scholarly journals Energy Intake and Total Daily Energy Expenditure Assessed by Subjective and Objective Methods in Older Individuals from a Tropical Setting in Brazil

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 623-623
Author(s):  
Luiz Dos Anjos ◽  
Bruna Silva ◽  
Vivian Wahrlich

Abstract Objectives To assess different methods of estimating energy balance (EB) and its components in a sample of older people (age ≥ 60 years) living in a tropical city in Brazil. Methods EB was calculated in 85 older individuals (69 women) as the difference between energy intake (EI), obtained by three 24-hour dietary recalls on nonconsecutive days, and total daily energy expenditure (TDEE) estimated by 24-hour physical activity recalls (24hPAR, subjective method) and accelerometry (ACC, objective method) on the same days. Basal metabolic rate (BMR) was estimated by a validated local predictive equations derived from a sample of healthy adults from the same city and by international equations (Schofield). Resting energy expenditure (MET) was also estimated by local predictive equation and the conventional value of 3.5 mL.kg−1.min−1. Anthropometry and % body fat (DXA) assessment was also obtained. Results Mean (SD) age was 69.0 (5.5) years with a mean BMI of 26.7 (4.4) kg.m−2 and %BF of 39.4 (7.9). BMR from locally-derived equations (1050.7 ± 188.7 kcal.day−1) was significantly lower than BMR estimated by the Schofield's equation (1286.5 ± 145.3 kcal.day−1). Likewise, predicted MET was significantly lower than the conventional value. Despite the high prevalence of overweight (66% with BMI ≥ 25 kg.m−2), EB was always negative for the 24hPAR method (−863.5 ± 799.5 kcal.day−1) but positive (252.1 ± 726.6 kcal.day−1) with the ACC method when MET was calculated with population-specific equations. EB estimated by ACC was also negative (−122.7 ± 781.0 kcal.day−1) using the conventional MET value. Conclusions The findings of this study indicate that EB is negative when the subjective method of TDEE estimation is used but becomes positive with the objective method. It is also evident that BMR and MET equations derived from samples of the population of interest may help improve the final estimates of TDEE and EB in older adults. Funding Sources CNPq (310,461/2016–20 and 485,168/2011–1) and FAPERJ (E-26/111.496/2011; E-26/202.514/2018; E-26/203.068/2017).

2020 ◽  
Vol 99 (6) ◽  
pp. 581-590
Author(s):  
Rocio San Martin ◽  
Camila Fernanda Cunha Brandao ◽  
Marcia Varella Morandi Junqueira-Franco ◽  
Gizela Pedroso Junqueira ◽  
Fernando Bahdur Chueire ◽  
...  

Introduction: Indirect calorimetry remains a gold standard in measuring resting energy expenditure in the clinical field. Through its measurements, it is possible to offers a patient’s energy needs to maximize nutritional therapy benefits. However, the concepts and methodological basis of collected data can be difficult to be interpreted by users in clinical practice. Objective: To address the concepts of total daily energy expenditure and its components and present the methodological aspects of indirect calorimetry that can guide the clinical field. Method: Narrative bibliographic review using the electronic Pubmed (US National Library of Medicine), SCOPUS, and Scientific Electronic Library Online (SCIELO) databases. The research was carried out in the period between 1905-2019, using the following identifiers in Health Sciences Descriptors: Basal Metabolism, Energy Metabolism and Indirect Calorimetry. We selected 55 researches published that presented contents related to the objectives of this study. Result: The total daily energy expenditure (TDEE) is comprised of three main components, such as physical activity (PA), thermic effect of food (TEF) and basal metabolic rate (BMR) and/or resting energy expenditure (REE). The REE is generally evaluated by indirect calorimetry, which also provides information on the respiratory coefficient (RQ) or oxidation of substrates. Its result varies depending on the existence of some metabolic disorders such as obesity or malnutrition. Therefore, the proper management of the methodological aspects of indirect calorimetry and its subsequent interpretation in metabolic disorders is essential to guarantee the results’ quality. Conclusion: Energy expenditure concepts and the methodological basis of indirect calorimetry are relevant to providing individualized attention to patients with metabolic disorders. This review can be used as a practical guide, helping to understand the correct application of the indirect calorimetry technique in studies related to energy expenditure with an emphasis on metabolic disorders.


1987 ◽  
Vol 63 (2) ◽  
pp. 465-470 ◽  
Author(s):  
H. Shibata ◽  
L. J. Bukowiecki

The consequences of fasting or overfeeding during 2 days on energy expenditure were investigated by continuously monitoring O2 consumption in unrestrained, unanesthetized rats. O2 consumption decreased by 15% on the 1st day of fasting and then by an additional 15% on the 2nd day. On the 3rd day, when rats were fed again, energy intake increased by 30% above control (prefasting) values, whereas energy expenditure rapidly increased but no more than control values. On the other hand, when ad libitum fed animals were offered a sucrose solution (32%) for 2 days, energy intake increased by 30% and energy expenditure by 9–12%. On the 3rd day, when the rats were fed with their normal diet, energy intake significantly decreased under control (preoverfeeding) values during one day, but energy expenditure rapidly returned to normal values. The results show that fasting decreases, whereas hyperphagia increases 24-h energy expenditure during the treatments. When the treatments are terminated, energy expenditure rapidly returns to normal values, but fasting induces a postfasting increase of energy intake (during 2 days), whereas hyperphagia, on the contrary, results in a transient decrease of appetite. This indicates that alterations of food intake induce compensatory changes of energy expenditure during the treatments, but that after the treatments, energy balance is normalized via regulatory adjustments in the ratio of energy expenditure over energy intake.


2021 ◽  
Vol 12 ◽  
Author(s):  
Sanjoy K. Deb ◽  
Eimear Dolan ◽  
Catherine Hambly ◽  
John R. Speakman ◽  
Olav Eftedal ◽  
...  

Commercial saturation divers are exposed to unique environmental conditions and are required to conduct work activity underwater. Consequently, divers’ physiological status is shown to be perturbed and therefore, appropriate strategies and guidance are required to manage the stress and adaptive response. This study aimed to evaluate the daily energy expenditure (DEE) of commercial saturation divers during a 21-day diving operation in the North Sea. Ten saturation divers were recruited during a diving operation with a living depth of 72 metres seawater (msw) and a maximum working dive depth of 81 msw. Doubly labelled water (DLW) was used to calculate DEE during a 10-day measurement period. Energy intake was also recorded during this period by maintaining a dietary log. The mean DEE calculated was 3030.9 ± 513.0 kcal/day, which was significantly greater than the mean energy intake (1875.3 ± 487.4 kcal; p = 0.005). There was also a strong positive correction correlation between DEE and total time spent performing underwater work (r = 0.7, p = 0.026). The results suggested saturation divers were in a negative energy balance during the measurement period with an intraindividual variability in the energy cost present that may be influenced by time spent underwater.


Sign in / Sign up

Export Citation Format

Share Document