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Carvalho GC, Pereira MR, de Lima Macena M, Silva Junior AE, Silva DR, Ferro DC, Paula DTDC, Melo JMF, Farias da Silva MCT, Bueno NB. Type and timing of ultra-processed foods consumption and its association with dietary intake and physical activity in women with obesity living in poverty. J Hum Nutr Diet 2024; 37:737-748. [PMID: 38558169 DOI: 10.1111/jhn.13303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 02/14/2024] [Accepted: 03/11/2024] [Indexed: 04/04/2024]
Abstract
BACKGROUND The present study aimed to investigate the type and timing of ultra-processed foods (UPF) consumption and its association with dietary intake (DI) and physical activity (PA) in women with obesity living in poverty. METHODS A cross-sectional study was employed. Obesity was defined by at least two criteria (body mass index, waist circumference or % fat mass). Poverty was defined as the three lowest classes of the Brazilian Economic Classification Criterion. PA was measured with triaxial accelerometers and DI was assessed with three 24-h dietary recalls. Foods were categorised according to the NOVA classification, with UPF classified into five subgroups, as well as the timing of consumption into six meals. RESULTS In total, 56 adult women were included. Overall energy intake was 1653.21 (503.22) kcal/day. UPF intake was 21.62% (11.94%) kcal/day, being higher at breakfast (4.91% kcal/day), afternoon snack (5.39% kcal/day) and dinner (5.01% kcal/day). Only UPF subgroup 4 (sandwich biscuits, sweets, or treats) showed a positive association with energy intake (β = 54.40 [27.6, 81.10] kcal/day) and a negative association with protein intake (β = -0.31% [-0.48%, -0.14%] kcal/day). UPF consumption in morning (β = -0.41% [-0.79%, -0.02%] kcal/day) and afternoon (β = -0.18% [-0.33%, -0.04%] kcal/day) snacks was associated with lower protein intake. Furthermore, lunchtime UPF consumption was positively associated with walking time (β = 0.16% [0.02%; 0.30%]) and steps/hour (β = 8.72 [1.50; 15.94] steps/h). CONCLUSIONS Women with obesity living in poverty consume more UPF during breakfast, afternoon snack and dinner. Physical activity is positively associated with UPF consumption at lunch. UPF, such as sandwich biscuits, sweets or treats, contribute to increasing energy intake and reducing protein intake.
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Affiliation(s)
| | | | - Mateus de Lima Macena
- Postgraduate Program in Nutrition, Paulista School of Medicine, Federal University of São Paulo, SP, São Paulo, Brazil
| | - André Eduardo Silva Junior
- Postgraduate Program in Nutrition, Paulista School of Medicine, Federal University of São Paulo, SP, São Paulo, Brazil
| | - Dafiny Rodrigues Silva
- Postgraduate Program in Nutrition, Paulista School of Medicine, Federal University of São Paulo, SP, São Paulo, Brazil
| | | | | | | | | | - Nassib Bezerra Bueno
- Faculty of Nutrition, Federal University of Alagoas, Maceió, Alagoas, Brazil
- Postgraduate Program in Nutrition, Paulista School of Medicine, Federal University of São Paulo, SP, São Paulo, Brazil
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Luo B, Davidson ZE, O'Brien K, Volders E, Lu J, Dunlea K, Lazzari M, Billich N, Nguo K. Describing Energy Expenditure in Children with a Chronic Disease: A Systematic Review. Adv Nutr 2024; 15:100198. [PMID: 38432591 PMCID: PMC10987846 DOI: 10.1016/j.advnut.2024.100198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Revised: 02/19/2024] [Accepted: 02/22/2024] [Indexed: 03/05/2024] Open
Abstract
Understanding energy expenditure in children with chronic disease is critical due to the impact on energy homeostasis and growth. This systematic review aimed to describe available literature of resting (REE) and total energy expenditure (TEE) in children with chronic disease measured by gold-standard methods of indirect calorimetry (IC) and doubly labeled water (DLW), respectively. A literature search was conducted using OVID Medline, Embase, CINAHL Plus, Cochrane, and Scopus until July 2023. Studies were included if the mean age of the participants was ≤18 y, participants had a chronic disease, and measurement of REE or TEE was conducted using IC or DLW, respectively. Studies investigating energy expenditure in premature infants, patients with acute illness, and intensive care patients were excluded. The primary outcomes were the type of data (REE, TEE) obtained and REE/TEE stratified by disease