animals were offered a sucrose solution (32%) for 2 days, energy intake increased by 30% and energy expenditure by 9-12%. On the 3rd day, when the rats were fed with their normal diet, energy intake significantly decreased under control (preoverfeeding) values during one day, but energy expenditure rapidly returned to normal values. The results show that fasting decreases, whereas hyperphagia increases 24-h energy expenditure during the treatments. When the treatments are terminated, energy expenditure rapidly returns to normal values, but fasting induces a postfasting increase of energy intake (during 2 days), whereas hyperphagia, on the contrary, results in a transient decrease of appetite. This indicates that alterations of food intake induce compensatory changes of energy expenditure during the treatments, but that after the treatments, energy balance is normalized via regulatory adjustments in the ratio of energy expenditure over energy intake.

Animals↗

PubMed2002

[Evaluation of food intake in hemodialysis using a food consumption and appetite questionnaire].

Protein calorie malnutrition is a common complication in chronic hemodialysis patients (CHP). Although many factors could promote malnutrition, inadequate nutrient intake seems to be one of the most important. An Appetite and Diet Assessment Questionnaire (ADAQ) was developed, and we have performed a cross-sectional study in 44 CHP to investigate its capacity to predict an inadequate intake. Dietary evaluation was based on a diet diary-assisted recalls (DDAR). On the other hand, the validity of PCR and the differences in the DDAR and ADAQ between the days of dialysis and the days without dialysis were studied. The predictive value of inadequate intake of the ADAQ and the PCR were analysed with the ROC curve. The protein intake was 1.3 +/- 0.3 g/kg/day and the energy intake 29.2 +/- 0.6 kcal/kg/day. The average PCR was 1.14 +/- 0.3. The ROC curve to predict inadequate intake from the ADAQ shows an area under the curve of 0.84 for the protein intake and 0.73 for the energy intake. A cut-off ponit of 18 gives a sensitivity of 100% and a specificity of 44% for the detection of poor protein intake (< 1.2 g/kg/day) and of 74% and 56% for the detection of poor energy intake (< 30 kcal/kg/day). The ROC curve to predict inadequate protein intake from the PCR obtains an area under the curve of 0.81. The cut-off 1.06 gives the best sensitivity (100%) and specificity (64%) for the detection of insufficient protein intake. We did not find any significant difference in the DDAR or in the ADAQ between the days of dialysis and the days without dialysis. Despite the subjective interpretation, the relationship between ADAQ and protein-energy intakes analysed by DDAR was highly significant. The questionnaire is simple and can therefore be used as a screening rest to detect and correct alterations in the diet which could otherwise lead to malnutrition. The determination of PCR gives a good sensitivity and specificity for the detection of poor protein intake, although the results are modified in anabolic or catabolic states which can clinically go undetected. We do not register differences in diet between the days of dialysis and the days without dialysis.

Aged↗

PubMed2002

The influence of post-exercise macronutrient intake on energy balance and protein metabolism in active females participating in endurance training.

The purpose of this investigation was to determine the influence of post-exercise macronutrient intake on weight loss, protein metabolism, and endurance exercise performance during a period of increased training volume. Ten healthy young female endurance athletes performed 4 60-min bouts of cycle ergometry at approximately 65% of VO2peak on 4 days (day 1, 3, 4, and 6) during 2 separate 1-week periods. On day 7, participants performed a ride to exhaustion at approximately 75% of VO2peak. One of the 7-day periods served as a control condition, where a placebo beverage was consumed following the exercise bouts on days 1, 3, 4, and 6 (CON). During the other 7-day protocol (POST), participants consumed a predefined formula beverage with added carbohydrate following the exercise bouts on days 1, 3, 4, and 6. Energy intake and macronutrient proportions were the same between the 2 trials; the only difference was the timing at which the macronutrients were consumed. Calculated fat oxidation was greater during exercise on day 6 during POST as compared to CON (p < .05). Glucose and insulin concentrations were significantly higher (p < .05) following exercise during POST as compared to CON. There was a trend (p = .06) for nitrogen balance to be greater on days 5 and 6 with POST as compared to CON. Time to exhaustion during exercise on day 7 was longer during POST as compared to CON (p < .05). POST resulted in a maintenance of body weight during the 7-day protocol, while there was a significant (p < .05) reduction with CON. It was concluded that post-exercise macronutrient intake following endurance exercise can attenuate reductions in body weight and improve nitrogen balance during 7 days of increased energy expenditure. Importantly, post-exercise supplementation improved time to exhaustion during a subsequent bout of endurance exercise.

Adult↗

PubMed1995

Diet and body composition as determinants of basal lipolysis in humans.

Determinants of basal lipolysis were investigated in a group of 23 volunteers of both sexes. Body composition was measured by underwater weighing and resting metabolic rate with indirect calorimetry. Insulin sensitivity was determined by using the minimal model of Bergman. The rate of appearance of palmitic acid in the blood was measured with 14C-1-palmitate as the tracer administered as a nonprimed constant infusion. Simple and stepwise-regression analyses were performed to determine correlations and to generate a multivariate model to examine the determinants of basal lipolysis. Fat intake (as a percent of total energy intake) was correlated with basal lipolysis (r = 0.57, P < 0.005) as well as protein intake (as a percent of energy intake) (r = -0.46, P = 0.03) in univariate analysis. Body weight (r = 0.56, P = 0.005) explained a greater portion of the variance in lipolysis than fat-free mass (r = 0.44, P < 0.05) or fat mass (NS). Independent predictors of basal lipolysis were determined by stepwise regression. The best model generated included fat intake, fat-free mass, carbohydrate intake, and daily energy intake as significant determinants of lipolysis (r = 0.89, P < 0.001). The insulin sensitivity index and sex were not independent predictors of basal lipolysis. Thus, our data support either body weight or fat-free mass as more appropriate indexes than fat mass to normalize basal rates of lipolysis in humans. Furthermore, the macronutrient composition of the diet is an important determinant of lipolysis and thus should be considered in future experimental designs.

