scholarly journals Predictors of Post-Exercise Energy Intake in Adolescents Ranging in Weight Status from Overweight to Severe Obesity

Nutrients ◽  
2022 ◽  
Vol 14 (1) ◽  
pp. 223
Author(s):  
Nicole Fearnbach ◽  
Amanda E. Staiano ◽  
Neil M. Johannsen ◽  
Daniel S. Hsia ◽  
Robbie A. Beyl ◽  
...  
Keyword(s):  
Body Size ◽  
Energy Intake ◽  
Exercise Test ◽  
Test Meal ◽  
Weight Status ◽  
Severe Obesity ◽  
Overweight And Obesity ◽  
Post Exercise ◽  
Body Composition Change ◽  
Ad Libitum

Exercise may sensitize individuals with overweight and obesity to appetitive signals (e.g., hunger and fullness cues), overriding trait eating behaviors that contribute to overeating and obesity, such as uncontrolled eating. The objective of the current study was to measure predictors of objective ad libitum energy intake at a laboratory-based, post-exercise test-meal in adolescents ranging in weight status from overweight to severe obesity. We hypothesized that appetitive states, rather than appetitive traits, would be the strongest predictors of energy intake at a post-exercise test-meal, after controlling for body size. At Baseline, 30 adolescents (ages 10–16 years, 50% female (F), 43% non-Hispanic white (NHW), 83% with obesity (OB)) completed state and trait appetite measures and an ad libitum dinner meal following intensive exercise. Nineteen of those participants (47% F, 32% NHW, 79% OB) completed identical assessments two years later (Year 2). Energy intake (kcal) at each time point was adjusted for fat-free mass index (i.e., body size). Adjusted energy intake was reliable from Baseline to Year 2 (ICC = 0.84). Multiple pre-meal appetite ratings were associated with test-meal energy intake. In stepwise linear regression models, pre-meal prospective food consumption was the strongest and only significant predictor of test-meal energy intake at both Baseline (R2 = 0.25, p = 0.005) and Year 2 (R2 = 0.41, p = 0.003). Baseline post-exercise energy intake was associated with weight change over two years (R2 = 0.24, p = 0.04), but not with change in fat mass (p = 0.11). Appetitive traits were not associated with weight or body composition change (p > 0.22). State appetite cues were the strongest predictors of post-exercise energy intake, independent of body size. Future studies should examine whether long-term exercise programs enhance responsiveness to homeostatic appetite signals in youth with overweight and obesity, with a goal to reduce excess energy intake and risk for weight gain over time.

scholarly journals Energy intake, gastrointestinal transit, and gut hormone release in response to oral triglycerides and fatty acids in men with and without severe obesity

2019 ◽  
Vol 316 (3) ◽  
pp. G332-G337 ◽  
Author(s):  
Carsten Dirksen ◽  
Jesper Graff ◽  
Stefan Fuglsang ◽  
Jens F. Rehfeld ◽  
Jens J. Holst ◽  
...  
Keyword(s):  
Fatty Acids ◽  
Oleic Acid ◽  
Olive Oil ◽  
Energy Intake ◽  
Severe Obesity ◽  
Gastrointestinal Transit ◽  
Calorie Intake ◽  
Double Blind ◽  
Gut Hormone ◽  
Ad Libitum

Dietary fat, and particularly fatty acids (FAs) from hydrolyzed triglycerides (TGs), reduces appetite, whereas paradoxically, a high-fat diet leads to excess calorie intake. We therefore hypothesized that the appetite-regulating effects of FAs are perturbed in obesity. Ten men with severe obesity [median body mass index (BMI) of 51.0 kg/m2(range of 47.9–69.0)] and 10 men without obesity [BMI of 24.6 kg/m2(range of 21.7–26.8)] were recruited for a double-blind randomized crossover study. On two occasions, participants were given isocaloric (2,660 kJ) and isovolemic (80 ml) loads of either oleic acid (long-chain FA) or olive oil (TG) containing radiolabeled lipid and water markers. Postload scintigraphy, blood sampling, and assessment of appetite were performed for 10 h, after which an ad libitum meal was served. Compared with olive oil, oleic acid slowed gastric mean emptying time (GMET) for lipids ( P < 0.001), accelerated orocoecal transit time (OCTT; P = 0.005), increased postload cholecystokinin section ( P < 0.001), and suppressed ad libitum energy intake ( P = 0.028) in men with severe obesity, and similar effects were seen in the nonobese group (no group × lipid interactions). However, independent of lipid loads, GMET and OCTT were slower (GMETlipidP = 0.046; GMETwaterP = 0.003; OCTT P = 0.001), and basal and postload secretion of glucagon-like peptide-1 (GLP-1) was attenuated ( P = 0.045 and P = 0.048, respectively) in men with severe obesity compared with men without obesity. We conclude that the more potent appetite-regulating effects of oleic acid versus olive oil are unimpaired in men with severe obesity. However, regardless of lipid formulations, severe obesity is associated with slowed gastrointestinal transit and attenuated GLP-1 secretion.NEW & NOTEWORTHY Orally ingested fatty acids more efficiently reduce appetite and energy intake than triglycerides also in men with severe obesity. Men with severe obesity have delayed gastrointestinal transit and attenuated early gut hormone responses after an oral lipid load compared with men without obesity.