group. In total, 271 studies across 24 chronic conditions were identified. Over 60% of retrieved studies were published >10 y ago and conducted on relatively small population sizes (n range = 1-398). Most studies obtained REE samples (82%) rather than that of TEE (8%), with very few exploring both samples (10%). There was variability in the difference in energy expenditure in children with chronic disease compared with that of healthy control group across and within disease groups. Eighteen predictive energy equations were generated across the included studies. Quality assessment of the studies identified poor reporting of energy expenditure protocols, which may limit the validity of results. Current literature on energy expenditure in children with chronic disease, although extensive, reveals key future research opportunities. International collaboration and robust measurement of energy expenditure should be conducted to generate meaningful predictive energy equations to provide updated evidence that is reflective of emerging disease-modifying therapies. This study was registered in PROSPERO as CRD42020204690.
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Affiliation(s)
- Bethany Luo
- Department of Nutrition, Dietetics and Foods, Monash University, Melbourne, Victoria, Australia
| | - Zoe E Davidson
- Department of Nutrition, Dietetics and Foods, Monash University, Melbourne, Victoria, Australia; Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
| | - Katie O'Brien
- Department of Nutrition, Dietetics and Foods, Monash University, Melbourne, Victoria, Australia
| | - Evelyn Volders
- Department of Nutrition, Dietetics and Foods, Monash University, Melbourne, Victoria, Australia
| | - Jeffrey Lu
- Department of Nutrition, Dietetics and Foods, Monash University, Melbourne, Victoria, Australia
| | - Kali Dunlea
- Department of Nutrition, Dietetics and Foods, Monash University, Melbourne, Victoria, Australia
| | - Matisse Lazzari
- Department of Nutrition, Dietetics and Foods, Monash University, Melbourne, Victoria, Australia
| | - Natassja Billich
- Department of Nutrition, Dietetics and Foods, Monash University, Melbourne, Victoria, Australia
| | - Kay Nguo
- Department of Nutrition, Dietetics and Foods, Monash University, Melbourne, Victoria, Australia
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Meh K, Sember V, Sorić M, Vähä-Ypyä H, Rocha P, Jurak G. The dilemma of physical activity questionnaires: Fitter people are less prone to over reporting. PLoS One 2023; 18:e0285357. [PMID: 37647304 PMCID: PMC10468079 DOI: 10.1371/journal.pone.0285357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Accepted: 04/22/2023] [Indexed: 09/01/2023] Open
Abstract
Physical activity questionnaires (PAQs) are a popular method of monitoring physical activity, although their validity is usually low. Descriptions of physical activity levels in questionnaires usually rely on physical responses to physical activity. Therefore, we hypothesised that the validity of PAQs would be higher in the more physically fit group of participants. To test this, we conducted a validation study with 179 adults whom we divided into three fitness groups based on their cardiovascular fitness and age. Participants were measured for one week using the UKK RM42 accelerometer and self-reported their physical activity using IPAQ-SF, GPAQ, and EHIS-PAQ. We analysed the differences between fitness groups in terms of validity for each PAQ using ANOVA. We also performed an equivalence testing to compare the data obtained with the PAQs and the accelerometers. The results showed a significant trend toward higher validity for moderate to vigorous physical activity from the low to high fitness group as assessed by GPAQ and IPAQ-SF (low, intermediate and high fitness group: 0.06-0.21; 0.26-0.29; 0.40, respectively). The equivalence testing showed that all fitness groups overestimated their physical activity and underestimated their sedentary behaviour, with the high fitness group overestimating their physical activity the least. However, EHIS-PAQ was found to agree best with accelerometer data in assessing moderate to vigorous physical activity, regardless of fitness group, and had a validity greater than 0.4 for all fitness groups. In conclusion, we confirmed that when using PAQs describing physical responses to physical activity, participants' fitness should be considered in the interpretation, especially when comparing results internationally.
