Measurement of the Thermic Effect of Food in a Chinese Mixed Diet in Young People / 生物医学与环境科学（英文）

OBJECTIVE@#To determine the thermic effect of food (TEF) in a Chinese mixed diet in young people.@*METHODS@#During the study, the participants were weighed and examined for body composition every morning. The total energy expenditure (TEE) of the participants was measured by the doubly labeled water method for 7 days, and during this period, basal energy expenditure was measured by indirect calorimetry and physical activity energy expenditure was measured by an accelerometer. The value obtained by subtracting basal energy expenditure and physical activity energy expenditure from TEE was used to calculate TEF.@*RESULTS@#Twenty healthy young students (18-30 years; 10 male) participated in the study. The energy intake of the participants was not significantly different from the Chinese Dietary Reference Intake of energy ( P > 0.05). The percentage of energy from protein, fat and carbohydrate were all in the normal range. The intakes of fruits, milk and dietary fiber of the participants were significantly lower than those in the Chinese Dietary Guidelines ( P < 0.05). There was no significant difference in the body weight of the participants during the experiment ( P > 0.05). When adjusted for body weight, there was no significant difference in either TEE or basal energy expenditure between the male and female participants ( P > 0.05). In addition, there was no significant difference in physical activity energy expenditure and TEF between the male and female participants ( P > 0.05). The percentage of TEF in TEE was 8.73%.@*CONCLUSION@#The percentage of TEF in TEE in a Chinese mixed diet in young people was significantly lower than 10% ( P < 0.001). A value of 10% is usually considered to be the TEF in mixed diets as a percentage of TEE.

A correlation of per day calorie intake with resting energy expenditure in healthy young adults

Background: The energy requirement of an individual can be defined as the level of energy intake from food that will balance the energy expenditure. Dietary intakes lower or higher than the body requirements can lead to undernutrition (deficiency diseases) or overnutrition (diseases of affluence), respectively. Per day calorie intake influences various daily energy utilizing activities. The imbalance between intake and expenditure continues over long periods, changes in body weight or body composition will occur and may adversely affect health. The resting energy expenditure (REE), the largest portion (50–75%) of total energy expenditure, is the energy required to maintain the basic metabolic activities including maintaining the body temperature and keeping the functioning of vital organs such as brain, kidneys, heart, and lungs. Hence, REE plays the most important role in body functioning. Objective: The aim and objective of the present study were to access the effect of per day calorie intake on REE. Materials and Methods: One hundred subjects (age 18–25 years) were assessed for data collection. All the data were collected in the early morning hours. The study was approved by the Institutional Ethical Committee (EC/P-47/2018) of Rajasthan University of Health Sciences College of Medical Sciences, Jaipur. Demographic data including the anthropometric measurement of the participants such as weight, height, and body mass index (BMI). Calories intake (kcal) in 24 h was measured using food frequency questionnaire. Moreover, REE was measured using the gold standard method indirect calorimetry. Pearson correlation was calculated to seen correlation between per day calorie intake and REE. Results: A total of 75 males and 25 females with mean age of males and females were 19.97 ± 1.81 years and 19.32 ± 1.75 years, respectively. The mean BMI was 21.77 ± 4 kg/m² of males and 22.68 kg/m² of females. The mean calorie intake was 2532.082 ± 830.970 kcal in males and 1991.176 ± 783.291 kcal in females. The mean REE of male subjects was 2081.470 ± 587.661 kcal and of females was 1827.895 ± 469.671 kcal. The present study results showed the positive poor correlation (r = +0.1572) between calorie intake and REE in male subjects and negative poor correlation (r = −0.1484) in female subjects. Conclusion: The present study results concluded that there was a poor association between per day calorie intake and REE. Moreover, on the basis of the present study results, we can also say that most of our energy intake was expended to maintain body functioning at rest.

