Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Caloric Intake”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 883 records · Page 49Linked to original sources
PubMed1985

Metabolism of substrates: diet, lipoprotein metabolism, and exercise.

The major classes of serum lipoproteins have been shown to be differentially affected not only by dietary factors but also by levels of physical activity. Individuals engaging in relatively higher amounts of physical activity tend to have lower levels of low-density lipoprotein cholesterol (LDL-C) and very-low-density lipoprotein cholesterol (VLDL-C) and higher levels of high-density lipoprotein cholesterol (HDL-C) than their sedentary counterparts. However, higher levels of physical activity are also associated with lower adiposity and elevated caloric intake, two factors that themselves have independent roles in the regulation of lipoprotein levels. Changes in adiposity appear to be responsible for some, but not all, of the lipoprotein change associated with exercise. A study in which 14 sedentary, middle-aged men engaged in a progressive running program over 2 years showed increased HDL-C and decreased LDL-C, both considered antiatherogenic. Adiposity, expressed as percent body fat, decreased during the study whereas caloric intake, notably in the form of carbohydrates, increased. Elevated physical activity levels alter the relationships among adiposity, dietary intake, and lipoproteins that prevail in the sedentary state.

Adipose Tissue↗
PubMedDate not supplied

A clinical nursing study: failure to thrive in a child with Down's syndrome.

A five-year-old child with Down's syndrome and severe failure to thrive, given a program of individually tailored developmental nursing care, showed substantial improvement as evidenced by changes in seven of nine criteria chosen for measurement. When investigation of the child and his family suggested that the failure to thrive was the result of masked deprivation, a study was designed to measure the effect of a 17-day program of developmental nursing care on specific parameters of growth and behavior-height, weight amount of sleep, caloric intake, active mobility, awareness of the environment, prelanguage vocalizations, self-stimulation behavior, and play activity with toys. Data on these criteria were gathered before, during, and after the nursing care program. Findings supported the assumptions that there would be an increase in height, weight, amount of sleep, active mobility, awareness of the environment, prelanguage vocalizations and a decrease in self-stimulation. Findings did not support the assumptions that there would be an increase in caloric intake and play activity with toys. The study supported the use of nursing care as the primary therapeutic modality for children with this condition and illustrated an approach to systematic evaluation of the effects of nursing care.

Child Behavior↗
PubMed2003

Outcome benefit of intensive insulin therapy in the critically ill: Insulin dose versus glycemic control.

OBJECTIVES: Maintenance of normoglycemia with insulin reduces mortality and morbidity of critically ill patients. Here we report the factors determining insulin requirements and the impact of insulin dose vs. blood glucose control on the observed outcome benefits. DESIGN: A prospective, randomized, controlled trial. SETTING: A 56-bed predominantly surgical intensive care unit in a tertiary teaching hospital. PATIENTS AND INTERVENTION: A total of 1,548 patients were randomly assigned to either strict normalization of blood glucose (80-110 mg/dL) with insulin infusion or the conventional approach, in which insulin is only given to maintain blood glucose levels at 180-200 mg/dL. MEASUREMENTS AND MAIN RESULTS: It was feasible and safe to achieve and maintain blood glucose levels at <110 mg/dL by using a titration algorithm. Stepwise linear regression analysis identified body mass index, history of diabetes, reason for intensive care unit admission, at-admission hyperglycemia, caloric intake, and time in intensive care unit as independent determinants of insulin requirements, together explaining 36% of its variation. With nutritional intake increasing from a mean of 550 to 1600 calories/day during the first 7 days of intensive care, normoglycemia was reached within 24 hrs, with a mean daily insulin dose of 77 IU and maintained with 94 IU on day 7. Insulin requirements were highest and most variable during the first 6 hrs of intensive care (mean, 7 IU/hr; 10% of patients required >20 IU/hr). Between day 7 and 12, insulin requirements decreased by 40% on stable caloric intake. Brief, clinically harmless hypoglycemia occurred in 5.2% of intensive insulin-treated patients on median day 6 (2-14) vs. 0.8% of conventionally treated patients on day 11 (2-10). The outcome benefits of intensive insulin therapy were equally present regardless of whether patients received enteral feeding. Multivariate logistic regression analysis indicated that the lowered blood glucose level rather than the insulin dose was related to reduced mortality (p <.0001), critical illness polyneuropathy (p <.0001), bacteremia (p =.02), and inflammation (p =.0006) but not to prevention of acute renal failure, for which the insulin dose was an independent determinant (p =.03). As compared with normoglycemia, an intermediate blood glucose level (110-150 mg/dL) was associated with worse outcome. CONCLUSION: Normoglycemia was safely reached within 24 hrs and maintained during intensive care by using insulin titration guidelines. Metabolic control, as reflected by normoglycemia, rather than the infused insulin dose, was related to the beneficial effects of intensive insulin therapy.

