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PubMed2000

Activity, dietary intake, and weight changes in a longitudinal study of preadolescent and adolescent boys and girls.

OBJECTIVE: To examine the role of physical activity, inactivity, and dietary patterns on annual weight changes among preadolescents and adolescents, taking growth and development into account. STUDY DESIGN: We studied a cohort of 6149 girls and 4620 boys from all over the United States who were 9 to 14 years old in 1996. All returned questionnaires in the fall of 1996 and a year later in 1997. Each child provided his or her current height and weight and a detailed assessment of typical past-year dietary intakes, physical activities, and recreational inactivities (TV, videos/VCR, and video/computer games). METHODS: Our hypotheses were that physical activity and dietary fiber intake are negatively correlated with annual changes in adiposity and that recreational inactivity (TV/videos/games), caloric intake, and dietary fat intake are positively correlated with annual changes in adiposity. Separately for boys and girls, we performed regression analysis of 1-year change in body mass index (BMI; kg/m(2)). All hypothesized factors were in the model simultaneously with several adjustment factors. RESULTS: Larger increases in BMI from 1996 to 1997 were among girls who reported higher caloric intakes (.0061 +/-.0026 kg/m(2) per 100 kcal/day; beta +/- standard error), less physical activity (-.0284 +/-.0142 kg/m(2)/hour/day) and more time with TV/videos/games (.0372 +/-.0106 kg/m(2)/hour/day) during the year between the 2 BMI assessments. Larger BMI increases were among boys who reported more time with TV/videos/games (.0384 +/-.0101) during the year. For both boys and girls, a larger rise in caloric intake from 1996 to 1997 predicted larger BMI increases (girls:.0059 +/-.0027 kg/m(2) per increase of 100 kcal/day; boys:.0082 +/-.0030). No significant associations were noted for energy-adjusted dietary fat or fiber. CONCLUSIONS: For both boys and girls, a 1-year increase in BMI was larger in those who reported more time with TV/videos/games during the year between the 2 BMI measurements, and in those who reported that their caloric intakes increased more from 1 year to the next. Larger year-to-year increases in BMI were also seen among girls who reported higher caloric intakes and less physical activity during the year between the 2 BMI measurements. Although the magnitudes of these estimated effects were small, their cumulative effects, year after year during adolescence, would produce substantial gains in body weight. Strategies to prevent excessive caloric intakes, to decrease time with TV/videos/games, and to increase physical activity would be promising as a means to prevent obesity.

Adolescent↗
PubMed1996

Exercise and weight control in sedentary overweight men: effects on clinic and ambulatory blood pressure.

OBJECTIVE: To examine whether restriction of caloric intake and exercise of vigorous intensity can independently and additively influence clinic and ambulatory blood pressures in sedentary overweight men. DESIGN: Sixty subjects aged 20-50 years were randomly allocated either to continue their normal caloric intake or to restrict it by 4186-6279 kl/day, with 15% provided by protein, 30% by fat and 55% by carbohydrate, for 16 weeks. Within each of these groups subjects were further randomly allocated either to a control light intensity programme of exercise or to a vigorous intensity programme of exercise for 30 min three times a week. The light exercise group performed stationary cycling against no resistance, flexibility exercises and slow walking. The vigorous intensity group cycled on an ergometer at 60-70% of maximum their workload. RESULTS: Fifty-one subjects completed the study. Their maximal oxygen uptake was increased by approximately 24% with vigorous exercise but did not change with light exercise. Caloric intake restriction led to a significant loss of body mass of 9.5 kg (95% confidence interval 7.6-11.3), whereas vigorous exercise had no effect. Restriction of caloric intake reduced supine clinic systolic and diastolic blood pressures significantly by 5.6 (2.3-8.9) and 2.4 mmHg (0.4-4.2), respectively. Relative to the control light exercise group, exercise of vigorous intensity exercise had no significant effect on clinic blood pressure. In contrast, time series analysis revealed that both caloric intake restriction and vigorous exercise were associated with lower daytime ambulatory systolic blood pressure, the reduction in systolic blood pressure being sustained throughout the 24 h period when vigorous exercise and caloric intake restriction were combined. CONCLUSION: Compared with the effects of caloric intake restriction, the effects of a vigorous exercise programme on blood pressure are inconsistent, there being no influence on clinic blood pressure but a reduction in daytime ambulatory blood pressure. However, when combined with caloric intake restriction, regular vigorous exercise exhibits a synergistic effect in reducing ambulatory blood pressure throughout a 24 h period.