scholarly journals 58 Overweight and obesity in children with autism spectrum disorder: Findings from primary care electronic medical records

2020 ◽  
Vol 25 (Supplement_2) ◽  
pp. e24-e24
Author(s):  
Laura M Kinlin ◽  
Sarah Carsley ◽  
Charles Keown-Stoneman ◽  
Natasha Saunders ◽  
Karen Tu ◽  
...  
Keyword(s):  
Primary Care ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Weight Status ◽  
Severe Obesity ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Overweight And Obesity ◽  
Typically Developing ◽  
Increased Risk

Abstract Introduction/Background Paediatric overweight and obesity are important public health problems worldwide. Children with autism spectrum disorder (ASD) may be at increased risk compared to their typically-developing peers; however, prevalence estimates in ASD have varied widely and existing studies have largely been limited by use of an external comparison group. Objectives To compare prevalence of overweight and obesity in children and youth (&lt;19 years of age) with and without ASD, using electronic medical record data from paediatric primary care visits. Design/Methods This was a cross-sectional analysis of EMRPC (Electronic Medical Records Primary Care) data, representing 385 family physicians in 43 clinics in Ontario, Canada. Age- and sex-standardized body mass index (BMI) z-scores were calculated using abstracted heights and weights from the most recent visit between January 2011 and December 2015. Weight status was determined using World Health Organization growth reference standards. ASD was defined using a previously-validated algorithm in EMRPC, based on an ASD-related term in the ‘Cumulative Patient Profile.’ Chi-square test statistics and multinomial logistic regression were used to compare weight status of those with and without ASD. Results In total, 44,625 children and youth were included, 632 [1.42%] with ASD. Distribution of weight status was significantly different between those with and without ASD (p&lt;0.001) [Table 1]. Compared to their typically-developing peers, children with ASD had significantly higher odds of overweight (unadjusted odds ratio [OR] 1.52; 95% confidence interval [CI] 1.24-1.87), obesity (unadjusted OR 2.55 (2.00-3.26) and severe obesity (unadjusted OR 3.09; 95% CI 2.08-4.60); these associations persisted after adjusting for sex, age, neighborhood income quintile and rural residence (Table 2). Conclusion Data from a large primary care database suggest that children with ASD are at substantially increased risk of overweight, obesity and severe obesity. Findings support the need for anticipatory guidance, prevention and management strategies specific to this clinical population. Future work will aim to better understand at what age differences in weight status emerge, and what nutritional, behavioural, or medical factors differentially affect weight status in the ASD population.

scholarly journals Post-Exercise Appetite and Ad Libitum Energy Intake in Response to High-Intensity Interval Training versus Moderate- or Vigorous-Intensity Continuous Training among Physically Inactive Middle-Aged Adults

Nutrients ◽  
2018 ◽  
Vol 10 (10) ◽  
pp. 1408 ◽  
Author(s):  
Eric Poon ◽  
Feng-Hua Sun ◽  
Anthony Chung ◽  
Stephen Wong
Keyword(s):  
Energy Intake ◽  
Interval Training ◽  
High Intensity Interval Training ◽  
Middle Aged ◽  
Continuous Training ◽  
Post Exercise ◽  
Ad Libitum ◽  
High Intensity Interval ◽  
Middle Aged Adults ◽  
Physically Inactive

