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Nutrient intakes in long-stay mentally handicapped persons.

A study of the dietary intake of 115 male and 217 female mentally handicapped persons aged 15-64 years in five long-stay institutions was carried out using a semi-weighed technique over 4 d. Nineteen per cent of males and 5% of females were classified as being underweight and 15% of males and 27% of females were classified as being obese. The average daily intakes of nutrients were: energy 8.8 MJ, protein 92 g, carbohydrate 218 g, fat 101 g, dietary fibre 18 g, calcium 1024 mg, iron 12.5 mg, vitamin B6 1.4 mg, vitamin B12 10.8 micrograms, ascorbic acid 68 mg. The distribution of energy between protein, carbohydrate and fat was 18, 39 and 43% respectively. Energy intakes were not related to ambulatory status, degree of mental handicap, the level of drug usage or body mass index. Energy intakes varied significantly between hospitals and between the sexes.

Adolescent↗

Food intake in a west African village. Estimation of food intake from a shared bowl.

Novel methodology is described for the estimation of food intake in the particularly difficult circumstance where groups of people eat directly from a shared bowl of cooked food. Detailed observation and measurement of meal preparation is combined with food table values for composition to calculate the nutrient content of each meal. The distribution of food between individuals is estimated by a suitable algorithm. The ability of the algorithm to identify seasonal changes in energy intakes is demonstrated by comparison of the calculated energy intakes with values for the total energy expenditure of free-living adult male subjects, as measured by the stable isotope, doubly-labelled water technique. This comparison suggests that the energy intake calculated from detailed observation of two cooked meals per day is equivalent to approximately 80% of the total energy expenditure and, by inference, total dietary energy intake. The remaining energy intake may well be derived from uncooked 'snack foods', such as raw fruit and vegetables, or from cooked food obtained, by purchase or as a gift, away from the home. This is the first description of a successful method for the estimation of food intake when people eat directly from shared bowls of food.

Africa, Western↗

Food intake in rats is unaffected by the profile of dietary essential fatty acids.

Food intake may be differentially responsive to the type of fat in the diet. The present investigation sought to evaluate the energy intake of rats maintained on either a low-fat or a high-fat diet mixed with an oil rich in either linoleic (18:2; n-6; safflower oil) or linolenic (18:3; n-3; flaxseed oil) acid. In Experiment 1, rats (n=28) consumed low-fat versions of either the safflower oil diet or the flaxseed oil diet, each at 9.28% fat (wt/wt). In Experiment 2, different rats (n=28) consumed high-fat versions of these diets, each at 23.6% fat (wt/wt). Within each experiment, the energy intake of rats receiving the safflower oil diet was compared to the energy intake of rats receiving the flaxseed oil diet. Food intake was measured under short-term, long-term and food-deprived conditions. In Experiment 1, short-term energy intakes were not different between the groups, thus demonstrating equal acceptance of the test diets. There were no consistent differences in long-term energy intakes between the safflower group and the flaxseed group. In addition, there were no differences in energy intake under the food-deprivation condition. Results from Experiment 2 paralleled those of Experiment 1. Taken together, the present results suggest that the essential fatty acid profile of the maintenance diet does not influence food intake when nutritive oils are the predominant fatty acid source.

Analysis of Variance↗

Impaired glucose-induced thermogenesis in skeletal muscle in obesity. The role of the sympathoadrenal system.

