Underreporting of Energy Intake, Socioeconomic Status, and Expression of Nutrient Intake

2009 ◽  
Vol 56 (6) ◽  
pp. 179-182 ◽  
Author(s):  
Lisa M. Carter ◽  
Susan J. Whiting
2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Y Wu ◽  
W H Pan

Abstract Background Frailty and dementia are two common geriatric syndromes associated with poor nutritional status. The nutritional role in the pathogenesis of frailty and dementia remains unclear. We examined the associations between energy intake and frailty/cognition impairment and also compared the nutrient intake between frail and cognition impaired elderlies by sex. Methods Data of 1,920 elderly adults (≧65y) from the 2014-2017 Nutrition and Health Survey in Taiwan was used. Frailty was defined using modified L. Fried criteria. The Chinese Mini-Mental State Examination score was grouped into tertiles: cognitive impairment (score ≦ 23), mild cognitive impairment (score = 24-27), and the normal (score ≧28). Total energy intake was grouped into tertiles. Logistic regression adjusted for age, sex, and sampling strata was used for association test. The trend test was performed using generalized linear model with age adjustment to examine whether various nutrient intake indicators had an ordered relationship with the severity of frailty and cognitive impairment. Results Lower energy intake (men <1540 Kcal or women<1182 Kcal) was significantly associated with frailty (odds ratio [OR]: 1.97; 95% confidence interval [CI]: 1.45-2.66) and cognition impairment (OR: 1.88; 95%CI: 1.43-2.47), respectively. Larger number of micronutrients and food substances per Kg body weight exhibited decreasing trends with MCI (protein, fat, carbohydrate, vitamins B1, B2, B3, B6, B12, C, E, Ca, P, Fe, Mg, K, Zn, dietary fiber, and cholesterol) than with frailty (protein, vitamin B1, B3, B6, C, P, Mg, K, Zn, polyunsaturated fatty acids, and dietary fiber). Conclusions The lower the energy intake, the higher the odds ratio for frailty and for dementia. Dietary quality expressed by nutrient intake per Kg body weight was poorer in elderlies with cognition impairment than those with frailty. Key messages Lower energy intake is associated with MCI and with frailty, respectively. The MCI elderlies involve more micronutrient deficiencies than the frail counterpart.


2021 ◽  
pp. 1-25
Author(s):  
Hassan Eini-Zinab ◽  
Nargeskhatoon Shoaibinobarian ◽  
Golnaz Ranjbar ◽  
Andisheh Norouzian Ostad ◽  
Seyyed Reza Sobhani

Abstract Objective: A sustainable diet is an affordable diet with low environmental impact, high food security, and sufficient healthiness. The present study aimed to assess the correlation between the socioeconomic status of households and a sustainable diet. Design: The food basket and socioeconomic data of Iranian households were evaluated during 2016-2018. The households were classified based on the sustainability of their diet by determining the dietary carbon footprint, dietary water footprint, lower dietary costs of the household than the median, and a higher dietary quality index than the median. Logistic regression was used with four models to calculate the odds ratio (OR) of a more sustainable diet as the dependent variable regarding the different quartiles of socioeconomic status (SES) as the independent variable. Setting: Iran. Participants: Iranian households (n 102,303), nationally representative, were studied. Results: Lower SES was associated with the higher OR of a sustainable diet (OR: 0.90; CI: 0.87-0.91). Higher quartiles of SES compared to the lower SES group indicated the higher energy intake and consumption of more dairies, meat, poultry, fish, eggs, legumes, nuts, and fruits, as well as the lower intake of bread, cereal, rice, and pasta. Conclusion: In countries such as Iran, where nutrition transition occurs rapidly, better economic and social levels in the populations with a higher SES are associated with increased energy intake and higher consumption of animal-based foods, which decreases sustainable diets compared to the groups with a lower SES.