High-intensity interval training (HIIT) is considered a time-efficient exercise strategy for weight management. However, data regarding the acute appetite and energy intake responses to HIIT versus continuous training remain inconclusive. This study investigated the ad libitum energy intake and appetite responses to a single session of HIIT versus moderate-intensity continuous training (MICT) and vigorous-intensity continuous training (VICT). Using a randomized crossover design, 11 middle-aged physically inactive men (45.7 ± 7.4 years, 23.5 ± 2.1 kg m−2) participated in three treadmill trials at 7-day intervals. HIIT comprised 10 1-min periods at 100% VO2max interspersed with 1-min periods of active recovery. MICT comprised a 40-min session at 65% VO2max, while VICT comprised a 20-min session at 80% VO2max. After each trial, the participants consumed an ad libitum buffet meal for which the energy intake was recorded. The participants’ perceived appetite was assessed before and after exercise sessions using the Visual Analogue Scale (VAS). No significant differences in post-exercise ad libitum energy intake were observed between trials (HIIT: 645 ± 262.9 kcal; MICT: 614.7 ± 271.2 kcal; VICT: 623.1 ± 249.0 kcal, p > 0.05). Although the perceived appetite responses exhibited a significant main effect of time (p < 0.01), no group differences were observed (p > 0.05). In summary, these findings suggest that the interval or continuous nature of exercise has no significant effect on appetite responses in physically inactive middle-aged adults, at least during the short-term post-exercise period.

scholarly journals Effects of active commuting and leisure-time exercise on appetite in individuals with overweight and obesity

2019 ◽  
Vol 126 (4) ◽  
pp. 941-951 ◽  
Author(s):  
Jonas Salling Quist ◽  
Martin Bæk Blond ◽  
Anne Sofie Gram ◽  
Carina Bjørnskov Steenholt ◽  
Charlotte Janus ◽  
...  
Keyword(s):  
Energy Intake ◽  
Food Consumption ◽  
Leisure Time ◽  
Acute Exercise ◽  
Controlled Trial ◽  
Overweight And Obesity ◽  
Active Commuting ◽  
Vigorous Intensity ◽  
Ad Libitum

Acute exercise is associated with a transient suppression of appetite. The effects of regular exercise on appetite are not well understood. We aimed to determine the effects of active commuting and leisure-time exercise on appetite. One hundred thirty physically inactive women and men (20–45 yr) with overweight and obesity were randomized to 6 mo of habitual lifestyle (CON, n = 18), active commuting (BIKE, n = 35), or leisure-time exercise of moderate [MOD, 50% peak oxygen uptake (V̇o2peak)-reserve, n = 39] or vigorous (VIG, 70% V̇o2peak-reserve, n = 38) intensity. Appetite ratings, acylated ghrelin, cholecystokinin (CCK), glucagon-like peptide-1 (GLP-1), peptide YY (PYY), and glucagon were assessed in the basal state and in response to meal and exercise challenges at baseline and 3 and 6 mo. Ad libitum energy intake was determined during test meals. Data from 90 participants (per protocol) were available, and results are comparisons with CON. At 3 mo, ad libitum energy intake was lower in VIG (−22%, P < 0.01), basal glucagon was lower in BIKE ( P < 0.05) and VIG ( P = 0.01), and postprandial ratings of prospective food consumption were lower in MOD ( P = 0.02) and VIG ( P < 0.001). In VIG, ratings of hunger ( P = 0.01) and prospective food consumption ( P = 0.03) were lower after acute exercise at 3 mo. At 6 mo, basal and postprandial GLP-1 were higher ( P ≤ 0.04) whereas postexercise PYY was lower ( P = 0.03) in VIG and postexercise CCK was lower in BIKE ( P = 0.03). Vigorous-intensity exercise training leads to a transient suppression of energy intake and subjective appetite (3 mo) but a more long-term increase in basal and postprandial GLP-1 (6 mo) in individuals with overweight and obesity.NEW & NOTEWORTHY This is the first randomized controlled trial, to our knowledge, investigating long-term effects of exercise domain and intensity on subjective and hormonal markers of appetite and ad libitum energy intake in individuals with overweight and obesity. Appetite was assessed in response to meal and exercise challenges at baseline and at 3 and 6 mo. Anorexigenic effects of exercise vary with the duration of intervention and are restricted to regular leisure-time exercise of vigorous intensity in individuals with overweight and obesity.

scholarly journals Acute ingestion of resistant starch reduces food intake in healthy adults