Adult↗
PubMed2004

Definitions of night eating in adolescent girls.

OBJECTIVE: To describe the prevalence of night eating in a community cohort of black and white girls, using different definitions of night eating as described in the literature. RESEARCH METHODS AND PROCEDURES: Three-day food diaries collected as part of the National Growth and Health Study were examined to identify episodes of night eating, which was defined in five different ways: eating >25% of daily caloric intake after the last evening meal, eating >25% of daily caloric intake after 7 pm, eating >50% of daily caloric intake after the last evening meal, eating >50% of daily caloric intake after 7 pm, or eating between 11 pm and 4:59 am. RESULTS: Frequency of night eating varied tremendously depending on how the behavior was defined. For the least restrictive definition (>25% of total intake after last meal), 50% to 70% of girls reported one night eating event; for the most restrictive (>50% of total intake after last meal), only 1.5% of 11-year-old girls' diaries and 3.5% of 19-year-old girls' diaries contained a night eating event. The frequency of night eating decreased dramatically (typically by a factor of 10) if the inclusion criteria required multiple night eating events in a given week. DISCUSSION: A standard definition of night eating behavior is needed to advance the field. An agreed-on operationalized definition that includes time of day, amount of calories consumed, and a frequency criterion would enable cross-study comparisons and encourage the examination of developmental and clinical considerations of night eating behavior.

Adolescent↗
PubMedDate not supplied

[New dietetic recommendations in diabetes mellitus: the implications in enteral nutrition].

In diabetes mellitus there are qualitative and quantitative alterations in the lipid metabolism, which contribute to ischaemic heart disease. The monounsaturated fatty acids (MUFA) may favorably influence the cardiovascular risk factors, and they could replace the saturated fats, in detriment of polyunsaturated fatty acids (PUFA) and carbohydrates (CHO). A series of studies have been done, always on NIDDM patients, which have given rise to reconsidering the dietary recommendations in diabetes mellitus: There is no change in the contribution of proteins (10-20% of the caloric intake), saturated fats (< 10% of the caloric intake), dietary cholesterol (< 300 mg/day), PUFA (10% of the caloric intake), fibre (20-35 g/day), and sodium (< 2.4 g/day), however, the caloric distribution of MUFA and CHO is not defined, but is left up to the judgement of the physician. Enteral nutrition has a series of special characteristics which influence the blood glucose levels of the diabetic patient, as well as having different objectives. In the few published studies, the influence on plasma lipids of an enteral diet rich in MUFA is similar to that published for the oral diets. With respect to the blood glucose, this was less than with the standard formulae, especially in diabetics treated with insulin. In conclusion, we can for see a change of course in the international recommendations on "the diet of the diabetic", even though these may be very slight for the time being.(ABSTRACT TRUNCATED AT 250 WORDS)

Diabetes Mellitus, Type 1↗
PubMed1986

Comparison of calculated estimates and laboratory analysis of food offered to hospitalized eating disorder patients.

Estimation of caloric intake is an integral part of a comprehensive research/treatment program for patients with eating disorders at the National Institute of Mental Health. Caloric intakes are estimated by recording daily food intake and calculating calories using food exchange lists and food composition tables. To evaluate the validity of that method, caloric intake estimates were compared with laboratory analysis data over a 15-day period. The estimations for daily caloric intake in comparison with the laboratory analysis data were underestimated by a mean percent difference of 2.4%. The estimated carbohydrate and fat intakes were overestimated by 4.5% and 5.4%, respectively. The estimated protein intake was underestimated by 1.1%. The data suggest that estimates of caloric intake based on food exchange lists and food composition tables are within an acceptable range of error and, therefore, represent a practical approach to estimating caloric intake for patients hospitalized with an eating disorder.