From a 7-day food recording in 29 morbidly obese patients two groups of six patients each were selected: a high-energy-intake group (HEI) and a low-energy-intake group (LEI). The groups were otherwise comparable. Five lean subjects served as controls for some observations. Oral glucose tolerance tests showed that all patients in the HEI group and the lean controls had normal glucose tolerance, whereas it was abnormal in all subjects in the LEI group. The fasting metabolic rate did not differ between the obese groups but was significantly lower in the lean group. The glucose-induced thermogenesis during 180 min expressed as a percentage of the energy content of the glucose load was lower in both obese groups compared with the lean controls (lean: +11.5 per cent, HEI: +5.3 per cent and LEI: -4.2 per cent, HEI vs lean: P = 0.04 and LEI vs lean: P = 0.005), and lower in the LEI group compared with the HEI group (P = 0.02). The integrated increase in leg oxygen consumption after glucose was also smaller in the LEI group than in the HEI group (15 +/- 269 vs 987 +/- 356 ml, P less than 0.05). The arterial noradrenaline response to glucose was significantly diminished in both obese groups compared with the lean controls. Glucose induced a similar increase in leg noradrenaline release in both obese groups, whereas the arterial adrenaline level was lower in the LEI group compared with the HEI group and with the lean controls (P = 0.04). Among the obese subjects the degree of glucose intolerance was inversely correlated with the post-glucose arterial adrenaline level (r = -0.55, and P = 0.04), and positively correlated with the fractional leg adrenaline extraction (r = 0.71, and P = 0.003). The results suggest that patients who are obese in spite of a fairly low energy intake have a reduced glucose-induced facultative thermogenesis, and that the defect is at least in part located in skeletal muscle. Since the sympathetic nervous system is partly responsible for the glucose-induced thermogenesis, the reduced thermogenic response in the obese patients may be due to an impaired activation of the sympathetic nervous system. It is hypothesized that the reduced arterial adrenaline level in the LEI group is caused by hyperglycaemic suppression of the adrenomedullary secretion and further that this may be a link connecting deterioration of glucose tolerance and a thermogenic defect in obesity.

Adrenal Glands↗

Nutritional status of Papua New Guinea highlanders.

A nutritional survey was held in August, 1978, at Kalugaluvi (altitude: 1,500m) near Lufa, which is 60 km from Goroka, in the Eastern Highland Province of Papua New Guinea. Anthropometric measurements were carried out on 55 males and 37 females aged from 7 to 64 years. whereas the physiques of the children looked as good as those of Japanese of a comparable age, the adult men were shorter than Japanese males, but body weight and chest girth were similar. The skinfold thickness was less than that of the Japanese. From the data collected, it was shown that the physique of the Highlanders was more muscular than that of the Japanese. The food intakes and energy balances of 18 healthy men (20-40 years old) were measured over 2 or 3 consecutive days. The average consumption of sweet potatoes, the staple food, was 956 +/- 305 g per day. The average consumption of taro and yam was 93 +/- 124 g/day and 36 +/- 99 g/day, respectively. Various green leaves, sugar canes, corn, bananas and other foods. (i.e., rice and tinned fish) purchased from trade stores were sometimes eaten. The mean daily energy intake was 2.390 +/- 540 kcal, which was about the same as the daily energy expenditure. The daily protein intake was 35.2 +/- 10.7 g. These results are probably exceptionally high, because the survey was unfortunately held during the yearly festival season of the village when the people often ate fatty port. Nevertheless, it is noteworthy that the growth of children and the physique of adults are normal in spite of the extremely low intake of protein.

Adolescent↗

Breast milk volume and composition during late lactation (7-20 months).

Breast milk composition of 119 samples collected by 46 women during months 7-20 of lactation was compared with composition of 101 samples collected at 4-6 months. Breast milk intake of 10 infants was determined by test-weighing for 1 or more months during months 7-16 of lactation. Longitudinal decreases in milk concentrations of zinc, copper, and potassium, previously documented for the first 6 months, continued into the second 6 months, while protein, iron, and sodium concentrations showed no further decline. Lactose, fat, calcium, and magnesium concentrations were similar to those in earlier stages of lactation. Weaning was associated with significant changes in milk composition: When milk volume fell below 300 ml/day, there was an increase in protein and sodium and a decrease in lactose, calcium, and zinc. Breast milk intake of infants not supplemented with cow's milk or formula averaged 875 ml/day (93% of total energy intake) at 7 months and 550 ml/day (50% of total energy intake) at 11-16 months. Total energy intake increased from 610 to 735 kcal/day, but energy intake per kilogram remained constant at a relatively low 70-79 kcal/kg/day. Our results suggest the need for further studies of nutrient intake and requirements of breast-fed infants during late lactation.