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Affiliation(s)
- Kaja Meh
- Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia
| | - Vedrana Sember
- Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia
| | - Maroje Sorić
- Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia
- Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
| | | | - Paulo Rocha
- Portuguese Institute of Sport and Youth, Lisbon, Portugal
| | - Gregor Jurak
- Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia
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del-Cuerpo I, Jerez-Mayorga D, Chirosa-Ríos LJ, Morenas-Aguilar MD, Mariscal-Arcas M, López-Moro A, Delgado-Floody P. Males Have a Higher Energy Expenditure than Females during Squat Training. Nutrients 2023; 15:3455. [PMID: 37571392 PMCID: PMC10421381 DOI: 10.3390/nu15153455] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Revised: 07/17/2023] [Accepted: 07/21/2023] [Indexed: 08/13/2023] Open
Abstract
The main objective of this study was to determine the differences in energy expenditure (EE) according to sex during and after two different squat training protocols in a group of healthy young adults. Twenty-nine Sports Sciences students volunteered to participate in this study. They attended the laboratory on four different days and completed four sessions: two sessions with 3 sets of 12 repetitions at 75% of their one-repetition maximum (RM) and two sessions with 3 sets of 30 repetitions at 50% of their 1RM. Energy expenditure was evaluated using an indirect calorimeter. Males consistently demonstrated higher EE in all sessions and intensities. The linear regression model identified a significant association between sex, BMI, and total EE across all sessions and intensities. In conclusion, males exhibited higher EE in both protocols (50% and 75% of 1RM) throughout all sessions. Furthermore, sex and BMI were found to influence EE in healthy young adults. Therefore, coaches should consider sex when assessing EE, as the metabolic response differs between males and females.
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Affiliation(s)
- Indya del-Cuerpo
- Department of Physical Education and Sports, Faculty of Sports Sciences, University of Granada, 18071 Granada, Spain; (I.d.-C.); (D.J.-M.); (L.J.C.-R.); (M.D.M.-A.)
- Strength & Conditioning Laboratory, CTS-642 Research Group, Department Physical Education and Sports, Faculty of Sports Sciences, University of Granada, 18071 Granada, Spain
| | - Daniel Jerez-Mayorga
- Department of Physical Education and Sports, Faculty of Sports Sciences, University of Granada, 18071 Granada, Spain; (I.d.-C.); (D.J.-M.); (L.J.C.-R.); (M.D.M.-A.)
- Strength & Conditioning Laboratory, CTS-642 Research Group, Department Physical Education and Sports, Faculty of Sports Sciences, University of Granada, 18071 Granada, Spain
- Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago 7591538, Chile
| | - Luis Javier Chirosa-Ríos
- Department of Physical Education and Sports, Faculty of Sports Sciences, University of Granada, 18071 Granada, Spain; (I.d.-C.); (D.J.-M.); (L.J.C.-R.); (M.D.M.-A.)
- Strength & Conditioning Laboratory, CTS-642 Research Group, Department Physical Education and Sports, Faculty of Sports Sciences, University of Granada, 18071 Granada, Spain
| | - María Dolores Morenas-Aguilar
- Department of Physical Education and Sports, Faculty of Sports Sciences, University of Granada, 18071 Granada, Spain; (I.d.-C.); (D.J.-M.); (L.J.C.-R.); (M.D.M.-A.)