Blood Glucose↗
PubMed2006

A randomized, placebo-controlled trial of sertraline in the treatment of night eating syndrome.

OBJECTIVE: The authors assessed the efficacy of sertraline in the treatment of night eating syndrome. METHOD: Thirty-four outpatients diagnosed with night eating syndrome were randomly assigned to receive either sertraline (N=17) or placebo (N=17) in an 8-week, double-blind, flexible-dose (50-200 mg/day) study. A mixed effects linear regression model was used to analyze change in the primary outcome measure, Clinical Global Impression (CGI) improvement rating. Secondary outcomes included changes in night eating symptoms, the number of nocturnal awakenings and ingestions, total daily caloric intake after the evening meal, CGI severity ratings, quality of life ratings, and weight. RESULTS: Sertraline was associated with significantly greater improvement than placebo. Twelve subjects in the sertraline group (71%) were classified as having responded (CGI improvement rating < or = 2, indicating much or very much improved) versus only three (18%) in the placebo group. There were also significant improvements in night eating symptoms, CGI severity ratings, quality of life ratings, frequency of nocturnal ingestions and awakenings, and caloric intake after the evening meal. Overweight and obese subjects in the sertraline group (N=14) lost a significant amount of weight by week 8 (mean=-2.9 kg, SD=3.8) compared with overweight and obese subjects receiving placebo (N=14) (mean=-0.3 kg, SD=2.7). CONCLUSIONS: In this 8-week trial, sertraline was effective in the treatment of night eating syndrome and was well tolerated.

Adult↗
PubMed1983

[Increase in partial arterial carbon dioxide pressure due to parenteral nutrition during artificial ventilation].

The influence of increased enteral caloric intakes on respiratory gas exchanges was evaluated in 6 patients (5 men, 1 woman; mean-age: 54 years) in steady state and requiring continuous ventilatory support. Oxygen consumption (VO2), carbon dioxide production (VCO2), respiratory quotient (R), determined using an open circuit indirect calorimetric method, and arterial blood gases were measured on two consecutive days while ventilation conditions were unchanged. On the first day, the patients received a water diet only and on the following day an enteral caloric load (1491 +/- 65 Kcal/m2/24 h). The results showed a significant increase in VO2 (p less than 0.05) and R (p less than 0.001) and a rise in VCO2 from 106 +/- 4 to 139 +/- 9 ml/mn/m2 (p less than 0.01). The rise in VCO2 induced an increase of arterial carbon dioxide tension (PaCO2) from 26.3 +/- 1.6 to 34.4 +/- 2.4 mmHg (p less than 0.001). This study showed that because of the constancy of alveolar ventilation, the enteral nutrition-related increase of VCO2 is responsible for a PaCO2 increase and emphasized the need for adjusting artificial ventilation to any change in caloric intake in patients supported with mechanical ventilation.

Carbon Dioxide↗
PubMed1982

Zinc supplementation in chronic renal failure.