Adult↗

Intravenous energy and amino acids in the preterm newborn infant: effects on metabolic rate and potential mechanisms of action.

The effects of intravenously administered amino acids and of varying amounts of energy on metabolic rate were studied and potential mechanisms examined in 19 healthy 4- to 6-day-old preterm (30 to 32 weeks gestation) infants. The infants were randomized to three groups. Group 1 (n = 6) received nonprotein energy 38 kcal/kg/d; group 2 (n = 5), 64 kcal/kg/d; and group 3 (n = 8), 64 kcal/kg/d plus 1 to 2 g/kg/d crystalline amino acids. Thirty-six hours after beginning the infusion, oxygen consumption (VO2) was measured by indirect calorimetry for 5 to 6 hours. Simultaneously, urine was collected for urinary norepinephrine excretion, which was determined using liquid chromatography with electrochemical detection. Serum thyroxine (T4) and triiodothyronine (T3) concentrations were determined by radioimmunoassay. Group 1 had lower VO2 and urinary norepinephrine excretion than did groups 2 and 3, which did not differ. T4 and T3 were not different among the three groups. The demonstrated simultaneous changes in VO2 and norepinephrine excretion with varying energy intakes independent of age supports energy intake as a modulator of the sympathetic nervous system, which in turn controls metabolic rate. Moderate amounts of intravenously administered amino acids do not appear to play an active role in this process; nor do they alter T3 and T4 valves. When VO2 increased with increasing energy intake, T3 and T4 were unaffected, supporting a passive role for thyroid hormones in diet-induced thermogenesis.

Amino Acids↗

Dietary energy sources and colon cancer risk.

Because energy-contributing nutrients are highly correlated with total energy, the association with colon cancer from energy versus other components of energy-providing nutrients is often not clear. Dietary data from a population-based case-control study of colon cancer were analyzed in subjects from California, Utah, and Minnesota in 1991-1994 to assess the colon cancer risk associated with consumption of energy, fat, protein, and carbohydrate. After adjustment for long-term physical activity, total energy intake increased risk of colon cancer in men (odds ratio = 1.74, 95% confidence interval 1.14-2.67 for highest vs. lowest quartile) and in women (odds ratio = 1.70, 95% confidence interval 1.07-2.70). Various methods of analysis suggested that intakes of individual sources of energy (dietary fat, protein, and carbohydrate) were not associated with colon cancer risk after total energy intake was taken into account. People who consumed a high-calorie diet that was dense in fiber and calcium appeared to be at lower risk than people with the same caloric intake who consumed smaller amounts of dietary fiber and calcium. Individuals with a first-degree relative with colorectal cancer, especially those diagnosed at a younger age, were at a greater risk from a diet high in energy than were individuals without a family history of colorectal cancer.

Adult↗

Effect of replacement of fat by nonabsorbable fat (sucrose polyester) in meals or snacks as a function of dietary restraint.

The effect of replacement of fat by nonabsorbable fat on energy intake and on feelings of hunger and satiety was assessed, in normal-weight dietary-restrained (n = 11), dietary-unrestrained (n = 13) and in postobese dietary-restrained women (n = 12), using 2 experimental designs. First, during breakfast and lunch on 2 sequential weekdays, 23 g of dietary fat was replaced by 23 g of a nonabsorbable fat. Second, dietary fat was replaced by a nonabsorbable fat in snacks consumed ad lib during a different week. Fat replacement in meals or in snacks did not result in changes in hunger and satiety ratings throughout the day. Replacement in meals yielded an energy intake reduction of 0.5 MJ/day (not significant) in dietary-unrestrained and in postobese dietary-restrained subjects; this reduction included 44% energy intake compensation. In normal-weight dietary-restrained subjects, energy intake reduction of 0.7 (p < 0.05) MJ/day was observed; this reduction included 22% energy intake compensation. Moreover, fat replacement in meals showed a shift in macronutrient composition from 35-40% energy from fat to 31-32% energy from fat. Replacement in snacks yielded an energy intake reduction of 0.4-0.5 MJ/day (not significant) in normal-weight dietary-restrained subjects and a reduction of 0.6-0.7 (p < 0.05) MJ/day in dietary-unrestrained and in postobese dietary-restrained subjects. In this situation, energy intake from snacks consisted of 48-78% energy from reduced-fat reduced-energy snacks, which implied a replacement of 10-15 g fat by 10-15 g SPE (sucrose polyester) and a shift in macronutrient composition from 35-40 percentage energy from fat to 33-36 percentage energy from fat. These results suggest short-term beneficial effects of fat replacement on energy and fat intake.

