scholarly journals Long-term adequacy of exclusive breast-feeding: how scientific research has led to revised opinions

2000 ◽  
Vol 59 (1) ◽  
pp. 17-23 ◽  
Author(s):  
R. G. Whitehead ◽  
A. A. Paul
Keyword(s):  
Breast Milk ◽  
Basic Assumption ◽  
Nutrient Content ◽  
Energy Requirements ◽  
Dietary Energy ◽  
Doubly Labelled Water ◽  
Nutritional Guidelines ◽  
Energy Needs ◽  
High Bioavailability

The present paper reviews the research of the authors and their colleagues over the past 20 years to provide improved nutritional and anthropometric guidelines for the assessment of lactational adequacy and for when the weaning process might be initiated. The nutritional guidelines are based on revised dietary energy requirements. The basic assumption is that since breast milk is a well-balanced food, if energy needs are satisfied so will those for essential nutrients. Energy requirements for young babies have been derived from the application of the doubly-labelled-water technique. This approach indicated that 460 kJ (110 kcal)/kg per d at 1 month and 397 and 355 kJ (95 and 85 kcal)/kg per d at 3 and 6 months respectively would be satisfactory for a nutrient content of high bioavailability. Translated into a breast-milk intake of 850 ml/d the latter would cover the dietary energy needs of the average child growing along the 50th centile until at least 4 months, but the typical child from many developing countries following the 25th centile until 6 months. The importance of revised growth reference values for infancy, equally crucial for assessing lactational adequacy, is also reviewed. In contrast with the shapes of earlier reference patterns, growth trajectories are different when babies are fed in accordance with modern paediatric advice. Mothers and health professionals using the older growth charts to assess the progress of a baby can be misled into assuming that the weaning process needs to be introduced sooner than necessary. Examples of this situation within the context of a developing country are provided.

Energy Needs of Athletes

2001 ◽  
Vol 26 (S1) ◽  
pp. S202-S219 ◽  
Author(s):  
Louise M. Burke
Keyword(s):  
Energy Intake ◽  
Energy Requirements ◽  
Activity Levels ◽  
Record Keeping ◽  
Energy Needs ◽  
Self Reports ◽  
Optimal Health ◽  
And Performance ◽  
True Energy

Each athlete has unique energy requirements, which underpin their ability to meet total nutritional goals. For everyday dietary planning and evaluation, energy requirements can be predicted via estimations of RMR and activity levels. Research methods such as indirect calorimetry and DLW allow energy requirements to be measured, and may be useful to confirm situations in which an athlete has a true energy balance anomaly. There is some evidence that individual athletes may have reduced energy requirements, although this occurs less frequently than is reported. Most self-reports of food intake substantially under-estimate energy intake, due to under-reporting or under-eating during the period of record keeping. Many athletes are over-focused on reducing body mass and body fat below levels that are consistent with long-term health and performance. Restrained eating can cause significant detrimental outcomes to body function. Leptin may be involved in modulating or mediating some of these changes. Athletes should use their energy budget to choose foods that provide macronutrient and micronutrient needs for optimal health and performance. Practical advice may help athletes to achieve energy intake challenges.

scholarly journals Energy intake in short bowel syndrome: assessment by 24-h dietary recalls compared with the doubly labelled water method

2017 ◽  
Vol 119 (2) ◽  
pp. 196-201 ◽  
Author(s):  
Priscila G. Fassini ◽  
Sai Krupa Das ◽  
Karina Pfrimer ◽  
Vivian M. M. Suen ◽  
Júlio Sérgio Marchini ◽  
...  
Keyword(s):  
Short Bowel Syndrome ◽  
Energy Intake ◽  
Total Energy Expenditure ◽  
Severe Malnutrition ◽  
Control Groups ◽  
Doubly Labelled Water ◽  
Short Bowel ◽  
Energy Needs ◽  
And Control