Dietary Intake of Mothers Who Practised Traditional Confinement During Exclusive Breastfeeding Period

@#Introduction: Nutritional requirements increase during lactation. However, maternal dietary intakes of Malaysian mothers are subjected to restrictions commonly included in traditional postpartum practices. This study aimed to assess the maternal dietary intake status during the recommended six month exclusive breastfeeding (part of which included the traditional confinement) period. Methods: Thirty-two Malay mothers aged 18-35 years, who had delivered full-term (at ≥37 weeks) singleton babies and were exclusively breastfeeding, were included in the study. Maternal dietary intake was assessed using multiple-pass diet recall on Days 10, 30, 60, 90, 120, 150, and 180, postpartum. The average total energy and macronutrient intakes were compared against recommended values. Results: The findings of this study demonstrated that maternal intakes of total energy ranged from 1,500-2,000kcal/day, carbohydrate 189-272g/day, protein 58-72g/day, and total fat 32-70g/day. Total calorie intake was the lowest during confinement period (Days 10 and 30) compared to the rest of the exclusive breastfeeding period. This is similar with total fat consumption. On the other hand, protein intake was the highest during confinement period whereas carbohydrate intake was consistent throughout the six-month period. Despite the increased requirements, intakes of total calories, protein, total fat, dietary fibre, and water, did not meet the recommended values throughout the exclusive breastfeeding period. Conclusion: Mothers’ inability to fulfil their nutritional requirements during exclusive breastfeeding period may be associated with traditional postpartum dietary practices. Dietary advice with consideration for cultural food taboos practiced by local mothers during confinement may help to improve maternal nutritional intakes during this crucial time.

Energy metabolism and body composition in athletes / 体力科学

In this review, the energy metabolism and body composition in athletes are discussed on the basis of an energy balance study using a doubly labeled water method. In athletes, the energy expenditure induced by sports activities widely differs according to the type of sports event. In addition, the physical activity of athletes can reach more than twice the basal metabolic rate throughout the sports season. It may be also more than three times depending on the duration of the tournament and/or the training camp. Thus, the event type, and training time and intensity must be considered when estimating the energy requirement of athletes.

Determinants and prediction methods of total energy expenditure – efforts at National Institute of Health and Nutrition in Japan – / 体力科学

The National Institute of Health and Nutrition, as a part of the National Institutes of Biomedical Innovation, Health and Nutrition at present, has put emphasis on energy metabolism research since its establishment in 1920. After 2000, the National Institute of Health and Nutrition introduced doubly labeled water method and human calorimeters and has also contributed to the establishment of energy requirements in the Dietary Reference Intakes for Japanese. Inter-individual differences in physical activity level are large and difficult to accurately evaluate. Therefore, various studies have been conducted using not only subjective methods such as questionnaire but also objective methods such as accelerometry. Moreover, determinants of total energy expenditure and physical activity have been investigated, including comparison of physical activity level between normal-weight and obese adults. New evidences on contribution of brown adipose tissue activity and diseases on energy metabolism have been obtained. In the near future, research to elucidate the mechanism of energy balance, more accurate and variety of assessment of physical activity, and examination from the viewpoints of chrono-nutrition and chrono-exercise are expected.

Effect of percentage of enteral nutrition in the total energy and nutrition support for patients with traumatic brain injury / 肠外与肠内营养

Objective: This study was conducted to determine the proper percentage of EN in the total energy and nutrition support for critically ill patients with traumatic brain injury (TBIs). Methods: 94 cases were randomly divided into 3 groups according to the percentage of EN in the total energy: 100％ EN group in which patients received 100％ calories from EN; 75％ EN group in which patients received 75％ calories from EN, 25％ from PN; 50％ EN group in which patients received 50％ calories fromm EN, 50％ from PN. At baseline and follow-up on day 4, 7, 10, nutrition parameters, complete blood count and electrolytes as well as metabolic parameters including tests of liver and renal function were measured. Complications during treatment were recorded and the prognosis was finally judged. Results: Total protein and albumin were significantly higher in the 50％ EN and 75％ EN group on day 7 than in TEN group (P＜ 0. 05). There was significance difference found in complications between 75％EN and 50％EN group. A reduction in the length of stay in the hospital and expenses in the ICU for 10 days in the 75％ EN group (P ＜ 0. 05) was also observed. Conclusion: 75％ calories from EN in the total energy and nutrition support appeared to have great impact on management of critically ill patients with traumatic brain injury.