Anorexia Nervosa↗
PubMed1990

Growth abnormalities in children with juvenile rheumatoid arthritis.

Growth abnormalities in juvenile rheumatoid arthritis can be divided into two groups: local and systemic. Local disorders of growth often result in increased bone length and bone age or in marked decreases in longitudinal growth due to immobilization, premature epiphyseal closure, or fusion. Common growth defects seen in the knee, hand, wrist, hip, spine, and jaw are discussed. Systemic growth delay is most commonly secondary to active disease or treatment with corticosteroids. Nutritional aspects such as decreased appetite, reduced caloric intake, metabolic caloric requirements greater than available intake, or lack of essential vitamins could be the cause for decreased weight and stature.

Arthritis, Juvenile↗
PubMed1987

Total calories, body weight, and tumor incidence in mice.

The relation between total caloric intake, body weight, and tumorigenesis, as well as the independence of these effects from those of dietary fat, were evaluated using data from 82 published experiments involving several tumor sites in mice. Comparing experimental (calorie restricted) to control (ad libitum) groups showed that the former consumed 29% fewer calories (experimental groups consumed fewer calories than control groups in all but a few isocaloric experiments), 50% less total fat, 11% less protein, and weighed 25% less than control animals. Adult body weight was highly correlated to caloric intake in both males (r = 0.85) and females (r = 0.74), although this correlation decreased with increasing caloric intake. Cumulative tumor incidence was, on average, 42% lower in the restricted groups. Multivariate regression analyses revealed that, regardless of the level of dietary fat, tumor incidence increased with increasing caloric intake and body weight over a wide range of intakes, including moderate caloric restriction (i.e., 7-20%). These data indicate that total caloric intake is an important determinant of tumorigenesis in mice, and that body weight may be a more sensitive indicator for this effect than is caloric intake alone.

Animals↗
PubMed1996

Nutritional intake in children with renal insufficiency: a report of the growth failure in children with renal diseases study.

OBJECTIVE: This study was designed to assess sequentially the nutrient intake in children with chronic renal insufficiency and its relationship to body size, the level of renal failure, and growth velocity. METHODS: The nutrient intake from 401 4-day food records obtained from 120 children with renal insufficiency over a 6-month observation period was analyzed. The height and weight were measured at the beginning and end of the observation period. The glomerular filtration rate was estimated from the height and serum creatinine. RESULTS: The mean caloric intake in these children was 80 +/- 23% (mean +/- SD) of the Recommended Dietary Allowance (RDA) for age. Fifty-six percent of the food records obtained from these children revealed a caloric intake that was less than 80% of the RDA. Caloric intake expressed as the %RDA for age decreased with increasing age. However, the mean caloric intake when factored by body weight was in the normal range. There was no correlation between caloric intake and height velocity. The mean protein intake in these children was 153 +/- 53% of the RDA. Further, 45% of the food records indicated a protein intake greater than 150% of the RDA. There was no relationship between the degree of renal insufficiency and caloric or protein intake. Calcium, vitamin, and zinc intakes were also low. CONCLUSIONS: Children with chronic renal failure consume less calories than their age matched peers, but the majority of these children appear to ingest adequate amounts for their body mass. This reduction in caloric intake occurs early in renal insufficiency. They also ingest inadequate amounts of calcium, zinc, vitamin B6, and folate.

Body Height↗
PubMed2004

Diet-induced hyperphagia in the rat is influenced by sex and exercise.

