total energy intake
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Author(s):  
Juan Carlos Brenes ◽  
Georgina Gómez ◽  
Dayana Quesada ◽  
Irina Kovalskys ◽  
Attilio Rigotti ◽  
...  

Alcohol consumption is a modifiable risk factor for non-communicable diseases. This study aimed to characterize alcohol consumers at the nutritional, anthropometric, and sociodemographic levels. Data from 9218 participants from Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela participating in “Latin American Health and Nutrition Study (ELANS)”, a multi-country, population-based study, were used. Dietary intake was collected through two, 24 h recalls. Participants were classified into consumers (n = 1073) and non-alcohol consumers (n = 8145) using a cut-off criterium of ≥15 g/day of alcohol consumption calculated from the estimation of their usual daily intake. Among alcohol consumers, the mean alcohol consumption was 69.22 ± 2.18 grams (4.6. beverages/day), contributing to 484.62 kcal, which corresponded to 16.86% of the total energy intake. We found that the risk of alcohol consumption was higher in young and middle-aged men from low and middle socioeconomic status. Argentine, Brazil, and Chile had the highest percentage of consumers, while Ecuador showed the highest alcohol consumption. Alcohol drinkers were characterized by having higher body weight and wider neck, waist, hips circumferences. Alcohol drinkers had a higher energy intake, with macronutrients providing relatively less energy at the expense of the energy derived from alcohol. Alcohol drinkers showed lower and higher consumptions of healthy and unhealthy food groups, respectively. In addition, adequacy ratios for all micronutrients assessed were lower in alcohol consumers. All these deleterious effects of alcohol on nutritional and anthropometric parameters increased with the number of alcoholic beverages consumed daily. Altogether, these findings suggest that limiting alcohol consumption can contribute to reducing the risk of obesity, metabolic syndrome, and diet-related diseases.


Author(s):  
Rebecca M. Leech ◽  
Alison C. Spence ◽  
Kathleen E. Lacy ◽  
Miaobing Zheng ◽  
Anna Timperio ◽  
...  

Abstract Background Recommendations to define eating occasions (EO) currently exist for research in adults, but not for children or adolescents. We examined how varying EO definitions affect the characterization of eating patterns in children and adolescents. Methods Cross-sectional dietary data collected using a 24-h recall data during the 2011–12 Australian National Nutrition and Physical Activity Survey (1364 boys and 1337 girls aged 2–18 years) were analyzed. Eight definitions were applied: participant-identified, time-of-day, and 6 neutral definitions (EO separated by 15- or 60-min and/or an additional energy criterion of 21 or 210 kJ). Frequency of and total energy intake from meals, snacks, and all EO were estimated. F tests stratified by gender and age-group, were used to assess differences between definitions. Agreement between definitions of meal and snack frequencies was assessed using intraclass correlation coefficients (ICC). Linear regression was used to estimate the proportion of variance in total energy intake (kJ) and BMI z-score predicted by each definition. Results Mean frequencies of meals and snacks differed between the participant-identified and time-of-day definitions, in boys and girls and for all age groups (P < 0.01). Across the six neutral definitions, there were differences between mean frequencies of EO with the largest mean difference observed for children aged 2–3 y (boys: 2.3, girls: 2.5; P < 0.003). Between the participant-identified and time-of-day definitions, there was good agreement for frequencies of snacks (ICC for both genders: 0.93) but not meals (boys: 0.36; girls: 0.38). The 15-min time interval plus 210 kJ definition of an EO consistently predicted the most variance in total energy intake (R2 range = 8.1–34.8). Definitions that delineated meals and snacks better predicted variance in BMI z-score, when compared to the neutral definitions. Conclusions How eating patterns are characterized vary depending on the EO definitions employed, particularly in young children. Variance in total energy intake was best predicted by a variation of the neutral definition whereas definitions that delineated meals and snacks performed better in relation to predicting BMI variance. Further international research that compares EO definitions in children will help inform a standard approach.


2021 ◽  
Vol 8 ◽  
Author(s):  
Walaa Abdullah Mumena

Data concerning the association between free sugar intake and nutrient intake in children in the Middle East are not available. This study aimed to explore the association between the consumption of free sugar and nutrient intake among Saudi children. A cross-sectional study included 424 Saudi children ages between 6 and 12 years old and their mothers. An online survey collected sociodemographic data from mothers. Trained data collector personal contacted mothers to arrange for a phone interview in order to collect 24-h dietary recall to assess the dietary intake of children. Only 0.90% of children consumed free sugar within the recent recommendation of the World Health Organization (WHO) of &lt;5% of total energy intake, whereas 10.6% of children consumed free sugar &lt;10% of total energy intake. The percentage of free sugar intake was negatively associated with total energy intake. Multiple linear regression analysis of free sugar consumption and nutrient intake adjusted for children's age and sex indicated that a higher percentage of free sugar intake significantly predicted lower intake of saturated fat, fiber, sodium, potassium, calcium, iron, zinc, and vitamin B12. Excessive intake of free sugar predicted a lower intake of many essential nutrients. Interventions that aim to reduce the intake of free sugar are urgently needed in order to improve diet of growing children. Future research to explore top food sources of free sugar is needed to establish effective interventions that aim to limit free sugar intake among children.