Zinc deficiency, abnormal taste acuity and decreased caloric intake begin early in children and adolescents with chronic progressive renal disease. This may contribute to their poor growth. We studied the effect of zinc supplementation, using a double blind crossover design, on 14 pediatric patients in chronic renal failure, but not yet on dialysis or in need of a transplant. Zinc supplementation increased red blood cell zinc concentrations and taste acuity. In those with less advanced renal failure (serum creatinine less than 5.0 mg/dl) it also improved caloric intake. No changes in growth velocity were seen, however, during the six months of zinc supplementation.

Adolescent↗
PubMed2003

Suppression of insulin secretion is associated with weight loss and altered macronutrient intake and preference in a subset of obese adults.

PURPOSE: Hyperinsulinemia is a common feature of many obesity syndromes. We investigated whether suppression of insulin secretion, without dietary or exercise intervention, could promote weight loss and alter food intake and preference in obese adults. METHODS: Suppression of insulin secretion was achieved using octreotide-LAR 40 mg IM q28d for 24 weeks in 44 severely obese adults (89% female, 39% minority). Oral glucose tolerance testing was performed before and after treatment, indices of beta-cell activity (CIRgp), insulin sensitivity (CISI), and clearance (CP/I AUC) were computed, and leptin levels, 3-day food records and carbohydrate-craving measurements were obtained. DEXA evaluations were performed pre- and post-therapy in an evaluable subgroup. RESULTS: For the entire cohort, significant insulin suppression was achieved with simultaneous improvements in insulin sensitivity, weight loss, and body mass index (BMI). Leptin, fat mass, total caloric intake, and carbohydrate craving significantly decreased. When grouped by BMI response, high responders (HR; DeltaBMI<-3 kg/m(2)) and low responders (LR; DeltaBMI between -3 and -0.5) exhibited higher suppression of CIRgp and IAUC than nonresponders (NR; DeltaBMI-0.5). CISI improved and significant declines in leptin and fat mass occurred only in HR and LR. Conversely, both leptin and fat mass increased in NR. Carbohydrate intake was markedly suppressed in HR only, while carbohydrate-craving scores decreased in HR and LR. For the entire cohort, DeltaBMI correlated with DeltaCISI, Deltafat mass, and Deltaleptin. DeltaFat mass also correlated with DeltaIAUC and DeltaCISI. CONCLUSIONS: In a subcohort of obese adults, suppression of insulin secretion was associated with loss of body weight and fat mass and with concomitant modulation of caloric intake and macronutrient preference.

Adipose Tissue↗
PubMed1992

Nutritional outcome and pneumonia in critical care patients randomized to gastric versus jejunal tube feedings. The Critical Care Research Team.

OBJECTIVE: To compare nutritional status, gastric colonization, and rates of nosocomial pneumonia in ICU patients randomized to gastric tube feeding vs. patients fed by an endoscopically placed jejunal tube. DESIGN: Randomized, prospective study. SETTING: Medical and surgical ICUs at Boston City Hospital; surgical ICU at University Hospital. PATIENTS: Of the 38 study patients, 19 were randomized to gastric tube feeding and 19 were randomized to an endoscopically placed jejunal tube. The two groups were similar in age, sex, race, underlying disease, and type of surgery. RESULTS: The two patient groups were similar in number of days fed, duration of ICU stay, duration of mechanical ventilation, days of antibiotic therapy, and days with fever. Compared with the gastric group, the jejunal group had more patients with circulatory shock on admission (79% vs. 68.4%), higher admission Acute Physiology Score (24.0 vs. 21.7), and fewer patients with pneumonia at randomization (26.3% vs. 31.6%). The jejunal group received a significantly higher percentage of their daily goal caloric intake (p = .05), and had greater increases in serum prealbumin concentrations (p < .05) than the patients with gastric tube feeding. Although the jejunal tube group had more days of diarrhea (3.3 +/- 6.6 vs. 1.8 +/- 2.9), this difference was not statistically significant. Nosocomial pneumonia was diagnosed clinically in two (10.5%) patients in the gastric tube group and in no patients in the jejunal tube group. CONCLUSIONS: Patients fed by jejunal tube received a significantly higher proportion of their daily goal caloric intake, had a significantly greater increase in serum prealbumin concentrations, and had a lower rate of pneumonia than patients fed by continuous gastric tube feeding.