2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Irene Ubro

Abstract: Humans need a certain amount of energy in order to support the growth and activity. Energy can arise due to combustion derived from carbohydrates, fats and proteins in foods consumed by the body, therefore to have enough energy one should consume enough and balanced food.Nutritional status is a state of the body that is the final result of a balance between the nutrients into the body and its utilization. Adolescence (10-19 years) is a period that is often prone to nutritional problems, because in this period there is less and over nutrient intake. This study aims to determine the relationship between energy intake and Student’s Nutrition Status of  Faculty of Medical Education, University of Sam Ratulangi Manado Year 2013. This study was an observational analytic using cross - sectional approach. Results of statistical analysis using the Spearman rank test shows that, the value of the correlation coefficient (r) of - 0.234 on IMT and 0.077 on WHR and p value of < α = 0.05 on IMT and 0.514 > α = 0.05 on WHR. From the results it is concluded that there is a significant relationship between energy intake with BMI, while the relationship between energy intake with WHR there is no significant relationship. Keywords : Energy Intake, Nutritional Status    Abstrak: Manusia membutuhkan energi dalam jumlah tertentu guna untuk menunjang proses pertumbuhan dan melakukan aktifitas. Energi dapat timbul karena adanya pembakaran yang diperoleh dari karbohidrat, lemak dan protein dalam makanan yang di konsumsi oleh tubuh, karena itu agar energi tercukupi perlu  mengkonsumsi makanan yang cukup dan seimbang. Status gizi adalah keadaan tubuh yang merupakan hasil akhir dari keseimbangan antara zat gizi yang masuk ke dalam tubuh dan utilisasinya.Masa remaja (10-19 tahun) merupakan masa yang sering rentan terhadap masalah gizi, dikarenakan pada masa ini terjadi asupan gizi kurang dan asupan gizi lebih. Penelitian ini bertujuan untuk mengetahui hubungan asupan energi dengan status gizi pada mahasiswa Program Studi Pendidikan Dokter Angkatan 2013 Fakultas Kedokteran Universitas Sam Ratulangi Manado. Penelitian ini bersifat observasional analitik dengan menggunakan pendekatan cross-sectional (potong lintang). Kesimpulan: Hasil analisis statistik dengan menggunakan uji spearman rank menunjukkan bahwa, nilai koefisien korelasi (r) sebesar -0,234 pada IMT dan 0,077 pada WHR serta nilai p sebesar < α = 0,05 pada IMT dan 0,514 > α = 0,05 pada WHR. Dari hasil tersbut disimpulkan bahwa ada hubungan bermakna antara asupan energi dengan IMT sedangkan hubungan antara asupan energi dengan WHR tidak terdapat hubungan yang bermakna. Kata Kunci : Asupan Energi, Status Gizi


2017 ◽  
Vol 8 (2) ◽  
pp. 114-122
Author(s):  
Trina Astuti ◽  
Febriansyah Febriansyah

This study discusses the fitness level of male students based on smoking habits , nutrient intake , physical activity and nutritional status as measured by cardiorespiratory endurance using YMCA-3 minutes step test.The design  is descriptive analytic  with cross-sectional study. The data were collected from 67 male students at SMAN 108 Jakarta. Study results showed that  58,2 % student is not fit, 41,8 % student is light smoker, 89,6 % deficiency energy intake, 80,6 % deficiency protein intake, 71,6 % deficiency vitamin B1, 56,7 % deficiency vitamin C, 52,2 % deficiency Fe intake, 73,1 % having weight physical activity and 28,4% malnutrition status. Chi-Square Test shows that fitness level of students depends on smoking habits (p=0,039), energy intake (p=0,001), vitamin B1 intake (p=0,012), and Fe intake (p=0,039). In order to increase the fitness status , it is advisable for students to organize a healthy lifestyle by quitting smoking , exercising regularly and increasing daily nutrient intake


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1091-1091
Author(s):  
Larisa Trecierras-Rangel ◽  
Andrea Garcia-Padilla ◽  
José Valenzuela-Gutierrez ◽  
Ana Limon-Miro ◽  
Trinidad Quizan-Plata ◽  
...  

Abstract Objectives To assess the changes of nutrient intake in overweight or obese breastfeeding women after an individualized nutritional intervention. Methods Randomized clinical controlled trial. After an informed consent was signed, breastfeeding women (2–8 weeks postpartum) were randomly assigned by simple allocation in blocks (1:1) to either the intervention (In) or control (Cn) group. These two groups received general recommendations on healthy eating during lactation; additionally, the intervention group received a dynamic macronutrient meal equivalent with interchangeable foods every 2 weeks for 3 months, and a caloric restriction if needed. Nutrient intake was evaluated before and after the intervention using 3 non-consecutive 24-hour recalls; questionnaires were applied 1.5 mo intervals. Mean nutrient intakes were compared between groups; additionally, women's intake was contrasted against dietary reference intakes. Results Out of 939 potential participants, 303 were eligible but only 30 agreed to participate, and twenty (n = 10/group) completed the program. At baseline no difference was found for energy intake (P &gt; 0.05). At end line, In group consumed −870 kcal than the Cn group. After adjusting for energy intake (1000 kcal), for macronutrient; proteins, lipids and carbohydrates do not differ between groups (P &gt; 0.05). The median intakes of fiber were higher on In group + 15.4 g (10.1–21.8) compared with Cn group + 9.1 (6.7–13.4) P = 0.02, and sodium intake was higher on Cn group + 379 mg; compared with In group −638 mg P = 0.01. A notable proportion of all women failed to meet the EAR for vitamin A, but had adequate intake of Iron, pyridoxin and thiamin. Conclusions Our results indicate that an individualized intervention in lactating women can improve the dietary intake of key nutrients. Future research should focus on assessing the adequacy of dietary recommendations for overweight/obese breastfeeding women and the mother/infant dyad. Funding Sources LTR, AGP, JCVG received a fellowship from the National Research Council in Mexico.