Adult↗

PubMed2006

Effects of age and time on energy and macronutrient intake in German infants and young children: results of the DONALD study.

OBJECTIVES: To describe effects of age and time on the intake of energy and macronutrients in infants and young children. PATIENTS AND METHODS: The energy and macronutrient intake of 720 DONALD study participants between 1989 and 2003 was evaluated by analysing 3027 three-day weighed dietary records (including test weighing of breast milk consumption) at 3, 6, 9, 12, 18, 24 and 36 months. Mixed models and logistic regression analyses were used to investigate the effects of age and time on intake. RESULTS: Age affected macronutrient patterns (percentage of energy intake, E%) more often in infants than in young children. The percentage of full and partial breast-fed infants increased between 1989 and 2003. Almost no time trends were found for energy intake. Macronutrient patterns changed with time; for example, protein intake decreased throughout infancy (between -0.05 and -0.17 E%/y). An increase in fat intake (0.23 and 0.40 E%/y) was compensated by a decrease in carbohydrates (-0.18 and -0.29 E%/y) in young infants (3 and 6 months). Opposite trends in macronutrient patterns were observed in infants and young children. CONCLUSIONS: Increasing breast milk consumption over time was the most obvious factor influencing long-term trends in macronutrient patterns. In all of the age groups examined here, macronutrient patterns have come closer to the references over time.

Age Factors↗

PubMed1991

Protein intake and urinary excretion of protein-derived metabolites in aging female vegetarians and nonvegetarians.

Relationships among age, protein intake, and urinary excretion of protein-derived metabolites were studied in 125 vegetarian and nonvegetarian women ages 40-92. There were 63 women in the vegetarian (AV) group and 62 women in the nonvegetarian (NV) group. Average daily intakes of energy and total animal and vegetable protein were calculated from 7-day dietary records. Twenty-four-hour urine samples were analyzed for total nitrogen, urea, creatinine, hydroxyproline, and inorganic sulfate. Energy intakes for the two groups were similar. AVs consumed less total and animal protein and more vegetable protein than NVs, even though both groups consumed more than the RDA for protein. No significant differences existed between the groups in the urinary excretion of total nitrogen, urea nitrogen, hydroxyproline, or inorganic sulfate. Energy and protein intakes and total nitrogen excretion were lower in older AVs than in younger AVs, while those of NVs increased between 40 and 55 years of age, and decreased among the older NV women. The relationship between these variables and age in NVs was more accurately described by polynomial rather than linear regression models.

Adult↗

PubMed1995

Influence of age on energy requirements.

The effects of aging on energy requirements and energy expenditure were investigated in 35 healthy young men (mean +/- SE age, 22.7 +/- 0.6 y) and elderly men (68.0 +/- 1.5 y). Over a 10-d metabolic balance study, measurements were made of metabolizable energy intake for weight maintenance, total energy expenditure, resting energy expenditure, and thermic effect of feeding. Values for both metabolizable energy intake and total energy expenditure were significantly higher than the current recommended dietary allowance for energy in both age groups (P < 0.01). Total energy expenditures were 14.48 +/- 0.65 and 11.26 +/- 5.40 MJ/d in young and elderly men, respectively. The difference in total energy expenditure between the groups was accounted for by a significant decrease in all the major components of expenditure. These results suggest that the current recommended dietary allowances for energy may underestimate the usual energy needs of healthy adult men.

Adult↗

PubMed2002

Dietary patterns and risk factors for type 2 diabetes mellitus in Fijian, Japanese and Vietnamese populations.

Diabetes mellitus is now a serious and increasing problem in Asian countries, where dietary patterns have shifted toward Westernized foods and people are becoming more sedentary. In order to elucidate the relationship of dietary habits to the development of diabetic risk factors, the dietary patterns of 200 Fijian, 171 Japanese and 181 Vietnamese women of 30-39 years of age were investigated using 3 day-24 h recall or dietary records. Anthropometric measurements and glycosuria tests were also conducted. The dietary trends of Fijians and Japanese have changed drastically in the past 50 years, while Vietnamese have been minimally influenced by Western dietary habits. The mean 24 h dietary intake showed that Fijians had the highest energy intake. Energy intake from fat was only 13% for Vietnamese, but over 30% for Japanese and Fijians. Percentage of body fat was higher in Vietnamese than in Japanese, though there were no significant differences in body mass index (BMI). In the overweight and obese women, Vietnamese had higher abdominal obesity than Japanese. The prevalence of obesity (BMI > or = 30 kg/m2) was 63.0% for Fijians, 1.8% for Japanese and 1.1% for Vietnamese. Glycosuria testing yielded the most positive cases among Fijians. Dietary transition and dietary excess appear to be potential risk factors for diabetes in Fijian women.

Adipose Tissue↗