2021 ◽  
Author(s):  
Young-Jun Lee ◽  
Yeon-Hee Park ◽  
Jung-Woo Lee ◽  
Eun-Sook Sung ◽  
Hyun-Seob Lee ◽  
...  

Abstract Background: Participation in exercise, and dietary and nutritional intakes have an impact on the risk and prevalence of metabolic syndrome (MetS), but these effects may differ according to whether a person lives alone or in a multi-person household. We analyzed differences in physical activity (PA) levels and energy intake according to household-type and MetS presence among young adults, to investigate the relationships among these factors.Methods: Data of 3,974 young adults (aged > 19 years and < 40 years) were obtained from the Korean National Health and Nutrition Examination Survey (2016‒2018). We analyzed PA levels (occupational and recreational PA, and place movement) and energy intake (total, carbohydrate, protein, and fat). Results: Logistic regression data showed that low PA levels and higher energy intake were associated with MetS incidence and its components in young adults, after adjusting for body mass index, smoking, household-type, and sex. Overall, there was no significant difference in PA level between the MetS and non-MetS group. The total energy intake was higher in the MetS than in the non-MetS group (p < 0.05). These results were similar to those found in multi-person households. In single-person households, the MetS group had significantly lower PA levels (p < 0.01) and total energy intake (p < 0.05) than the non-MetS group.Conclusions: We found significant association among low PA levels, high energy intake, and MetS components in young Korean adults, but with patterns differing according to household type. Energy intake was higher in young adults with than those without MetS, who lived in multi-person households, while young adults with MetS who lived alone had lower PA levels and lower energy intake than those without MetS. These findings highlight the need for different approaches of implementing PA and nutrition strategies according to the type of household in order to prevent MetS.


2021 ◽  
pp. 1-24
Author(s):  
Jackie Shinwell ◽  
Melissa Bateson ◽  
Daniel Nettle ◽  
Gillian V. Pepper

Abstract The aim of this study was to identify the dietary-intake correlates of food insecurity in UK adults. We recruited groups of low-income participants who were classified as food insecure (n = 196) or food secure (n = 198). Participants completed up to five 24h dietary recalls. There was no difference in total energy intake by food insecurity status (βFI = −0.06, 95% CI −0.25 to 0.13). Food insecure participants consumed a less diverse diet, as evidenced by fewer distinct foods per meal (βFI = −0.27, 95% CI −0.47 to −0.07), and had more variable time gaps between meals (βFI = 0.21, 95% CI 0.01 to 0.41). These associations corresponded closely to those found in a recent U.S. study using similar measures, suggesting that the dietary intake signature of food insecurity generalizes across populations. The findings suggest that the consequences of food insecurity for weight gain and health are not due to increased energy intake. We suggest that there may be important health and metabolic effects of temporal irregularity in dietary intake, which appears to be an important component of food insecurity.


2021 ◽  
Vol 8 ◽  
Author(s):  
Nancy López-Olmedo ◽  
Ana V. Diez-Roux ◽  
Carolina Pérez-Ferrer ◽  
Francisco-Javier Prado-Galbarro ◽  
Horacio Riojas-Rodríguez ◽  
...  

Background: Little is known about the potential impact of climate change on food systems and diet. We aimed to estimate the association of changes in rainfall and temperatures with consumption of unprocessed and processed foods among residents of Mexican cities by climate region.Methods: We analyzed 3,312 participants of the 2012 Mexican National Health and Nutrition Survey with dietary intake and sociodemographic information linked to historical rainfall and temperature data collected by the Mexican National Weather Service. We classified foods as unprocessed, processed, or ultra-processed. We performed multilevel linear regression to estimate the association of annual change in rainfalls (for each 0.5 mm decrease) and temperatures (for each 0.1°C increase) at municipality level over the past 5 years with consumption of processed and unprocessed foods measured as the contribution to total energy intake. We investigated whether associations differed by climate region (tropical, temperate, and arid).Results: Each 0.5 mm annual decrease in precipitation was associated with lower consumption of unprocessed foods and higher consumption of ultra-processed foods [mean differences in percent contribution to total energy intake −0.009% (95% CI: −0.019, &lt; −0.001) and 0.011% (95% CI: 0.001, 0.021), respectively]. Each 0.1 degree Celsius annual increase in temperature was also associated with lower consumption of unprocessed and higher consumption of ultra-processed foods [mean differences in percent contribution to total energy intake was −0.03 (95% CI: −0.05, −0.01) and 0.03% (95% CI: &lt;0.01, 0.05)]. When stratified by climate region these associations were only observed in tropical regions.Conclusions: Decreases in rainfalls and increases in temperature were associated with lower consumption of unprocessed foods but higher consumption of ultra-processed foods, especially in tropical regions. Previous studies have established how food production affects the climate, our study suggests that climate change could, in turn, reinforce modern food production, closing a vicious circle with clear negative implications for planetary health.