2010 ◽  
Vol 13 (6A) ◽  
pp. 965-972 ◽  
Author(s):  
Ulla Hoppu ◽  
Jenni Lehtisalo ◽  
Heli Tapanainen ◽  
Pirjo Pietinen

AbstractObjectiveTo evaluate food and nutrient intake and especially eating during the school day among Finnish secondary-school pupils.DesignCross-sectional study. Data were collected using a structured questionnaire mailed to home and by 48 h dietary recall interviews performed at schools in 2007.SettingTwelve schools in three cities in Finland.SubjectsThe seventh grade pupils (a total of 1469 at the mean age of 13·8 years). Questionnaire data were available from 726 pupils and dietary data from a subgroup of 40 % (n 306).ResultsAccording to the questionnaire data, 40 % of the girls and 28 % of the boys reported eating fresh vegetables daily and the respective figures for fruit were 32 % and 23 %. Altogether, 71 % of the adolescents reported having school lunch every day. The average intake of sucrose was higher and the average intakes of fibre, iron, folate and vitamin D were lower than recommended. School lunch provided around 20 % of daily energy intake, while the recommended daily energy intake level is one-third. However, the school lunch as consumed was nutritionally superior to the other daily meals. Snacks provided 41 % of the daily energy. The most common sources of sucrose were sugary drinks.ConclusionsLow consumption of fruit and vegetables and abundant consumption of sucrose-rich drinks and snacks are the main problems in the diet of Finnish adolescents. The nutritional quality of the school lunch is good, but the supply of healthy snacks must be improved in schools. Schools can promote healthy eating habits by making healthy choices easy during the school day.


2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Nathalie Michels

IntroductionNew dietary recommendations focus on a plant-based diet. As dietary habits are formed during adolescence, knowledge on determinants of this food choice in this age-group can help prevention campaigns. Since an unbalanced choice in plant-based food might lead to nutrient deficiencies, it is also crucial to detect its association with nutrient intake and nutrient status.MethodsIn 2330 adolescents from the European HELENA study in 2006, a healthy plant-based diet index (hPDI) was calculated based on two 24 h recalls. In Belgium, 69 of them were remeasured in 2016 as young adults. The psychosocial determinants nutritional knowledge, advantages, awareness, social support, social norm, self-efficacy, barriers, availability and intention were tested by multiple linear regression. Nutrient status was determined by 16 markers in fasting blood. Linear regressions with hPDI as predictor and nutrient intake/status as outcome were adjusted for age, sex, socio-economic status, BMI, waist circumference, energy-intake, physical activity and smoking.ResultsThere was a strong correlation in hPDI after 10 years (Spearman = 0.56, p < 0.001). Determinants for adolescents’ plant-based diet were in descending order being a girl(β = 0.245;p < 0.001), a higher BMI(β = 0.140;p < 0.001), knowing the advantages(β = 0.104;p < 0.001), having availability over healthy food(β = 0.100;p < 0.001), high self-efficacy(β = 0.087;p < 0.001), health awareness(β = 0.072,p = 0.004), younger age(β = -0.048;p = 0.015) and better nutritional knowledge(β = 0.046;p = 0.020). In adolescents, hPDI was associated with lower energy intake, especially less overall fat, cholesterol, saturated fatty acids, mono-unsaturated fatty acids, proteins and mono/di-saccharides but more fibre. In micronutrients, higher intake of calcium, iron, magnesium, potassium, zinc, copper, vitamin A, C, E, K but less vitamin B12 and D were detected. Concerning nutrient status, hPDI was related to higher low-density cholesterol, vitamin D, vitamin C and beta-carotene levels. In adults, hPDI was associated with lower energy intake, especially less overall fat, cholesterol, saturated fatty acids and mono-unsaturated fatty acids but more carbohydrates and fibre, magnesium and vitamin C; while not with nutrient status. Longitudinally, we confirmed the link with intake of more fiber, potassium and less cholesterol. Additionally, a longitudinal positive association with poly-unsaturated fat intake was seen.ConclusionTracking of hPDI over 10 years proved the importance of targeting these determinants in adolescents. The hPDI was indeed generally linked to a healthier dietary intake, especially more fiber, a healthier fat choice and higher vitamin intake except for lower vitamin B12 and D. Nevertheless, the latter two were not reflected in more deficiencies and nutrient status differences were limited.