AbstractShort bowel syndrome (SBS) represents a serious intestinal absorption disorder, and patients may be prone to severe malnutrition. Dietetic therapy is critically important both for immediate prognosis and successful long-term rehabilitation. To maintain energy balance, an accurate assessment of energy intake is required. Our objective was to compare energy intake (EI) assessed by 24-h dietary recalls (EIrecall), a standard clinical assessment, with the total energy expenditure measured by the doubly labelled water (TEEdlw) method in SBS patients and matched controls. A total of twenty-two participants (eleven each in the SBS and control groups (CG), six female and five male) were evaluated; CG were matched to SBS patients on the basis of age, BMI and sex. TEE was measured by DLW and compared with EI determined by four 24-h dietary recalls using the USDA Automated Multiple-Pass Method. Bland–Altman plots and paired Student’s t test were used to compare EIrecall with TEEdlw (P<0·05). Participants’ mean age was 53 (sd 8) years. TEEdlw (7·85 (SD 1·16) MJ/d, 0·14 (SD 0·02) MJ/kg per d) was significantly lower (P=0·014) compared with EIrecall (11·07 (SD 3·45) MJ/d, 0·21 (SD 0·08) MJ/kg per d) in the SBS group. On the other hand, in the CG group TEEdlw (10·02 (SD 1·86) MJ/d, 0·18 (SD 0·03) MJ/kg per d) was significantly higher (P=0·001) compared with EIrecall (7·19 (SD 1·68) MJ/d, 0·13 (SD 0·03) MJ/kg per d). In SBS patients, reported EI is higher than DLW-measured EI. Therefore, providing or prescribing energetic intake based on EIrecall without accounting for potential malabsorption-related losses can compromise the energy needs in SBS patients and affect nutritional status in the long term.

scholarly journals Energy and nutrient content of weight-loss diets published in high-circulation newspapers

2021 ◽  
Vol 25 (3) ◽  
pp. 337-346
Author(s):  
Gökçen Garipoğlu ◽  
Şule Aktaç ◽  
Fatma Esra Güneş
Keyword(s):  
Weight Loss ◽  
Nutrient Content ◽  
Energy Requirements ◽  
Nutrient Deficiencies ◽  
Food Groups ◽  
Expert Control ◽  
The Public ◽  
The Press ◽  
Knowledge Levels

Introduction: The press is one of the most effective methods to provide the public with health education and to increase knowledge levels related to health in society.Nutritional advice and weight loss diets are also frequently featured in newspapers. However, diets in newspaper limit food groups and/or nutrients to achieve faster results.This study aimed to assess diet lists published in newspapers in terms of energy andnutrient contents and to compare levels with requirements. Material and Methods: From 1 February 2018 to 31 January 2019, nutritional and diet news included in 10 newspapers with high circulation in Turkey were investigated and diets published in these newspapers were investigated. The energy, macro, and micronutrient contents were compared with the Turkey Nutrition Guide recommendations. Results: It appeared diet lists met 55.5% of energy requirements for women and 44.5% of energy requirements for men. Carbohydrate and protein contents of diets were below recommendations, while fat contents were identified to be above-recommended levels. Dietary fiber was determined to meet 81.2% of recommendations. For micronutrients, calcium and iron contents were below recommended levels. Conclusions: It appears weight-loss diets in newspapers are insufficient in terms of energy and some nutrients. Though these diets, which are easily accessible by a large portion of society, without expert control they may cause nutrient deficiencies in the long term.

scholarly journals Insights into energy requirements in disease

2005 ◽  
Vol 8 (7a) ◽  
pp. 1037-1052 ◽  
Author(s):  
Marinos Elia
Keyword(s):  
Chronic Diseases ◽  
Good Health ◽  
Total Energy Expenditure ◽  
Energy Requirements ◽  
Accurate Information ◽  
Doubly Labelled Water ◽  
Tracer Techniques ◽  
Energy Needs ◽  
Wide Range ◽  
Ventilated Patients