2009 ◽  
Vol 103 (6) ◽  
pp. 917-922 ◽  
Author(s):  
Caroline L. Bodinham ◽  
Gary S. Frost ◽  
M. Denise Robertson
Keyword(s):  
Energy Intake ◽  
Test Meal ◽  
Resistant Starch ◽  
Insulin Response ◽  
Postprandial Glucose ◽  
Adult Males ◽  
C Peptide ◽  
Postprandial Plasma Glucose ◽  
The Metabolic Syndrome ◽  
Ad Libitum

Resistant starch (RS), a non-viscous dietary fibre, may have postprandial effects on appetite regulation and metabolism, although the exact effects and mechanisms are unknown. An acute randomised, single-blind crossover study, aimed to determine the effects of consumption of 48 g RS on appetite compared to energy and available carbohydrate-matched placebo. Twenty young healthy adult males consumed either 48 g RS or the placebo divided equally between two mixed meals on two separate occasions. Effects on appetite were assessed, using anad libitumtest meal and 24-h diet diaries for energy intake, and using visual analogue scales for subjective measures. Changes to postprandial glucose, insulin and C-peptide were also assessed. There was a significantly lower energy intake following the RS supplement compared to the placebo supplement at both thead libitumtest meal (5241 (sem313)v. 5606 (sem345) kJ,P = 0·033) and over the 24 h (12 603 (sem519)v. 13 949 (sem755) kJ,P = 0·044). However, there was no associated effect on subjective appetite measures. Postprandial plasma glucose concentrations were not significantly different between supplements, but there was a significantly lower postprandial insulin response following the RS supplement (P = 0·029). The corresponding C-peptide concentrations were not significantly different, although the ratio of C-peptide to insulin was higher following the RS supplement compared to placebo (P = 0·059). These results suggest that consumption of 48 g RS, over a 24-h period, may be useful in the management of the metabolic syndrome and appetite. Further studies are required to determine the exact mechanisms.

scholarly journals Dose–response effect of a whey protein preload on within-day energy intake in lean subjects

2010 ◽  
Vol 104 (12) ◽  
pp. 1858-1867 ◽  
Author(s):  
Nerys M. Astbury ◽  
Emma J. Stevenson ◽  
Penelope Morris ◽  
Moira A. Taylor ◽  
Ian A. Macdonald
Keyword(s):  
Whey Protein ◽  
Energy Intake ◽  
Dose Response ◽  
Test Meal ◽  
Healthy Weight ◽  
Crossover Designs ◽  
Men And Women ◽  
Response Effect ◽  
Ad Libitum ◽  
Dose Response Effect

The effect of consuming different amounts of whey protein on appetite and energy intake was investigated in two separate studies using randomised, crossover designs. Healthy-weight men and women (range: BMI 19·0–25·0 kg/m2, age 19·4–40·4 years) consumed one of four 400 ml liquid preloads, followed by an ad libitum test meal 90 min later. In study 1, preloads were 1675 kJ with 12·5, 25 or 50 % of energy from protein, and in study 2, preloads were 1047 kJ with 10, 20 or 40 % energy from protein. Flavoured water was used as the control in both the studies. Appetite ratings were collected immediately before 30, 60 and 90 min after consuming the preloads; and immediately, 30 and 60 min after consuming the test meal. In study 1, energy intake following the control preload (4136 (sem 337) kJ) was significantly higher than each of the 12·5 % (3520 (sem 296) kJ), 25 % (3384 (sem 265) kJ) and 50 % (2853 (sem 244) kJ) protein preloads (P < 0·05). Intake after the 12·5 % preload was significantly higher than following 25 and 50 % preloads (P < 0·05). In study 2, energy intake following the control preload (4801 (sem 325) kJ) was higher than following the 10 % (4205 (sem 310) kJ), 20 % (3988 (sem 250) kJ) and 40 % (3801 (sem 245) kJ) protein preloads (P < 0·05). There were no differences in subjective appetite ratings between preloads in either study. These findings indicate a dose–response effect of protein content of the preload on energy intake at a subsequent meal.