Adult↗
PubMed1992

Role of dietary fat in obesity. Fat is fattening.

Total caloric intake has not increased significantly over the last century as obesity increased, but there has been an increase in consumption of dietary fat. Its role in obesity is reviewed. Fat is the most concentrated form of calories in the diet; being compact, it contributes to overeating. High fat foods can be eaten faster with less chewing. Dietary fat is the most efficiently stored foodstuff, thus contributing to obesity. A low fat diet is an important adjunct to advising decreasing caloric intake for a weight reduction plan. Physicians should advise patients to decrease fat, not just "count calories."

Dietary Fats↗
PubMed1996

The relationship between binge eating severity and body fat in nonpurge binge eating women.

The relationship between binge eating severity, measured by caloric intake, and amount of body fat, measured by percent of body fat and body mass index (BMI) was examined in nonpurge binge eating women. Although there was a low, but significant, relationship between binge eating severity and BMI, the relationship was not significant between binge eating severity and percent of body fat. Age and weight cycling were the best predictors for percent of body fat, while weight cycling alone was the best predictor for BMI. It cannot be assumed that caloric intake during binge eating is the central cause of obesity in nonpurge binge eating women.

Adult↗
PubMed1994

Effects of glucose-to-lipid ratio and type of lipid on substrate oxidation rate in patients.

This study is an investigation into the effects of different carbohydrate-to-lipid ratios on CO2 production in postoperative patients and the determination of the substrate oxidation rates induced by long-chain triglycerides (LCT) or a mixture of long- and medium-chain triglycerides (MCT/LCT) at various carbohydrate-to-lipid ratios. Two groups of eight patients randomly received either LCT or MCT/LCT emulsions. Total caloric intake was set at the measured energy expenditure provided at three different glucose-to-lipid ratios (70:30, 50:50, 30:70). We used long-term indirect calorimetry with a mass spectrometer system and measurement of natural enrichment in 13C of expired CO2 and plasma glucose. The carbon dioxide production and minute ventilation were not different among the different glucose-to-lipid ratios, whatever the type of lipid. Increasing the lipid supply up to 70% of nonprotein caloric intake led to an only minor increase in lipid oxidation rate and thus to a net fat deposit. We conclude that large amounts of lipid (LCT or MCT/LCT) were not of interest in such patients.

Aged↗
PubMed1990

Influence of physical activity on insulin-like growth factor-I in healthy younger and older men.

To examine the hypothesis that a lower level of physical activity influences the age-related decline in insulin-like growth factor-I (IGF-I), we measured serum concentrations in healthy nonobese younger and older men, characterized for maximal aerobic capacity (VO2 max) and energy expended in leisure time physical activity. To examine the independent influence of physical activity on IGF-I relative to other lifestyle variables, we also determined fat-free weight, percent body fat, body fat distribution (waist to hip and waist to thigh ratios), and habitual caloric intake in our population. IGF-I was 33% lower (P less than 0.01) in older men than in younger men, inversely related to percent body fat (r = -0.55) and indices of upper body fat distribution (waist to hip ratio, r = -0.45; waist to thigh ratio, r = -0.47), and positively related to VO2 max (r = 0.64) and leisure time physical activity (r = 0.45; P less than 0.01). IGF-I was not related to fat-free weight or daily caloric intake. After controlling for the effects of age by multiple regression analysis, VO2 max (r = 0.29) and leisure time physical activity (r = 0.24) were the sole factors independently related to IGF-I (P less than 0.05). Our results suggest that multiple factors contribute to the age-related decline in IGF-I. Lower levels of IGF-I in aging men are related at least in part to diminished physical activity.