AbstractAccurate information about the energy needs of a range of acute and chronic diseases and morbidity is lacking and often complicated by the medication prescribed to treat the condition and also because of the presence of pre-existing malnutrition. Assessing the energy requirements of patients with acute and chronic diseases is more complex than for those in good health. These requirements not only depend on the aggressiveness of the disease and level of inactivity it causes, but also on the treatment, and the presence of prior malnutrition. It used to be generally believed that the energy requirements were increased in a number of diseases. It is now realised that this is not usually the case. Therefore, it is necessary to put these changing ideas into context by considering a wide range of acute and chronic diseases which this paper proposes to do. This paper is almost exclusively restricted to studies that have measured total energy expenditure (TEE) using tracer techniques in both hospital and the community (mostly doubly labelled water and to a lesser extent bicarbonate–urea), and continuous 24–hour indirect calorimetry in artificially ventilated patients in hospital.

scholarly journals Energy requirements for racing endurance sled dogs

2014 ◽  
Vol 3 ◽  
Author(s):  
John P. Loftus ◽  
Molly Yazwinski ◽  
Justin G. Milizio ◽  
Joseph J. Wakshlag
Keyword(s):  
Weight Loss ◽  
Linear Regression ◽  
Weight Maintenance ◽  
Nutrient Content ◽  
Energy Requirements ◽  
Average Weight ◽  
Dietary Energy ◽  
Average Value ◽  
Sled Dogs ◽  
Feeding Regimes

AbstractEndurance sled dogs have unique dietary energy requirements. At present, there is disparity in the literature regarding energy expenditure and thus energy requirements of these dogs. We sought to further elucidate energy requirements for endurance sled dogs under field conditions. Three sled dog teams completing the 2011 Yukon Quest volunteered to provide diet history. Nutritional content was evaluated and a mock meal was analysed for each team. Race data were obtained from www.yukonquest.com. Dogs were weighed at the start of the race in Whitehorse Yukon (WH), a mid-way checkpoint in Dawson Yukon (DS) and at the finish in Fairbanks Alaska. Data are average value per dog or per dog per d. Linear regression compared average weight loss to average kcal/dog consumed daily. Diets and feeding regimes were similar for all three teams. The average daily energy intake and nutrient content was similar for all diets. During leg one (WH to DS), team 1 gained weight overall, whereas the other two teams experienced weight loss. Linear regression revealed 37 638 kJ/dog/d (8995 kcal/dog/d) was required for weight maintenance. During leg two (DS to Fairbanks Alaska), average weights decreased for all three teams. The extrapolated kcal requirement was approximately 57 734 kJ/dog/d (13 799 kcal/dog/d). The carbohydrate contents of these diets also suggest that presumed fat intake for endurance sled dogs may be slightly less than previously thought. Finally, these data support the concept that dietary energy requirements vary substantially with additional variables such as load pulled, terrain and ambient temperature.

Energy requirements in human pregnancy, in human nutrition and parasitic infection

Parasitology ◽  
1993 ◽  
Vol 107 (S1) ◽  
pp. S169-S175 ◽  
Author(s):  
J. V. G. A. Durnin
Keyword(s):  
Energy Savings ◽  
Energy Requirement ◽  
Parasitic Infection ◽  
Real Life ◽  
Energy Requirements ◽  
Dietary Energy ◽  
Third Trimester ◽  
The Third ◽  
Energy Needs ◽  
Reduced Physical Activity

SUMMARYThe energy requirement of pregnancy reflects a problem which contains a great deal of uncertainty. To supply the theoretical energy needs for the increases in maternal and foetal tissues and to cover the elevated basal metabolic rate involves an amount equivalent to an extra 250–300 kcal/day on average, but in real-life situations there is seldom a rise in dietary energy of a comparable quantity. Data from co-ordinated longitudinal studies in four countries, together with results from other published papers, show energy intakes increasing by only 100–150 kcal/day, and only in the third trimester. Although it is difficult to demonstrate, the probability is that there are energy savings in reduced physical activity which compensate for the larger energy needs.