Adult↗

Intake of energy, nutrients and food items in a ten-year cohort comparison and in a six-year longitudinal perspective: a population study of 70- and 76-year-old Swedish people.

The aim of the investigation was to study cohort differences at age 70 in probands born in 1901/02 and 1911/12 and to study longitudinal changes of dietary habits and intake of energy and nutrients between ages 70 and 76. The study is part of the gerontological and geriatric population studies in Gothenburg, Sweden. The intake of both energy and nutrients was higher in the later cohort. One explanation for this lay in the choice of food items in that cohort. Intake of energy and almost all nutrients decreased in both men and women between ages 70 and 76. Energy intake reduced by 23% in men and 20% in women. The proportion of probands with nutrient intakes below RDA increased significantly at age 76. The study revealed both cohort and longitudinal age changes in dietary habits. There is no reason to believe that elderly people are more conservative regarding their food choices than the rest of the population--at least not at the relatively young ages studied.

Aged↗

The effect of the alpha 2-adrenoceptor agonist, guanfacin, on energy expenditure, intake and deposition in rats.

The effect of guanfacin on the energy expenditure, food intake and body composition of female Wistar rats at maintenance was studied. Rats on a restricted food intake (about 75% of ad libitum), treated for 6 days with twice-daily injections of guanfacin.HCl (0.5 mg/kg) showed large reductions in energy expenditure (30%, p < 0.001) compared to control animals but no significant differences in liveweight gain, dry mass gain, or gains in total body energy content, protein, fat and ash. The treated group had a lower intake of metabolizable energy (9%, p = 0.01) partially due to a lower intake of food. However, this lower intake of energy did not fully account for the lowered energy expenditure in the treated animals. The unaccounted lowered energy expenditure was not due to changes in the diurnal pattern of energy expenditure since continuous indirect calorimetry with rats fed ad libitum, over 3 days, showed that twice-daily injections of guanfacin (0.5 mg/kg per injection) achieved a sustained decrease in energy expenditure. The lack of an increased growth rate of rats treated with guanfacin was attributed to behavioural changes; to a decreased food intake and to other, unknown, factors related to energy expenditure.

Adrenergic alpha-Agonists↗

Feeding in response to insulin and 2-deoxy-D-glucose in Zucker rats on dietary self-selection.

Adult male fatty and lean rats of Zucker strain were given access ad libitum to either a single nutritionally complete diet, or a self-selection regime with separate sources of three macronutrients, protein (casein), fat (hydrogenated coconut oil), and carbohydrate (sucrose). Animals on the single diet were fed on a powdered stock diet, and then switched to the self-selection regime. Energy intake on the self-selection regime was the same as that for the single diet condition in both fatty and lean rats. Fatty rats consumed 45% more energy than did their lean littermates. Further, fatty rats selected 47.0% of their total calories as protein, 30.1% as fat, and 22.9% as carbohydrate. The respective percentages for lean rats were 56.1, 13.0 and 30.9. In lean rats, the injection of insulin (10 U/kg) or 2-deoxy-D-glucose (500 mg/kg, 2DG) failed to increase energy intake, but increased carbohydrate intake 2 times by attenuating protein intake. Also in fatty rats, insulin did not increase energy intake, but it did increase carbohydrate by 50% by attenuating fat intake. 2DG decreased energy intake by attenuating carbohydrate and fat intakes in fatty rats. Fatty rats were slightly less hypoglycemic to insulin, but more hyperglycemic to 2DG than lean rats. These different self-selection patterns of fatty rats seemed to be associated with their endocrine, metabolic, and behavioral abnormalities.