Adipose Tissue↗
PubMed1988

Dietary supplementation and respiratory muscle performance in patients with COPD.

We studied the effects of oral nutritional supplementation on respiratory muscle (RM) performance in 25 ambulatory patients with severe chronic obstructive pulmonary disease (COPD). There was a relationship between body weight and anthropometric parameters of nutritional status (triceps skinfold thickness [r = 0.67; p less than 0.005], midarm muscle circumference (r = 0.53; p less than 0.005), but body weight did not correlate with daily caloric intake, serum albumin, transferrin, or blood lymphocyte count. None of these measurements of nutritional status correlated with any measure of RM strength or endurance. In a randomized observer-blinded crossover trial, patients were allocated to one of two groups. In the first eight weeks of the study, group A received nutritional supplementation, and patients in group B were control subjects. In the second eight weeks, patients in group A were control subjects, and group B received supplement. Mean daily caloric intake and body weight increased in both groups while receiving supplement (both p less than 0.05). Calories provided by the supplement were frequently substituted for normal dietary calories. Any increases in RM performance in the group receiving supplement were matched by increases (due to learning) in controls. We conclude that oral dietary supplements have no important effects on RM performance in ambulatory patients with COPD.

Ambulatory Care↗
PubMed2000

Relation between effective utilization of exogenous fat emulsion as energy substrate and oxygen metabolism after surgery.

It is known that fat oxidation is increased in patients who have sustained surgical stress, but it is not clear whether fat emulsion should be administered during the early postoperative period. The aim of this study was to evaluate the utilization of exogenous fat emulsion after major surgery. Total parenteral nutrition composed of glucose/amino acids or glucose/amino acids/fat was administered for 6 days to 18 patients who had undergone esophagectomy. The caloric intake was significantly less than the resting energy expenditure (REE), and there was no difference in substrate utilization in either group up to postoperative day (POD) 2. After POD 4, fat utilization was significantly increased in the fat group. The total ketone body concentration was higher in the fat group than in the glucose group on POD 1 and 2. The arterial ketone body ratio (AKBR), which reflects the rate of turnover of the Krebs cycle, was positively correlated with the caloric intake/REE ratio. It was negatively correlated with the oxygen delivery index, oxygen consumption, and lactate concentration between POD 0 and POD 2. The lactate concentration was decreased and the AKBR was increased by POD 4. Fat emulsion was effectively utilized as energy substrate after POD 4, after the relative tissue hypoxia had improved and the AKBR had increased. The utilization of exogenous fat emulsion was closely related to deficient caloric intake and oxygen metabolism.

Aged↗
PubMed1991

International comparisons of nutrition and mortality from pancreatic cancer.

Average per capita consumption of eggs, milk, and meat; total caloric intake; and protein and fat consumption in 29 countries from 1964 through 1966 was related to the average age-adjusted mortality rates from cancer of the pancreas in these same countries for the period 1978 through 1979. A direct and significant correlation between mortality rates from cancer of the pancreas and per capita consumption of eggs, milk (p less than 0.001), and meat (p less than 0.01 for males and p less than 0.05 for females) was found. The total caloric intake was directly correlated with mortality rates from pancreatic cancer (p less than 0.01). This correlation was stronger for calories derived from animal sources of food (p less than 0.001) for both sexes, while consumption of vegetable calories correlated with decreased rates of mortality from pancreatic cancer. The average per capita intake of both total and animal fat was also directly correlated with mortality from cancer of the pancreas (p less than 0.001). This suggests that animal sources of calories, protein, and fat may play an important role in the etiology of pancreatic cancer.

Animals↗
PubMed1981

Sources of kilocalories and macronutrients in the infant diet.

