scholarly journals Longitudinal changes in energy balance during pregnancy in South African women from the Tlokwe Municipal area

2019 ◽  
Author(s):  
Van Fourie Oort ◽  
Sarah J Moss ◽  
Y Schutz

Abstract Background Energy balance in the era of obesity, contributes to challenges in healthy weight maintenance. The study aims to determine the changes in energy intake and expenditure from the first to the third trimester of pregnancy in women from the Tlokwe Municipal area.Methods We followed a longitudinal observational design to measure healthy pregnant women in the first (9–12 weeks), second (20–22 weeks) and third trimester (28–32 weeks). A valitdated, semi-quantitative food frequency questionnaire determined energy and macronutrient intakes. Energy expenditure (EE) was calculated from resting energy expenditure, as measured by indirect calorimetry (FitMate®), whereas activity energy expenditure was measured by combining heart rate and accelerometry (ActiHeart®). Energy balance was calculated as the difference between energy expenditure and energy intake. A mixed-model analysis was performed to determine significant differences between energy expenditure and intake during pregnancy.Results Energy intake increased from the first (8841 ± 3456 kJ/day) to the second trimester (9134 ± 3046 kJ/day) and declined in the third trimester of pregnancy (8171 ± 3017 kJ/day). A negative energy balance was found during the first (-1374 ± 4548 kJ/day) and third trimesters (-1331 ± 3734 kJ/day), whereas a minor positive energy balance was observed in the second trimester (380 ± 14212 kJ/day). Resting energy expenditure showed significant differences between the second and third, as well as the first and third trimesters. Changes in activity energy expenditure throughout pregnancy showed practical significance between the first and third trimesters.Conclusions Energy intake and expenditure during pregnancy did not differ. The additional energy expenditure in the third trimester could be attributed to resting energy expenditure and a decrease in activity energy expenditure.

1999 ◽  
Vol 2 (3a) ◽  
pp. 335-339 ◽  
Author(s):  
Marleen A. Van Baak

AbstractEnergy expenditure rises above resting energy expenditure when physical activity is performed. The activity-induced energy expenditure varies with the muscle mass involved and the intensity at which the activity is performed: it ranges between 2 and 18 METs approximately. Differences in duration, frequency and intensity of physical activities may create considerable variations in total energy expenditure. The Physical Activity Level (= total energy expenditure divided by resting energy expenditure) varies between 1.2 and 2.2–2.5 in healthy adults. Increases in activity-induced energy expenditure have been shown to result in increases in total energy expenditure, which are usually greater than the increase in activity-induced energy expenditure itself. No evidence for increased spontaneous physical activity, measured by diary, interview or accelerometer, was found. However, this does not exclude increased physical activity that can not be measured by these methods. Part of the difference may also be explained by the post-exercise elevation of metabolic rate.If changes in the level of physical activity affect energy balance, this should result in changes in body mass or body composition. Modest decreases of body mass and fat mass are found in response to increases in physical activity, induced by exercise training, which are usually smaller than predicted from the increase in energy expenditure. This indicates that the training-induced increase in total energy expenditure is at least partly compensated for by an increase in energy intake. There is some evidence that the coupling between energy expenditure and energy intake is less at low levels of physical activity. Increasing the level of physical activity for weight loss may therefore be most effective in the most sedentary individuals.


2019 ◽  
Vol 150 (3) ◽  
pp. 458-463 ◽  
Author(s):  
Mathijs Drummen ◽  
Lea Tischmann ◽  
Blandine Gatta-Cherifi ◽  
Mikael Fogelholm ◽  
Anne Raben ◽  
...  