Author(s):  
Rousset S ◽  
◽  
Médard S ◽  
Fleury G ◽  
Fardet A ◽  
...  

The evaluation of food intake based on various assessment methods is critical and underreporting is frequent. The aim of the study was to develop an indirect statistical method of the total energy intake estimation based on gender, weight and the number of portions. Energy intake prediction was developed and evaluated for validity using energy expenditure measurements given by the WellBeNet app. A total of 190 volunteers with various BMIs were recruited and assigned either in the train or the test sample. The mean energy provided by a portion was evaluated by linear regression models from the train sample. The absolute values of the error between the energy intake estimation and the energy expenditure measurement were calculated for each volunteer, by subgroup and for the whole group. The performance of the models was determined using the validation dataset. As the number of portions is the only variable used in the model, the error was 30.7% and 26.5% in the train and test sample. After adding body weight in the model, the error in absolute value decreased to 8.8% and 10.8% for the normal-weight women and men, and 11.7% and 12.8% for the overweight female and male volunteers, respectively. The findings of this study indicate that a statistical approach and knowledge of the usual number of portions and body weight is effective and sufficient to obtain a precise evaluation of energy intake (about 10% of error) after a simple and brief enquiry.


Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1997
Author(s):  
Luigi Barrea ◽  
Giovanna Muscogiuri ◽  
Gabriella Pugliese ◽  
Giulia de Alteriis ◽  
Maria Maisto ◽  
...  

In this case-control, cross-sectional, observational study, we evaluated circulating trimethylamine n-oxide (TMAO) levels, a gut-derived metabolite associated with inflammation and cardiometabolic risk, in patients with hidradenitis suppurativa (HS), a highly disabling inflammatory skin disease associated with an elevated prevalence of comorbidities, especially cardiovascular and metabolic diseases. In this study, we enrolled 35 naive-treatment patients with HS and 35 controls, matched for sex, age, and body mass index (BMI). HS Sartorius score was 49.0 (33.0–75.0), while according to the Harley system 12 and 23 patients presented grade 1 and grade 2 severity, respectively. HS patients had a lower adherence to the Mediterranean diet (MD) (p = 0.002), lower phase angle (PhA) (p < 0.001), and higher circulating TMAO levels (p < 0.001) than the control group. HS patients with grade 2 rather than grade 1 of Harley grade severity showed a higher BMI (p = 0.007), waist circumference (p = 0.016), total energy intake (p = 0.005), and lower PhA (p < 0.001) and adherence to the MD (p = 0.003). Of interest, patients with Hurley grade 2 of severity exhibited higher circulating TMAO levels (p < 0.001) compared to grade 1. Circulating TMAO levels showed a positive correlation with HS Sartorius score even after adjustment for confounding covariates, including BMI, waist circumference, adherence to the MD, total energy intake, and PhA (r = 0.570, p = 0.001). Using a linear regression model, circulating TMAO levels and PhA were the main predictors of the clinical severity of HS.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1053-1053
Author(s):  
Rebecca Leech ◽  
Alison Spence ◽  
Katie Lacy ◽  
Miaobing Zheng ◽  
Anna Timperio ◽  
...  

Abstract Objectives Currently, there are recommendations to defining eating occasions (EO) for use in studies of adults, but none exist for children or adolescents. This study examined how varying definitions of EO influence the characterization of eating patterns in children and adolescents. Methods Cross-sectional 24-h dietary recall data collected during the 2011–12 Australian National Nutrition and Physical Activity Survey (n = 2701, age range: 2–18 years) were analyzed. Eight definitions were applied: participant-identified, time-of-day, and 6 neutral definitions (individual EO separated by 15- or 60-min and/or an additional energy criterion of 5 kcal or 50 kcal). Frequency of and total energy intake from meals, snacks, and all EO were estimated. Differences between definitions were tested using F tests, stratified by sex and age-group. Agreement between definitions of meal and snack frequencies was assessed using intraclass correlation coefficients (ICC). For each definition, linear regression was used to estimate the proportion of variance in total energy intake (kcal) and BMI z-score predicted by frequency of meals and snacks and all EO. Results In boys and girls and across all age groups, mean frequencies of meals and snacks differed between the participant-identified and time-of-day definitions (P &lt; 0.01). There were differences between mean frequencies of EO across the 6 neutral definitions with the largest mean difference observed for children aged 2–3 y (boys: 2.3, girls: 2.5; P &lt; 0.003). There was good agreement (ICC) for snacks (boys: 0.93, girls: 0.93) but not meal frequencies (boys: 0.36; girls: 0.38) between the participant-identified and time-of-day definitions. The definition of 15-min time interval plus 210 kJ consistently predicted the most variance in total energy intake (R2 range = 8.1–34.8). Generally, definitions that delineated meals and snacks best predicted variance in BMI z-score. Conclusions Variations in the definition of EO affect how eating patterns are characterized, particularly in young children. A variation of the neutral definition best predicted variance in total energy intake and findings for BMI were mixed. Further research that compares EO definitions in younger and older children is needed to inform a standard approach. Funding Sources National Heart Foundation of Australia; National Health and Medical Research Council.


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