Individual Differences in Post-exercise Ad Libitum Energy Intake in Children

2016 ◽  
Vol 48 ◽  
pp. 157
Author(s):  
Stephanie Nicole Fearnbach ◽  
Travis D. Masterson ◽  
Haley A. Schlechter ◽  
Danielle Symons Downs ◽  
David Thivel ◽  
...  
Keyword(s):  
Individual Differences ◽  
Energy Intake ◽  
Post Exercise ◽  
Ad Libitum

scholarly journals Faster eating rates are associated with higher energy intakes during an ad libitum meal, higher BMI and greater adiposity among 4·5-year-old children: results from the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) cohort

2017 ◽  
Vol 117 (7) ◽  
pp. 1042-1051 ◽  
Author(s):  
Anna Fogel ◽  
Ai Ting Goh ◽  
Lisa R. Fries ◽  
Suresh A. Sadananthan ◽  
S. Sendhil Velan ◽  
...  
Keyword(s):  
Energy Intake ◽  
Weight Status ◽  
Energy Content ◽  
Whole Body ◽  
Growing Up ◽  
Eating Rate ◽  
Eating Behaviours ◽  
Child Weight ◽  
Ad Libitum ◽  
The Relationship

AbstractFaster eating rates are associated with increased energy intake, but little is known about the relationship between children’s eating rate, food intake and adiposity. We examined whether children who eat faster consume more energy and whether this is associated with higher weight status and adiposity. We hypothesised that eating rate mediates the relationship between child weight and ad libitum energy intake. Children (n 386) from the Growing Up in Singapore Towards Healthy Outcomes cohort participated in a video-recorded ad libitum lunch at 4·5 years to measure acute energy intake. Videos were coded for three eating-behaviours (bites, chews and swallows) to derive a measure of eating rate (g/min). BMI and anthropometric indices of adiposity were measured. A subset of children underwent MRI scanning (n 153) to measure abdominal subcutaneous and visceral adiposity. Children above/below the median eating rate were categorised as slower and faster eaters, and compared across body composition measures. There was a strong positive relationship between eating rate and energy intake (r 0·61, P<0·001) and a positive linear relationship between eating rate and children’s BMI status. Faster eaters consumed 75 % more energy content than slower eating children (Δ548 kJ (Δ131 kcal); 95 % CI 107·6, 154·4, P<0·001), and had higher whole-body (P<0·05) and subcutaneous abdominal adiposity (Δ118·3 cc; 95 % CI 24·0, 212·7, P=0·014). Mediation analysis showed that eating rate mediates the link between child weight and energy intake during a meal (b 13·59; 95 % CI 7·48, 21·83). Children who ate faster had higher energy intake, and this was associated with increased BMI z-score and adiposity.

scholarly journals The acute effects of four protein meals on insulin, glucose, appetite and energy intake in lean men

2010 ◽  
Vol 104 (8) ◽  
pp. 1241-1248 ◽  
Author(s):  
Sebely Pal ◽  
Vanessa Ellis
Keyword(s):  
Energy Intake ◽  
Test Meal ◽  
Insulin Response ◽  
Area Under The Curve ◽  
Strong Relationship ◽  
Postprandial Glucose ◽  
Reduce Food Intake ◽  
Glucose Response ◽  
Protein Meal ◽  
Ad Libitum

Different dietary proteins vary in their ability to influence satiety and reduce food intake. The present study compared the effects of four protein meals, whey, tuna, turkey and egg albumin, on postprandial glucose and insulin concentrations as well as on appetite measures and energy intake in twenty-two lean, healthy men. This was a randomised, cross-over design study where participants consumed four liquid test meals on separate occasions followed by the collection of regular blood samples (fasting, +30, 60, 90, 120, 180 and 240 min). They were then offered a buffet meal 4 h later. The blood glucose response after the consumption of the test meal, as an incremental area under the curve (AUC), was significantly lower with the whey meal than with the turkey (P < 0·023) and egg (P < 0·001) meals, but it was not lower than with the tuna meal (P < 0·34). The AUC blood insulin after the consumption of the test meal was significantly higher with the whey meal than with the tuna, turkey and egg meals (all P < 0·001). The AUC rating of hunger was significantly lower with the whey meal than with the tuna (P < 0·033), turkey (P < 0·001) and egg (P < 0·001) meals. Mean energy intake at the ad libitum meal was significantly lower (P < 0·001) with the whey meal than with the tuna, egg and turkey meals. There was a strong relationship between self-rated appetite, postprandial insulin response and energy intake at lunch. Whey protein meal produced a greater insulin response, reduced appetite and decreased ad libitum energy intake at a subsequent meal compared with the other protein meals, indicating a potential for appetite suppression and weight loss in overweight or obese individuals.

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