- Strength & Conditioning Laboratory, CTS-642 Research Group, Department Physical Education and Sports, Faculty of Sports Sciences, University of Granada, 18071 Granada, Spain
| | - Miguel Mariscal-Arcas
- Department of Nutrition and Food Science, School of Pharmacy, University of Granada, 18071 Granada, Spain; (M.M.-A.); (A.L.-M.)
- Instituto de Investigación Biosanitaria de Granada (ibs. GRANADA), 18071 Granada, Spain
| | - Alejandro López-Moro
- Department of Nutrition and Food Science, School of Pharmacy, University of Granada, 18071 Granada, Spain; (M.M.-A.); (A.L.-M.)
| | - Pedro Delgado-Floody
- Department of Physical Education and Sports, Faculty of Sports Sciences, University of Granada, 18071 Granada, Spain; (I.d.-C.); (D.J.-M.); (L.J.C.-R.); (M.D.M.-A.)
- Department of Physical Education, Sports and Recreation, Universidad de La Frontera, Temuco 4811230, Chile
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DeLany JP, Horgan A, Gregor A, Vockley J, Harding CO, Gillingham MB. Resting and total energy expenditure of patients with long-chain fatty acid oxidation disorders (LC-FAODs). Mol Genet Metab 2023; 138:107519. [PMID: 36696737 PMCID: PMC9992335 DOI: 10.1016/j.ymgme.2023.107519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 01/13/2023] [Accepted: 01/14/2023] [Indexed: 01/19/2023]
Abstract
The basis of medical nutrition therapy for patients with LC-FAODs is to provide adequate energy to maintain anabolism and prevent catabolism. In practice, energy needs are estimated based on formulas derived from normal populations but it is unknown if energy expenditure among patients with LC-FAODs is similar to the normal population. We measured resting energy expenditure (REE), total energy expenditure (TEE) and body composition in 31 subjects with LC-FAODs ranging in age from 7 to 64 years. Measured REE was lower than estimated REE by various prediction equations and measured TEE was lower than estimated TEE. It is possible that the lower energy expenditure based on prediction formulas from the normal population is due to differences in body composition; we compared body composition to normal data from the 2017-18 National Health and Nutrition Examination Survey (NHANES). Fat free mass and fat mass was similar between subjects with an LC-FAOD and NHANES normal data suggesting no difference in body composition. We then compared measured REE and TEE to normal published data from the Dietary Reference Intakes (DRI). Measured REE and TEE were significantly lower among subjects with LC-FAODs compared to normal published energy expenditure data. Our results suggests patients with a LC-FAOD exhibit a lower REE and therefore actually have a slightly lower TEE than estimated. Current prediction equations may overestimate energy expenditure of patients with a LC-FAOD.
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Affiliation(s)
- James P DeLany
- AdventHealth Orlando, Translational Research Institute, Orlando, FL, United States of America
| | - Angela Horgan
- Oregon Translational and Clinical Research Institute, Portland, Oregon, United States of America
| | - Ashley Gregor
- Department of Molecular and Medical Genetics, Oregon Health & Science University, Portland, Oregon, United States of America
| | - Jerry Vockley
- Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States of America
| | - Cary O Harding
- Department of Molecular and Medical Genetics, Oregon Health & Science University, Portland, Oregon, United States of America
| | - Melanie B Gillingham
- Department of Molecular and Medical Genetics, Oregon Health & Science University, Portland, Oregon, United States of America.