Caloric intake is increased in rats fed a diet containing greater fat or sugar than that found in laboratory chow. Because such diet-induced hyperphagia has been studied primarily in sedentary male rats, our goal here was to investigate the effects of sex and exercise on caloric intake of a diet (chow supplemented with sweet milk) chosen for its ability to stimulate hyperphagia. Rats were housed individually in cages that provided access to running wheels, and daily caloric intake of chow alone and then chow plus sweet milk was monitored during sedentary and active conditions. In sedentary rats, chow intake was greater in males compared with females. Wheel running produced similar decreases in chow intake in both sexes. Availability of the chow plus milk diet increased caloric intake compared with that observed in chow-fed rats. This diet-induced hyperphagia was significantly greater in sedentary females (35.7 +/- 3.1% increase) relative to sedentary males (9.1 +/- 2.2% increase). In addition, 35% of sedentary females consuming the chow plus milk diet developed estrous cycle disruptions. Wheel running decreased intake of the chow plus milk diet in both sexes. In active males, diet-induced hyperphagia was abolished; caloric intake was reduced to that observed during chow feeding. In active female rats, diet-induced hyperphagia was attenuated but not abolished; caloric intake of the chow plus milk diet remained greater than that observed during chow feeding. We conclude that female rats are more vulnerable than male rats to this form of diet-induced hyperphagia.

Animals↗
PubMed2003

Predictors of weight loss in adults with topiramate-treated epilepsy.

OBJECTIVE: We examined predictors of weight loss with topiramate, an anticonvulsant associated with weight loss in adults. RESEARCH METHODS AND PROCEDURES: In this uncontrolled, prospective clinical trial, topiramate was added to existing anticonvulsants in adults (40 to 110 kg) with partial-onset seizures. Primary measurements were change from baseline weight after 3 months and 1 year in patients completing 1 year of topiramate treatment (N = 38). Physiological and metabolic measures were analyzed for correlation with weight loss during topiramate treatment. RESULTS: In patients who completed 1 year of topiramate treatment, baseline weight was reduced in 82% at 3 months and in 86% at 1 year. Mean body weight was reduced 3.0 kg (3.9% of baseline) at 3 months and 5.9 kg (7.3%) at 1 year. In obese patients [body mass index (BMI) >/= 30 kg/m(2)], mean weight loss was 4.2 kg (4.3%) at 3 months and 10.9 kg (11.0%) at 1 year. Weight loss was primarily caused by reduction in body fat mass. For all patients, weight loss at 3 months correlated most strongly with reduced caloric intake (p = 0.02). At 1 year, caloric intake had returned to baseline levels; weight loss correlated most strongly with higher baseline BMI (p = 0.0007). DISCUSSION: Our results suggest that weight loss occurs in most adults treated with topiramate and is sustained for at least 1 year. Reduced caloric intake may account, in part, for weight loss during early treatment. The pattern of weight loss differs according to baseline BMI, with obese patients experiencing greater weight loss during continued therapy.

Adult↗
PubMed1985

Eating in the laboratory: is it representative?

The degree to which caloric intake of food consumed in a laboratory setting can approximate caloric intake measured under free-living conditions was assessed in the present study. Four men and four women of normal body weight weighed and recorded their food intake for four days (period 1) during which they were eating in their normal home environment. On the following week (period 2) which also lasted 4 days, the subjects consumed all their food in a laboratory setting. Based upon the findings that no significant change in body weight occurred during either period of the study, that no significant difference in paired caloric intake was observed between period 1 and period 2, and that a highly significant intraclass correlation coefficient, ri = .80 (p less than .005) existed between period 1 and period 2, it was concluded that food consumed in a laboratory setting is a reasonable approximation of caloric intake as measured under free-living conditions.

Adult↗
PubMed2004

Evening ready-to-eat cereal consumption contributes to weight management.

OBJECTIVES: Post dinner snacking may constitute a significant proportion of total daily energy intake and contribute to overweight and obesity in some individuals (night snackers). This study tested the hypothesis that providing a structured snack in the form of a "ready-to-eat" breakfast cereal would help regulate excess energy intake and contribute to weight loss in night snackers. METHODS: Adults (18 to 65 years of age, BMI kg/m2 > or = 25), with self-reported night snacking behaviors, were randomized into a cereal group (CR) and a no-cereal group (NC). During a period of 4 weeks, the cereal group was instructed to consume a serving of ready-to-eat cereal with low-fat milk 90 minutes after their evening meal. Concurrently, the non-cereal group continued their regular diet ad libitum. RESULTS: At baseline, there were no significant differences between groups for age, body weight, body mass index, daily caloric intake, or evening caloric intake. There was a correlation between number of days of compliance with post-dinner cereal consumption and weight loss (r = -0.36, p = 0.057). After 4 weeks, the compliant subjects (cereal intake > or = 20 d) lost -1.85 +/- 3.56 lbs vs. -0.39 +/- 3.1 lb for the NC group (p = 0.06). Compared to baseline, the compliant CR group reduced their total daily caloric intake by -396.50 +/- 641.6 kcal (p < 0.02), whereas, the NC group experienced a reduction of -23.22 +/- 889.60 kcal/day during the same period (p = ns). Reduction in post-dinner calorie intake for the compliant CR group was significantly greater compared to the NC group (-141.74 +/- 385.58 kcal vs. 85.82 +/- 374.70 kcal; p = 0.042). CONCLUSION: Eating ready-to-eat cereal after the evening meal may attenuate caloric intake in night snackers and promote weight loss in compliant individuals.