Effect of NPK fertilization on the yield of winter wheat and maize and on the nutrient content of the soil in a long-term experiment network in Hungary

2013 ◽  
Vol 62 (2) ◽  
pp. 311-330
Author(s):  
Jakab Loch ◽  
János Lazányi
Keyword(s):  
Winter Wheat ◽  
Nutrient Content ◽  
Term Experiment ◽  
Long Term Experiment ◽  
Npk Fertilization

Az Országos Műtrágyázási Tartamkísérletek (OMTK) tizenkét NPK kezeléskombinációjában, kilenc termőhelyen vizsgáltuk az NPK-trágyázás hatását az őszi búza és a kukorica termésére és a talajok 0,01 M CaCl2-oldható tápelemtartalmára. A termőhelyek: Bicsérd (BI), Hajdúböszörmény (HA), Iregszemcse (IR), Karcag (KA), Keszthely (KE), Kompolt (KO), Mosonmagyaróvár (MO), Nagyhörcsök (NA), Putnok (PU). Az NPK kezelések: 000, 101, 111, 121, 201, 220, 221, 222, 331, 341, 421, 441. A N- és P-kezelések a kódoknak megfelelően 50 kg N, ill. P2O5·ha−1, a K-adagok 100 kg K2O·ha−1 hatóanyag-mennyiséggel növekszenek. Az őszi búza termésadatok a 23., 24., 27., 28. és 31. évi kísérletekből, a kukoricatermések a 25., 26., 29. és 30. évből származnak.Az NPK-kezelések jelentősen növelték az őszi búza és a kukorica öt-, illetve négyéves átlagtermését, szignifikáns különbségek jöttek létre a termőhelyek átlagában. Az NPK-kezelések különböző érvényesülése az egyes termőhelyeken az eltérő ökológiai viszonyok, köztük a különböző eredeti tápelemtartalom és szolgáltató képesség következménye.Az NPK-kezelések hatására a talajok 0,01 M CaCl2-oldható tápelemtartalma is jelentősen változott. A növények tápelemigényét meghaladó kezelések tartamhatásaként tápelem-felhalmozódás igazolható mindhárom tápelem esetében. A növények szükségletét meghaladó N-adagok, a karbonátos talajokat és a nagy agyagtartalmú kompolti (KO) talajt kivéve csökkentették a talaj pH-t. A másodfokú görbék az őszi búza ötéves termésátlaga és a 0,01 M CaCl2-ban mért összes-N, P- és K-tartalom közötti összefüggéseket szemléltetik termőhelyenként.A legnagyobb kezeléshatások azokon a talajokon igazolhatók, melyeken a kontroll 0,01 M CaCl2-oldható összes-N értéke kisebb, mint 5–10 mg·kg−1. A 15,0 mg·kg−1 érték felett altalaban nem érvényesült a nitrogén termésnövelő hatása. Kivételt képez a tápanyagban gazdag, hajdúböszörményi nem karbonátos réti talaj. A foszfor termésnövelő hatása 2,0 mg P·kg−1 érték felett — a karbonátos réti talaj kivételével — általában nem érvényesül. Az összefüggéseket jellemző R2 meghatározottsági tényezők a legkisebbek az őszi búza és a talaj 0,01 M CaCl2-oldható K-tartalma között, ami az egyéb tényezők nagyobb szerepére utal.A bemutatott eredmények igazolják, hogy a 0,01 M CaCl2-oldható N-, P- és Kfrakciók alkalmasak a tápanyaghiány és -felesleg jellemzésére. Egyben igazolják, hogy az eltérő ökológiai viszonyok között nagyobb terméskülönbségek jöhetnek létre, mint a kezelések hatására. A környezetkímélő tápanyag-gazdálkodás megköveteli a tápanyagok eltérő érvényesülésének figyelembevételét.A termésadatok átengedéséért köszönet az OMTK Hálózati Tanács elnökének, titkárának, és valamennyi kísérletfelelősnek.