Total energy expenditure of 16 Chinese young men measured by the doubly labeled water method / 生物医学与环境科学（英文）

<p><b>OBJECTIVE</b>Doubly labeled water (DLW) method is the gold standard for measuring total energy expenditure (TEE). We used this method to measure TEE in Chinese young men.</p><p><b>METHODS</b>Sixteen healthy young men age 23±1 years with body mass index 22.0±1.4 kg/m2 were recruited. TEE was measured by the DLW method, and basal energy expenditure (BEE) was determined by indirect calorimetry. We also conducted 24-h activity, energy balance and factorial approach to estimate energy requirements of the subjects.</p><p><b>RESULTS</b>TEE of subjects by DLW method was 9.45±0.57 MJ/day (2258±180 kcal/day). The 24-h activity was 10.80±0.33 MJ/day (2582±136 kcal/day). The energy requirement, derived from energy balance observations, was 9.93±1.32 MJ/day (2373±315 kcal/day). The BEE of 6.65±0.28 MJ/day (1589±67 kcal/day), calculated by the adjusted Schofield equation, was significantly higher (P<0.001) than that measured by indirect calorimetry, 5.99±0.66 MJ/day (1433±158 kcal/day). The TEE derived from the factorial approach was 10.31±0.43 MJ/day (2463±104 kcal/day).</p><p><b>CONCLUSION</b>The TEE of Chinese young men measured by the DLW method was about 10% lower than the current recommended nutrient intake (RNI), suggesting that the RNI for Chinese men maybe overestimated. Further studies are warranted to determine the value of the estimated energy requirement.</p>

Physical activity level, total daily energy expenditure, and estimated energy expenditure in normal weight and overweight or obese children and adolescents

The purposes of this study were to assess the physical activity level (PAL) and the total daily energy expenditure (TEE) as well as to evaluate the validity of prediction equation for the estimated energy requirement (EER) in normal weight and overweight or obese children and adolescents. The subjects comprised of 100 healthy Korean students aged between 7-18. The anthropometric data was collected. PAL was calculated from the physical activity diary by the 24-hour recall method, and the resting metabolic rate (RMR) was measured by an open-circuit indirect calorimetry using a ventilated hood system. Daily energy expenditure was PAL multiplied by RMR. EER was calculated by using the prediction equation published in KDRIs. There was no significant difference in the means of age and height between the 46 obese subjects and 54 nonobese subjects. The weight and BMI of the obese group (60.2 kg, 25.3 kg/m2) were significantly higher than those of the nonobese group (42.4 kg, 18.4 kg/m2). However, PAL was not significantly different between the two groups (nonobese 1.45, obese 1.46). TEE of the obese group (2,212 kcal/day) was significantly higher than that of the nonobese group (1,774 kcal/day). EER (individual PA) and EER (light PA) were significantly higher than TEE (p < 0,001); however, EER (sedentary PA) was not significantly different with TEE in the two groups. These results showed that the levels of physical activity were the same as the sedentary activity both in the nonobese and obese Korean students; moreover, the predictive equation for EER published in KDRI overestimated the TEE of Korean children and adolescents. Therefore, in further research, a new predictive equation for EER should be developed for Korean children and adolescents through the doubly labeled water method.

The Analysis of Activity Energy, Total Energy, and Estimated Energy Expenditures in 5th and 6th Grade Primary School Students / 대한지역사회영양학회지

This study was conducted to investigate the time spent, activity coefficient and energy expenditure on 7 different types of activity. Total of 386 5th and 6th grade primary school boys and girls in Seoul participated in this study. The participants spent 8 hrs for rest, 4 hrs for out of school study, 3 hrs for leisure, 1 hr 45 mins. for hygiene, 1 hr for commute, and 15 mins. for house choir activity in the day of 6 class hours. The average activity coefficient of 1 day for boys and girls were 1.69 and 1.64, respectively. The TEEs were 2,382 kcal and 2,050 kcal for boys and girls, respectively. The energy cost for study related activity (in school and study activities) was 40% of the TEE, and for rest 20%, for commute 9%, and for hygiene 10% of the TEE. The energy cost for house choir was only about 2% of TEE. The 91.2% participant's EER was higher than the EER shown in the table of 2010 DRI for Koreans. When the participant's EER was compared with the energy allowance calculated by the method in 2000 RDA for Korean, 81.6% was in the range of +/- 5%, and the correlation coefficients between the 2 values were 0.981 for boys and 0.978 for girls, which means high agreements.