Adolescent↗
PubMedDate not supplied

[Diabetes and diet revisited].

In the treatment of diabetes the diet has an important role complementary to the pharmaceutical treatment. The diet must provide the right amount of nutrients and calories in order for the individual to reach and maintain the ideal weight, stabilize the blood glucose levels close to the norm, and attain an optimal lipid profile. The daily caloric intake is represented by 55-60% of carbohydrates with a preference for nutrients rich in fiber and with a low blood glucose index. Of the daily caloric intake 10% may include sucrose as long as it is consumed in the context of a balanced meal. A moderate use of fructose is allowed, and an increased intake of fiber is encouraged. The consumption of proteins represents about 10-15% of the daily caloric intake. A consumption close to the lower limits of the range (about 0,8 gr/kg of body weight) is required for diabetes patients with nephropathy, while a daily intake of 0,6 gr/kg of body weight is considered to be the malnutrition risk factor for lower levels. The total intake of fats required is < or = 30%, of which saturated fatty acids are less than 8-10% (with a further restriction to 7-8% for individuals with LDL cholesterol of > or = 100mg/dl and other cardiovascular risk factors), the polyunsaturated fatty acids less than 10%, and the monounsaturated fatty acids at 10-15% of the total caloric intake. The intake of cholesterol through the diet should be <300 mg/die and still lower (< 200 mg/die) for individuals with high levels of LDL cholesterol. Multivitamin supplements are recommended only for certain categories of diabetic patients that may be at risk of micronutrient deficiency. A moderate quantity of alcohol (5-15 gr/die) is allowed in the case of stabilized diabetes and lack of hypertrigliceridemia. Although the diet may determine a ponderal decrease of up to 10% of the initial weight, it is good to insert a correct nutritional program into a well defined behavioral program that, other than a reduced caloric intake, takes into consideration an increased energetic expenditure through physical activity.

Adolescent↗
PubMed1981

Clinical parameters related to anorexia.

Caloric intake was studied in 89 cancer patients who recorded diet diaries. Twenty-five percent had caloric intake below their calculated basal energy expenditure (BEE). An additional 45% had caloric intakes between 1.0 and 1.5 x BEE. Patients reported symptoms referable to the oronasal area and the gastrointestinal tract as possible factors in decreased eating. Food intake is controlled by several categories of cues and one or more of these may be altered in cancer patients to decrease caloric intake.

Anorexia↗
PubMed1981

Response of growth-retarded, hypophagic-hypodipsic rats with dorsomedial hypothalamic lesions to a diet in liquid and powder forms.

Weanling rats with dorsomedial hypothalamic lesions (DMNL rats) and sham-operated controls exhibited significantly reduced food intake and ponderal and linear growth during an 11-day post-operative period on lab chow. For 28 days, a synthetic liquid diet (Liquid) was fed to one DMNL and one control group; a second DMNL and control group received the same diet in a powder form (Powder). DMNL rats remained hypophagic on either diet but DMNL and control rats fed Liquid ate significantly more than their counterparts fed Powder. Total fluid intake pattern was identical to caloric intake. For 27 days all groups again received lab chow. They reverted to the caloric intake pattern shown during the 11-day post-operative period. Body weight gains paralleled the caloric and fluid intake patterns except that during the synthetic diet period the Liquid-fed controls outgained all other groups and that there was no difference between DMNL rats on Liquid and Powder. At sacrifice, plasma glucose, glycerol, free fatty acids and total protein were similar in all groups but carcass protein was higher in the DMNL rats formerly fed Liquid. DMNL rats behave in accordance with extensive previous data that led to the formulation of a "resetting" hypothesis.