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Jurado-Castro JM, Gil-Campos M, Llorente-Cantarero FJ. Methods recently used for the assessment of physical activity in children and adolescents. Curr Opin Clin Nutr Metab Care 2022; 25:298-303. [PMID: 35788094 DOI: 10.1097/mco.0000000000000847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
PURPOSE OF REVIEW The aim of this review is to summarize recent evidences and advances on the implementation and the use of new tools to assessing physical activity (PA) in children. RECENT FINDINGS Technological advances provide, increasingly, new objective methods for the evaluation of PA in children. In addition to accelerometry, there are other objective methods for assessing PA in children such as new wearable monitoring and activity bracelets, smartphone and recording software applications, Global Positioning System or Inertial Sensors Devices. SUMMARY Doubly labeled water and calorimetry are reference methods to assessing PA but with limitations of use. Accelerometry is an accurate method for measuring sedentary behavior and PA levels in children. In fact, it is a real alternative reference method for the validation of methods and tools of assessing PA. However, there is still no consensus about the most appropriate approach to analyze the duration and intensity of PA in children. Therefore, the implementation of other alternative objective methods, as well as complementation with PA questionnaires, can provide a more precise evaluation of different patterns and behaviors related with sedentarism and PA.
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Affiliation(s)
- Jose Manuel Jurado-Castro
- Metabolism and Investigation Unit, Reina Sofia University Hospital, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), University of Córdoba, Córdoba
- Escuela Universitaria de Osuna (Centro Adscrito a la Universidad de Sevilla), Osuna
| | - Mercedes Gil-Campos
- Metabolism and Investigation Unit, Reina Sofia University Hospital, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), University of Córdoba, Córdoba
- CIBEROBN (Physiopathology of Obesity and Nutrition) Institute of Health Carlos III (ISCIII), Madrid
| | - Francisco Jesus Llorente-Cantarero
- CIBEROBN (Physiopathology of Obesity and Nutrition) Institute of Health Carlos III (ISCIII), Madrid
- Department of Specific Didactics, Faculty of Education, University of Córdoba, Córdoba, Spain
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Chen S, Saiki S, Nakamura M. Nonintrusive Fine-Grained Home Care Monitoring: Characterizing Quality of In-Home Postural Changes Using Bone-Based Human Sensing. SENSORS (BASEL, SWITZERLAND) 2020; 20:E5894. [PMID: 33081059 PMCID: PMC7588905 DOI: 10.3390/s20205894] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Revised: 10/12/2020] [Accepted: 10/14/2020] [Indexed: 12/04/2022]
Abstract
In contrast to the physical activities of able-bodied people at home, most people who require long-term specific care (e.g., bedridden patients and patients who have difficulty walking) usually show more low-intensity slow physical activities with postural changes. Although the existing devices can detect data such as heart rate and the number of steps, they have been increasing the physical burden relying on long-term wearing. The purpose of this paper is to realize a noninvasive fine-grained home care monitoring system that is sustainable for people requiring special care. In the proposed method, we present a novel technique that integrates inexpensive camera devices and bone-based human sensing technologies to characterize the quality of in-home postural changes. We realize a local process in feature data acquisition once per second, which extends from a computer browser to Raspberry Pi. Our key idea is to regard the changes of the bounding box output by standalone pose estimation models in the shape and distance as the quality of the pose conversion, body movement, and positional changes. Furthermore, we use multiple servers to realize distributed processing that uploads data to implement home monitoring as a web service. Based on the experimental results, we conveyed our findings and advice to the subject that include where the daily living habits and the irregularity of home care timings needed improvement.
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Affiliation(s)
- Sinan Chen
- Graduate School of System Informatics, Kobe University, 1-1 Rokkodai-cho, Nada, Kobe 657-8501, Japan; (S.S.); (M.N.)
| | - Sachio Saiki
- Graduate School of System Informatics, Kobe University, 1-1 Rokkodai-cho, Nada, Kobe 657-8501, Japan; (S.S.); (M.N.)
| | - Masahide Nakamura
- Graduate School of System Informatics, Kobe University, 1-1 Rokkodai-cho, Nada, Kobe 657-8501, Japan; (S.S.); (M.N.)
- RIKEN Center for Advanced Intelligence Project, 1-4-1 Nihonbashi, Chuo-ku, Tokyo 103-0027, Japan
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