Animals↗

Daily intake of macronutrients in a group of institutionalized elderly people in León. Spain.

Monitoring of energy distribution of the three macronutrients of diet could be beneficial in order to improve the physiological status of elderly people. The objective of this study is to analyse total daily energy intake as well as the caloric contribution of the macronutrients and alcohol, which make up basic diet of five nursing homes in León (Spain). Dietary consumption was evaluated in a group of 107 elderly people, aged 65-98 years. A precise weighing method was used to conduct the control of food intake covering seven days. Protein, carbohydrates, fat, alcohol, dietary fiber and cholesterol intake were obtained. Weight, and Height also were measured. Total dietary energy intake was significantly higher in men (130.5%) than in women (115.6%), with regard to recommended value. Relative contribution of macronutrients to total energy intake is extremely unbalanced. Energy derived from protein was very high (16.7%), energy derived from fat was also very high, and significantly higher for females (39.6%) than for males (34.4%), whereas the proportion derived from carbohydrates was very low, although also significantly higher in females (41.5%) than in males (35.8%), due to the high energy percentage that make up the alcohol intake in males (9.1%). A review of the diet offered by nursing homes, not only directed at the adjustment of total energy intake but also with respect to alcohol intake and macronutrient content of foodstuffs used in the elaboration of the menus, would be required in order not to unbalance the caloric profile of the diet.

Aged↗

Home-made oral supplement as nutritional support of old nursing home residents, who are undernourished or at risk of undernutrition based on the MNA. A pilot trial. Mini Nutritional Assessment.

AIMS: The aim of this pilot study was to examine the effect of a home-made oral supplement on body weight and energy intake of old people residing in a nursing home. METHODS: Sixty-six old (65+ years) nursing home residents were included and divided into three classes according to their Mini Nutritional Assessment (MNA) scores. Participants who scored 17-23.5 MNA points (at risk of undernutrition) and had a BMI <24 kg/m2 were randomly allocated (block randomization) to two groups: B and C. Participants with <17 MNA-points (undernourished) were allocated to group A. The participants allocated to groups A and B received a home-made oral supplement every evening for two consecutive months. RESULTS: The results after two months showed that compliance with the supplement was good and daily intake from the supplement averaged 1.6 MJ. The total energy intake in group A significantly increased (p<0.001), without suppressing the intake of energy from normal food. Group B experienced a decrease in the intake of normal food and hence no overall change in food intake. Body weight was unchanged in all groups. CONCLUSIONS: Our limited data suggest that a home-made oral supplement can improve the total energy intake of nursing home residents who are undernourished according to the MNA.

Aged↗

[Breed variations in feed intake and energy utilization in dairy cows].

In four experimental studies on feed intake, two completely mixed rations containing 0 and 50 per cent of concentrates respectively were fed ad lib. to dairy cattle of four different breeds: the Jersey, the Holstein-Friesian (HF), the Dutch Black-and-White (FH) and the Dutch Red-and-White (Meuse-Rhine-Yssel). There are considerable differences in feed intake between the breeds, particularly between the Jerseys and the heavier breeds (HF + MRY + FH). The experimental studies in the Jerseys showed that there was an interaction between breed and the composition of the feed, which is due to differences in nutrient requirements between breeds. These variations are attributable to differences in composition of the milk. The dairy breeds, Jersey and HF, use a large part of the energy taken up for milk production and a smaller part for maintenance than do the double-purpose breeds: FH and MRY.

Animal Feed↗

Plane of nutrition prepartum alters hepatic gene expression and function in dairy cows as assessed by longitudinal transcript and metabolic profiling.