ABSTRACT Background Weight loss has been associated with adaptations in energy expenditure. Identifying factors that counteract these adaptations are important for long-term weight loss and weight maintenance. Objective The aim of this study was to investigate whether increased protein/carbohydrate ratio would reduce adaptive thermogenesis (AT) and the expected positive energy balance (EB) during weight maintenance after weight loss in participants with prediabetes in the postobese state. Methods In 38 participants, the effects of 2 diets differing in protein/carbohydrate ratio on energy expenditure and respiratory quotient (RQ) were assessed during 48-h respiration chamber measurements ∼34 mo after weight loss. Participants consumed a high-protein (HP) diet (n = 20; 13 women/7 men; age: 64.0 ± 6.2 y; BMI: 28.9 ± 4.0 kg/m 2) with 25:45:30% or a moderate-protein (MP) diet (n = 18; 9 women/9 men; age: 65.1 ± 5.8 y; BMI: 29.0 ± 3.8 kg/m 2) with 15:55:30% of energy from protein:carbohydrate:fat. Predicted resting energy expenditure (REEp) was calculated based on fat-free mass and fat mass. AT was assessed by subtracting measured resting energy expenditure (REE) from REEp. The main outcomes included differences in components of energy expenditure, substrate oxidation, and AT between groups. Results EB (MP = 0.2 ± 0.9 MJ/d; HP = −0.5 ± 0.9 MJ/d) and RQ (MP = 0.84 ± 0.02; HP = 0.82 ± 0.02) were reduced and REE (MP: 7.3 ± 0.2 MJ/d compared with HP: 7.8 ± 0.2 MJ/d) was increased in the HP group compared with the MP group (P < 0.05). REE was not different from REEp in the HP group, whereas REE was lower than REEp in the MP group (P < 0.05). Furthermore, EB was positively related to AT (rs = 0.74; P < 0.001) and RQ (rs = 0.47; P < 0.01) in the whole group of participants. Conclusions In conclusion, an HP diet compared with an MP diet led to a negative EB and counteracted AT ∼34 mo after weight loss, in participants with prediabetes in the postobese state. These results indicate the relevance of compliance to an increased protein/carbohydrate ratio for long-term weight maintenance after weight loss. The trial was registered at clinicaltrials.gov as NCT01777893.


2008 ◽  
Vol 99 (5) ◽  
pp. 1149-1156 ◽  
Author(s):  
Floor Remmers ◽  
Michiel F. Schreuder ◽  
Reinoud J. B. J. Gemke ◽  
Henriette A. Delemarre-van de Waal

Both in man and in animal models, changes in food intake and body composition in later life have been reported after alterations in perinatal nutrition. Therefore, we hypothesised that early postnatal undernutrition in the rat induces permanent changes in energy balance. Food restriction (FR) during lactation was achieved by enlarging litter size to twenty pups, whereas control animals were raised in litters containing ten pups. Energy intake and resting energy expenditure were determined in adult males. Early postnatal FR resulted in acute growth restriction followed by incomplete catch-up in body weight, body length and BMI. At the age of 12 months, middle-aged FR males had significantly lower absolute resting energy expenditure (200 v. 216 kJ/24 h, P = 0·009), absolute energy intake (281 v. 310 kJ/24 h, P = 0·001) and energy intake adjusted for BMI (284 v. 305 kJ/24 h, P = 0·016) than controls, whereas resting energy expenditure adjusted for BMI did not differ significantly between the groups (204 v. 211 kJ/24 h, P = 0·156). The amount of energy remaining for other functions was lower in FR males (80 v. 94 kJ/24 h, P = 0·044). Comparable data were obtained at the age of 6 months. These results indicate that in rats energy balance can be programmed by early nutrition. A low early postnatal food intake appears to programme these animals for a low energy intake and to remain slender in adult life.