Influence of long-term fertilization on soil microbial biomass and dehydrogenase activity in relation to crop productivity in an acid Inceptisols

2019 ◽  
Vol 56 (3) ◽  
pp. 305-311
Author(s):  
Debasis Purohit ◽  
Mitali Mandal ◽  
Avisek Dash ◽  
Kumbha Karna Rout ◽  
Narayan Panda ◽  
...  
Keyword(s):  
Microbial Biomass ◽  
Dehydrogenase Activity ◽  
Nutrient Content ◽  
Crop Productivity ◽  
Maturity Stage ◽  
Microbial Biomass Nitrogen ◽  
Biological Potential ◽  
Initiation Stage ◽  
The Impact

An effective approach for improving nutrient use efficiency and crop productivity simultaneously through exploitation of biological potential for efficient acquisition and utilization of nutrients by crops is very much needed in this current era. Thus, an attempt is made here to investigate the impact of long term fertilization in the soil ecology in rice-rice cropping system in post kharif - 2015 in flooded tropical rice (Oryza sativa L.) in an acidic sandy soil. The experiment was laid out in a randomized block design with quadruplicated treatments. Soil samples at different growth stages of rice were collected from long term fertilizer experiment.The studied long-term manured treatments included 100 % N, 100% NP, 100 % NPK, 150 % NPK and 100 % NPK+FYM (5 t ha-1) and an unmanured control. Soil fertility status like SOC content and other available nutrient content has decreased continuously towards the crop growth period. Comparing the results of different treatments, it was found that the application of 100% NPK + FYM exhibited highest nutrient content in soils. With regards to microbial properties it was also observed that the amount of microbial biomass carbon (MBC) and microbial biomass nitrogen ( MBN) showed highest accumulation in 100 % NPK + FYM at maximum tillering stage of the rice. The results further reveal that dehydrogenase activity was maximum at panicle initiation stage and thereafter it decreases. Soil organic carbon content, MBC, MBN and dehydrogenase activity were significantly correlated with each other. Significant correlations were observed between rice yield and MBC at maturity stage( R2 = 0.94**) and panicle initiation stage( R2 = 0.92**) and available nitrogen content at maturity stage( R2 = 0.91**).

scholarly journals Human milk feeding and cognitive outcome in preterm infants: the role of infection and NEC reduction

2021 ◽  
Author(s):  
Winok Lapidaire ◽  
Alan Lucas ◽  
Jonathan D. Clayden ◽  
Chris Clark ◽  
Mary S. Fewtrell
Keyword(s):  
Breast Milk ◽  
Human Milk ◽  
Preterm Infants ◽  
Neonatal Infection ◽  
Necrotising Enterocolitis ◽  
Cognitive Outcome ◽  
Standard Diet ◽  
Risk Of Infection ◽  
Verbal Iq

Abstract Background Breast milk has been associated with lower risk of infection and necrotising enterocolitis (NEC) and improved long-term cognitive outcomes in preterm infants but, if unsupplemented, does not meet the nutritional requirements of preterm infants. Methods Preterm infants were randomised to receive a high nutrient intervention diet: preterm formula (PTF) or the standard diet: term formula (TF) or banked donor breast milk (BBM), either as their sole diet or as supplement to maternal breast milk (MBM). IQ tests were performed at ages 7, 15, 20, and 30 years. Results An increase in MBM and BBM intake was associated with a lower chance of neonatal infection/NEC. Neonatal infection/NEC was associated with lower Full Scale IQ (FSIQ) and Performance IQ (PIQ) score at ages 7 and 30 years. The relationship between higher intake of MBM and PIQ at age 7 years was partly mediated by neonatal infection/NEC. The intervention diet was associated with higher Verbal IQ (VIQ) scores compared to the standard diet. There was no evidence that these effects changed from childhood through to adulthood. Conclusions Neonatal diet is an important modifiable factor that can affect long-term cognitive outcome through a ‘human milk’ factor, protecting against infection/NEC, and a ‘nutrient content’ factor. Impact This is the first study to demonstrate the effects of neonatal infection/necrotising enterocolitis (NEC) on IQ in the same cohort in childhood and adulthood. Diet can be a key factor in long-term cognitive outcome in people born preterm by preventing neonatal infection/NEC and providing adequate nutrients. Human milk, whether MBM or BBM, is associated with a reduced risk of infection/NEC. A higher nutrient diet is associated with better cognitive outcome in childhood. Performance IQ is particularly vulnerable to the effects of infection/NEC and verbal IQ to the quantity of (macro)nutrients in the diet.

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