2020 ◽  
Vol 45 (9) ◽  
pp. 1022-1030
Author(s):  
Courteney C. Hamilton ◽  
Steve B. Wiseman ◽  
Jennifer L. Copeland ◽  
Marc R. Bomhof

Research demonstrates that exercise acutely reduces appetite by stimulating the secretion of gut-derived satiety hormones. Currently there is a paucity of research examining the impact of postexercise nutrient intake on appetite regulation. The objective of this study was to examine how postexercise fasting versus feeding impacts the postexercise appetite response. In a randomized crossover intervention, 14 participants (body mass index: 26.9 ± 3.5 kg·m−2; age: 26.8 ± 6.7 years) received 1 of 2 recovery beverages: (i) water control (FAST) or (ii) sweetened-milk (FED) after completing a 45-min (65%–70% peak oxygen uptake) evening exercise session (∼1900 h). Energy intake was assessed through a fasted ad libitum breakfast meal and 3-day food diaries. Perceived appetite was assessed using visual analogue scales. Appetite-regulating hormones glucagon-like peptide-1 (GLP-1), peptide tyrosine-tyrosine (PYY), and acyl-ghrelin were assessed pre-exercise, 1 h after exercise, and the morning following exercise. FAST increased subjective hunger compared with FED (P < 0.05). PYY and GLP-1 after exercise were decreased and acyl-ghrelin was increased in FAST, with these differences disappearing the day after exercise (P < 0.05). Ad libitum energy intake at breakfast the following morning did not differ between trials. Overall, in the absence of postexercise macronutrient consumption, there was a pronounced increase in objective and subjective appetite after exercise. The orexigenic effects of postexercise fasting, however, were not observed the morning following exercise. Novelty Postexercise fasting leads to reduced GLP-1 and PYY and increased hunger. Reduced GLP-1 and PYY after exercise is blunted by postexercise nutrient intake. Energy intake the day after exercise is not influenced by postexercise fasting.


2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S282-S282
Author(s):  
Y E YOON ◽  
H M Kim ◽  
J H Kim ◽  
Y H Youn ◽  
H J Park ◽  
...  

Abstract Background Anthropometric data and dietary intake pattern are poorly known in Asian inflammatory bowel disease (IBD) patients. The aim of this study was to investigate the nutritional status and nutrient intake of IBD patients compared with control population. Methods From February to June 2018, a total of 65 outpatients, including 33 ulcerative colitis (UC) and 32 Crohn’s disease (CD) were prospectively enrolled in Gangnam Severance Hospital. As a control group, age- and gender-matched 260 subjects were included among the Korean National Health and Nutrition Examination Survey (KNHANES) data. Anthropometry and body composition data were collected by bioelectrical impedance analysis(BIA); meanwhile, nutrient intake was measured based on diet diary. Results Based on Asia Pacific criteria, more than half of both UC and control group were obese or overweight, on the other hands, CD was relatively low, about 1/3. Compared with the UC group, body fat index including both fat mass index (FMI) and body fat percentage (BFP) were significantly lower in the CD group. Following nutrients intake including intake of energy, carbohydrate, niacin, sodium and potassium were significantly lower in UC than the control group. Meanwhile, intake of carbohydrate, thiamine, niacin, sodium, potassium and iron was significantly lower in CD than the control group. In addition, the ratio of energy intake through protein and fat was significantly higher in the IBD than the control group. Conclusion Similar to the control group, more than half of UC patients were overweight or obesity, meanwhile, the proportion of obese patients in CD was lower than in the control group. The ratio of energy intake through protein and fat was significantly higher in IBD than in the control group. Our results may have clinical implications for risk of IBD development in terms of dietary pattern and further direction of nutritional intervention.


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