The Usefulness of an Accelerometer for Monitoring Total Energy Expenditure and Its Clinical Application for Predicting Body Weight Changes in Type 2 Diabetic Korean Women / 당뇨병

BACKGROUND: The purpose of this study was to evaluate the usefulness of an accelerometer in predicting body weight (BW) change during a lifestyle intervention and to find out whether exercise or overall physical activity is associated with change in insulin sensitivity and body composition. METHODS: A total of 49 overweight (body mass index [BMI] > or = 23 kg/m2) women with diabetes were enrolled and performed lifestyle intervention while monitoring BW, total energy expenditure (TEE) and physical activity energy expenditure (PAEE) using an accelerometer, and energy intake (EI) using a three-day dietary record at baseline and every 2 weeks for 12 weeks. We assessed body composition using bioimpedance analysis and compared the actual BW change to the predicted BW change, which was calculated from the energy deficit (ED) between EI and TEE (ED = EI-TEE). RESULTS: Mean age was 57.2 years, duration of diabetes was 8.0 years, and BMI was 27.8 kg/m2. There was no significant difference between EI and TEE at baseline. For 12 weeks, the ED was 474.0 kcal.day-1, which was significantly correlated with BW change (-3.1 kg) (r = 0.725, P < 0.001). However, the actual BW change was 50% lower than the predicted BW change. Both TEE and PAEE correlated with change in KITT (r = 0.334, P = 0.019; r = 0.358, P = 0.012, respectively), BMI (r = -0.395, P = 0.005; r = -0.347, P = 0.015, respectively), and fat mass (r = -0.383, P = 0.007; r = -0.395, P = 0.005, respectively), but only TEE correlated with fat free mass change (r = -0.314, P = 0.030). CONCLUSION: The accelerometer appears to be a useful tool for measuring TEE under free-living conditions for both short- and long-term periods.

Comparison of Physical Activity Recall with Triaxial Accelerometer

BACKGROUND: The purpose of this study was to compare the Physical Activity Recall (Stanford 7-days physical activity recall)with the Triaxial accelerometer (RT3)to assess physical activity in young adults. METHODS: Thirty-seven subjects wore the RT3 for 24 hours and then completed the physical activity recall. The Stanford 7-Day Recall records hours of sleep, light-, moderate-, hard-and very hard levels of physical activity. RESULTS: The total energy expenditure per day for the Stanford 7-day recall and RT3 was 2381.29 +/-594.93 kcal/day and 2232.97 +/-398.32 kcal/day,respectively, and showed high correlation (r=0.821).The activity energy expenditure per day for the Stanford 7-day recall and RT3 was 836.21+/-290.59 kcal/day and 509.83+/-181.57 kcal/day,respectively,and showed less high but significant correlation (r=0.327).When compared by sex, the total energy expenditure was significantly correlated in men (r=0.572)and the activity energy expenditure in women (r=0.484). CONCLUSION: The Stanford 7-day recall and the RT3 was highly correlated in the total energy expenditure and significantly correlated in the activity energy expenditure. Therefore,it may be used reciprocally to assess physical activity.

VALIDITY OF METHODS TO MEASURE TOTAL ENERGY EXPENDITURE OF BASEBALL PLAYERS IN JAPANESE HIGH SCHOOL / 体力科学

The purpose of this study was to assess the validity of activity record (AR), accelerometer (AC) and heart rate (HR) methods in comparison with the doubly-labeled water (DLW) method as the criterion measure of total energy expenditure (TEE) in high school students undergoing vigorous activities. Twelve baseball players in Japanese high school (16.5±0.5 yrs) were monitored for seven consecutive days. TEE values obtained over a 3-day-period by AR, AC and HR were simultaneously validated against TEE measured by DLW over a 7-day-period. TEE value measured by DLW was 4922±391 kcal/day. The Physical activity level (PAL=TEE/BMR (basal metabolic rate)) was 2.66±0.14. TEE estimated by AR, AC and HR was significantly different from DLW, with mean differences of -13.9±6.5%, 35.3±3.6% and 31.6±23.9%, respectively. However, TEE estimated by AC and AR significantly correlated with that measured by DLW (r=0.73, r=0.70, p<0.05, respectively). The limits of agreement between DLW and AR, AC and HR were from -1350 kcal/d to -21 kcal/d, -2293 kcal/d to -1192 kcal/d, and 3875 kcal/d to -797 kcal/d respectively. AC was superior to the other methods. However, the limits of agreement in AR were similar to AC. These data suggest that on accuracy and precision, AR would be superior to the other two for predicting TEE in high school students undergoing vigorous activities. However, AC has the advantages being able to examine patterns of activity over long periods of time without interfering with normal movement and the ability to store data continuously over long periods of time. Therefore, it was suggested that, simultaneously, the AR and AC methods are accurate predictors of TEE and patterns of activity while undergoing sports vigorous activities.