Sources of kilocalories in the diet of 270 infants from birth to 1 year were examined. Introduction of beikost was rapid: 27 percent of kilocalories in the diet of 2-month-old infants was provided by foods other than milk or formula. Table foods contributed very little to caloric intakes of children less than 5 months of age. Commercially prepared baby foods were the predominant form of beikost given, except to infants in the 9 to 12 months age group. Use of junior foods steadily increased during the first year; by the age of 9 to 12 months, half of the kilocalories from strained and junior foods were provided by junior foods. Proximate composition of the diet was also examined. With increasing age, contributions of protein and carbohydrate to infants' caloric intake were larger and the contribution of fat was lower. Although average percentages of kilocalories from protein, fat, and carbohydrate fell within specified guidelines, proximate composition of the diet of various groups of infants did not conform to these guidelines. These groups included (a) breast-fed infants given beikost, (b) a subgroup of the children fed cow's milk, (c) infants fed skim milk, and (d) children who received a high percentage of kilocalories from beikost.

Diet Surveys↗
PubMed1958

Studies on the formation of collagen. II. The influence of growth rate on neutral salt extracts of guinea pig dermis.

The total amount of neutral salt-extractible collagen in the skin of growing, suckling guinea pigs amounted to about 10 per cent of the total collagen of the dennis. This is roughly equivalent to a 1 to 2 day increment in dermal collagen incident to growth. Fourteen days of static weight maintained by limited caloric intake reduced the neutral salt-extractible collagen to very low levels. Following this period, 5 to 7 days of steady weight gain induced by ad lib. feeding was required to produce significant increases in this collagen fraction. Return to control levels occurred within 12 days of continuous growth. The amount of collagen extracted from the dermis of young guinea pigs with cold neutral salt solutions varied directly with growth rate (weight gain) and was greatly diminished after short periods of restricted caloric intake. Two days of fasting diminished the total extracted collagen by one-half. Three consecutive extractions with citrate buffer pH, 3.5, of the residues remaining after exhaustive saline extraction removed 40 per cent more collagen from the skins of actively growing animals than from those of animals fasted for 2 days. However, subsequent extraction of residues with dilute acetic acid equalized the total amount of collagen extracted at acid pH from the two groups. The viscosity of cold neutral extracts was unrelated to the concentrations of non-collagenous proteins and carbohydrates but varied directly with the collagen content.

Animals↗
PubMed2000

Unusual early presentation of Gilbert syndrome in pediatric recipients of liver transplantation.

BACKGROUND: Gilbert syndrome as a rule becomes manifest in adolescence or in early adulthood; it may be transferred by the donor to orthotopic liver transplant (OLT) recipients. METHODS: We examined the frequency of Gilbert syndrome in 46 OLT pediatric recipients who had a follow-up of 1 year or more. Diagnostic criteria included unexplained chronic or recurrent unconjugated hyperbilirubinemia; its increase after reduced caloric intake plus prolonged fasting, without changes of the proportion of conjugated bilirubin; and high relative amounts of serum unconjugated bilirubin IXa and prevalence of the monoglucuronide over the diglucuronide. RESULTS: Of the 46 patients, 42 had normal bilirubin values. Only four otherwise healthy OLT recipients showed hyperbilirubinemia and normal conjugated fractions. Liver donors had been four men. Hyperbilirubinemia persisted with a fluctuating pattern for the whole follow-up after OLT in all. Total bilirubin level in blood samples obtained after reduced caloric intake and prolonged fasting became notably higher than basal values, whereas the proportion of conjugated bilirubin remained stable. High relative amounts of unconjugated bilirubin IXa and prevalence of the monoglucuronide over the diglucuronide were found. Finally, DNA from liver donors' lymphocytes was available for one jaundiced and two nonjaundiced patients: tests for abnormalities in the promoter region of the gene for the enzyme bilirubin uridine diphospho-glucuronosyltransferase were in agreement with a diagnosis of GS in the former one, CONCLUSIONS: Gilbert syndrome may have an unusual early presentation in pediatric OLT recipients.

Age Factors↗