2015 ◽  
Vol 75 (3) ◽  
pp. 319-327 ◽  
Author(s):  
David J. Clayton ◽  
Lewis J. James

The belief that breakfast is the most important meal of day has been derived from cross-sectional studies that have associated breakfast consumption with a lower BMI. This suggests that breakfast omission either leads to an increase in energy intake or a reduction in energy expenditure over the remainder of the day, resulting in a state of positive energy balance. However, observational studies do not imply causality. A number of intervention studies have been conducted, enabling more precise determination of breakfast manipulation on indices of energy balance. This review will examine the results from these studies in adults, attempting to identify causal links between breakfast and energy balance, as well as determining whether consumption of breakfast influences exercise performance. Despite the associations in the literature, intervention studies have generally found a reduction in total daily energy intake when breakfast is omitted from the daily meal pattern. Moreover, whilst consumption of breakfast supresses appetite during the morning, this effect appears to be transient as the first meal consumed after breakfast seems to offset appetite to a similar extent, independent of breakfast. Whether breakfast affects energy expenditure is less clear. Whilst breakfast does not seem to affect basal metabolism, breakfast omission may reduce free-living physical activity and endurance exercise performance throughout the day. In conclusion, the available research suggests breakfast omission may influence energy expenditure more strongly than energy intake. Longer term intervention studies are required to confirm this relationship, and determine the impact of these variables on weight management.


2018 ◽  
Vol 30 (4) ◽  
pp. 506-515 ◽  
Author(s):  
Keren Susan Cherian ◽  
Ashok Sainoji ◽  
Balakrishna Nagalla ◽  
Venkata Ramana Yagnambhatt

Purpose: To evaluate energy expenditure, energy intake, and nutrient adequacy of Indian junior soccer players. Method: Forty junior national-level soccer players (Under-12 and Under-16 age groups) were assessed for 3-day weighed food records and 3-day energy expenditure. Energy and nutrient intake was analyzed from food records, and energy expenditure was measured using a portable metabolic analyzer and activity records. Nutrient adequacy was determined by comparing intake with prevailing recommendations. Results: Players exhibited no significant difference between energy intake (boys = 3062 [340.9] and girls = 2243 [320.3] kcal·d−1) and expenditure (boys = 2875 [717.3] and girls = 2442 [350.3] kcal·d−1). Across age groups, the Under-12 boys showed positive energy balance as against energy deficits in Under-16. Girls showed energy deficits, although not significant. There were 58% of girls showing energy availability <30 kcal·kg−1 fat-free mass, of which 37% were Under-16 players. Carbohydrates contributed to >60% of energy expenditure among 95.2% boys and 73.7% girls. Among 52.4% boys and 47.4% girls, <25% of energy expenditure was contributed by fat. More than 95% players consumed <1 g·kg−1 carbohydrates pretraining and 100% of them consumed >1.2 g·kg−1 carbohydrates posttraining. Conclusion: Junior soccer players consumed more than recommended carbohydrates in the diet, although not aligning with the pretraining, during training, and posttraining meal requirements. Considering the energy deficits observed among Under-16 players, a suitable dietary modification is warranted.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Kiley Vander Wyst ◽  
Matthew Buman ◽  
Gabriel Shaibi ◽  
Megan Petrov ◽  
Elizabeth Reifsnider ◽  
...  

Abstract Objectives Resting energy expenditure (REE) comprises 60% of total energy expenditure and variations may be associated with gestational weight gain (GWG). There is a paucity of research investigating the relationship between REE and GWG. We investigated variations in REE and dietary composition throughout the second trimester and their association with GWG. Methods In this controlled trial, pregnant women (N = 16, mean age of 29.9 ± 4.3 years) with a gestational age < 17 weeks used the Breezing™ device for 13 weeks. This device is a real-time metabolism tracker that measures REE via indirect calorimetry. Height, weight, REE, and dietary intake via 24-hr recall were assessed every 2 weeks. Rate of GWG was calculated as weight gain divided by number of study weeks. Early (EC, GA wks 14–21), late (LC, GA wks 21–28), and overall (OC, GA wks 14–28) changes in macronutrient composition, REE, and GWG were used to evaluate time-specific associations. Group differences were analyzed using a General Linear Model in SPSS Version 25. Results Among the 16 participants, 25% of women were normal weight, 50% were overweight, and 25% were obese at study start. Women had a total and rate of GWG of 8.1 ± 2.9 kg and 0.6 ± 0.2 kg/wk, respectively. REE increased 72 ± 211 kcals/d during the early period, 121 ± 294 kcals/d during the late period, and 200 ± 316 kcals/d overall (from 1544 ± 237 kcal/d to 1744 ± 384 kcal/d). Early changes in REE were significantly correlated with the late changes in total (r = 0.52, P = 0.04) and rate of weight gain (r = 0.54, P = 0.03). A correlation between overall changes in REE and total weight gain was moderate and approached significance, r = 0.44, P = 0.09. Changes in total energy, fat, carbohydrate, and protein intake were not correlated with changes in REE; however, a moderate relationship between early changes in REE and overall changes in energy intake approached significance, r = 0.46, P = 0.07. Changes in GWG and REE did not differ among normal, overweight, or obese women (EC: F(2,15) = 0.36, P = 0.70; LC: F(2,15) = 2.37, P = 0.13; OC: F(2.15) = 1.27, P = 0.31). Conclusions Early changes in REE demonstrated a moderate, positive correlation with total and rate of GWG suggesting that assessment of REE early in pregnancy may help understand changes in GWG. Future research that evaluates both REE and dietary composition throughout pregnancy may provide insight into appropriate GWG. Funding Sources Project HoneyBee, Arizona State University.