Liver metabolism and health in dairy cows during the periparturient period are affected by plane of nutrition prepartum. Long-term adaptations in hepatic gene expression are important for complete understanding of liver function. We examined temporal gene expression profiles during the dry period and early lactation in liver of Holstein cows fed moderate dietary energy ad libitum or restricted during the entire dry period using a microarray consisting of 7,872 annotated cattle cDNA inserts and quantitative RT-PCR. We identified 85 genes with expression patterns that were affected by level of energy intake prepartum over time. Restricted energy intake prepartum resulted in more pronounced upregulation of genes with key functions in hepatic fatty acid oxidation (CPT1A, ADIPOR2), gluconeogenesis (PC), and cholesterol synthesis (SC4MOL). Ad libitum feeding upregulated a number of genes associated with liver triacylglycerol synthesis (DGAT1) and proinflammatory cytokines (TNFAIP3). Genomic responses to ad libitum feeding were accompanied by increased incorporation of palmitate to esterified products in vitro and increased liver triacylglycerol concentration in vivo. Overall, gene expression profiles due to plane of nutrition prepartum partly explained differences in rates of liver palmitate metabolism, blood serum metabolite concentrations, and liver tissue triacylglycerol concentration. Our data show that moderate overfeeding of energy in the dry period, in the absence of obesity, results in transcriptional changes predisposing cows to fatty liver and perhaps compromising overall liver health during the periparturient period. In this context, controlled energy intake may confer an advantage to the cow by triggering hepatic molecular adaptations well ahead of parturition.

Animals↗

Energy and fat compensation during long-term consumption of reduced fat products.

The objective of this study was to investigate the behavioral response to the long term realistic consumption of reduced fat products. During six months, a control group of 103 subjects had free access to about 45 commercially available full-fat products, and a reduced-fat group of 117 subjects had access to the reduced fat equivalents. These experimental products covered about 37% of total energy intake in the control group and 30% of energy intake in the reduced fat group. Other non-experimental food products were bought in regular shops. The results showed that, compared to a baseline measurement before the start of the study, energy intake increased from 10.4 MJ/day to 11.2 MJ/d in the control group, whereas it remained constant at 10.2 MJ/d in the reduced fat group. Fat intake in the control group increased from 99 g/d (35.6en%) to 123g/d (40.6en%), whereas fat intake in the reduced fat group decreased from 95 g/d (34.en%) to 90 g/d (32.7en%). The energy and fat intake from experimental products was lower in the reduced fat group (3.1 MJ/d, 37 g fat/d) than in the control group (4.2 MJ/d, 71 g fat/d). There was some compensatory response in the consumption of experimental products: the ingested amount of experimental products was about 10% higher in the reduced fat group (447 g/d) than in the control group (399 g/d)[t = 2.6; p < 0.01]. There was no compensatory response in the consumption of non-experimental products. Both the control and reduced fat group consumed about 7.1 MJ/d and 53 g fat/d from non-experimental products. It is concluded that long term consumption of reduced fat products leads to a lower energy and fat intake, compared to the consumption of full-fat products.

Adult↗

Nutritional status, iron-deficiency-related indices, and immunity of female athletes.

Nutritional status, iron-deficiency-related biochemical indices, and immunologic patterns of female Judo athletes and control subjects were evaluated. The subjects' 3-d food records showed that 41.0 kcal/kg of energy was consumed daily and the contributions of protein, fat, and carbohydrate to total energy intake were 12.5%, 29.2%, and 58.3%, respectively. The reported vitamin intakes of athletic subjects were above those of the recommended daily allowance, however, calcium and iron intakes were less than 100% of the recommended daily allowance. Intakes of energy, protein, phosphate, vitamin B1, and vitamin B2 were higher in the athletes than in the control subjects. Analysis using the Nutrient Adequacy Ratio and the Index of Nutritional Quality showed that athletic subjects had more desirable patterns than the control subjects. There was no any indication of anemia, which often occurs as a result of hemodilution in strenuously trained athletes. The subjects' immunologic patterns showed a slight immunosuppression. Iron, vitamin B1, niacin intakes were positively correlated with immunoglobulin (Ig) G levels in the athletes. The relation between nutrient intakes and the immune systems of endurance-trained athletes needs further investigation.

Adult↗