Animals↗
PubMed1975

Nutrition, weight gain and development of hip dysplasia. An experimental investigation in growing dogs with special reference to the effect of feeding intensity.

Thirty-one dogs from 5 litters with a high parental frequency of hip dysplasia were used in the investigation. Each litter was split in two groups, of which one was put on a high caloric intake, the other one on a low caloric intake. Each member of a group had a paired litter mate in the other group. The litter mates were paired on the basis of the result of a palpatory examination of the hip joints before 12 weeks of age. If possible, paired mates were of the same bodyweight at the time of palpation, and of the same sex. In the groups made up of pups from 3 of the litters, the protein intake was kept at an optimal level, regardless of the amount of calories given. It was found that hip dysplasia was more frequent, occurred earlier, and became more severe in the dogs with a rapid weight gain caused by increased caloric intake than in the dogs which had a low weight gain because of restricted feeding. The final diagnosis was closer correlated with feeding and weight gain than with tightness or laxity of the hip joints before 12 weeks of age.

Animal Nutritional Physiological Phenomena↗
PubMed2001

Does nutritional supplementation influence the voluntary dietary intake in an acute geriatric hospitalized population?

Undernutrition is a significant problem in hospitalized elderly patients, and is associated with a higher morbidity and mortality. The aim of this study is to assess the effect of an oral nutritional supplementation on the total daily caloric intake in an acute geriatric hospitalized population. A dietary assessment and a total food intake were collected on admission and every other day (day 0, 2, 4, 6 ...) during hospitalization (mean duration, 12.8 days+/-6) in 50 randomly chosen elderly patients (mean age 82.5+/-5.5 years, 18 men and 32 women). The mean daily caloric intake was calculated from 108 dietary assessments after receiving oral supplementation (Nutridrink-Nutricia, 300 kcal/200 mL), and 154 when a voluntary diet without supplementation was consumed. The mean voluntary energy intake (including parenteral fluid) was similar on days a nutritional supplementation was given or not (1546 kcal/d vs 1475 kcal/d, respectively, p=0.27), but the total caloric intake was significantly higher on days a nutritional supplementation was consumed (1825 kcal/d vs 1475 kcal/d, p=0.0006). This beneficial effect of a nutritional supplementation on the total caloric intake existed when patients were divided into well nourished (N=15) and those at risk or malnourished (N=35), according to the Mini-Nutritional Assessment. In conclusion, short-term nutritional supplementation has a beneficial effect on the total daily caloric intake in elderly hospitalized patients with and without malnutrition, but the wastage remains high.

Administration, Oral↗
PubMed1982

Daily body energy balance in rats.

The aim of the present study was to examine the balance between caloric intake and expenditures in successive 12 and 24 hour periods, for several consecutive days in rats. The simultaneous and continuous measurements of respiratory exchanges and of the spontaneous feeding pattern were performed in 6 rats during 38 days, in periods of 2 to 4 successive days. At night, caloric intake exceeded caloric expenditures by 32% on the average. In individual rats, the excess was positively correlated to meal size but not to meal number. During the daytime, caloric intake was 24% lower on the average than the concomitant energy expenditures. In individual subjects, these deficits were correlated to meal number but not to meal size. A nocturnal excess and the subsequent daytime deficit, and the diurnal deficit and the excess during the subsequent night were highly positively correlated. In fact, the 24 hour energy balance was either slightly positive (12% excess) or negative (4% deficit). The daily weight gain or loss was highly correlated to the residual excess and/or deficit with a mean caloric cost of 4.8 kcal per g of body weight. The absence of correlation between balances on successive days indicates that the body energy balance is regulated within 24 hr through 12/12 hr compensations and that no compensatory mechanisms are involved beyond 24 hr.

Animals↗