2019 ◽  
Vol 44 (2) ◽  
pp. 172-178 ◽  
Author(s):  
Matthew M. Schubert ◽  
Elyse A. Palumbo

CrossFit (CF; CrossFit Inc., Washington, DC, USA) is a form of high-intensity functional training that focuses on training across the entire spectrum of physical fitness. CF has been shown to improve a number of indicators of health but little information assessing energy balance exists. The purpose of the present study was to investigate energy balance during 1 week of CF training. Men and women (n = 21; mean ± SD; age, 43.5 ± 8.4 years; body mass index, 27.8 ± 4.9 kg·m−2), with ≥3 months CF experience, had body composition assessed via air displacement plethysmography before and after 1 week of CF training. Participants wore ActiHeart monitors to assess total energy expenditure (TEE), activity energy expenditure, and CF energy expenditure (CF EE). Energy intake was assessed from TEE and Δ body composition. CF EE averaged 605 ± 219 kcal per 72 ± 10 min session. Weekly CF EE was 2723 ± 986 kcal. Participants were in an energy deficit (TEE: 3674 ± 855 kcal·day−1; energy intake: 3167 ± 1401 kcal·day−1). Results of the present study indicate that CF training can account for a significant portion of daily activity energy expenditure. The weekly expenditure is within levels shown to induce clinically meaningful weight loss in overweight/obese populations.


2015 ◽  
Vol 27 (3) ◽  
pp. 241-246 ◽  
Author(s):  
Matthew G. Browning ◽  
Ronald K. Evans

AbstractOwing to the strong relationship between fat-free mass (FFM) and resting energy expenditure (REE), the preservation of FFM is often emphasized in the treatment of adolescent obesity. Typical treatment regimens including an increased dietary consumption of protein and participation in resistance training are common components of adolescent weight management programs, despite limited evidence of a positive influence of FFM on weight loss outcomes in adolescents. Given the larger volume of FFM in obese relative to normal weight adolescents and the common treatment goals of both maximizing weight loss and attenuating the loss of FFM, a better understanding of the influence of FFM on energy balance is needed to determine whether strategies to preserve lean tissue or maximize absolute weight loss should be most emphasized. We review the associations among FFM, REE, and weight loss outcomes, focusing on how these relationships might influence energy balance in obese adolescents.


2015 ◽  
Vol 13 (3) ◽  
pp. 66-71 ◽  
Author(s):  
Todd Hagobian ◽  
Alyssa D’Amico ◽  
Camille Vranna ◽  
Anna Brannen ◽  
Suzanne Phelan

Background and Purpose: Prenatal changes in energy intake (EI), physical activity (PA), and resting energy expenditure (REE) are important determinants of future health and obesity outcomes. This study examined changes in EI, PA and REE in 16 adult, pregnant women (75% Normal-weight, 15% overweight/obese) early in pregnancy (


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