Energy requirements for adults Flashcards

1
Q

What is EER

A

Average dietary energy intake that will maintain energy balance in a healthy person of given gender, age, weight, height, and physical activity level, consistent with good health.

  • Takes into account the energy content of new body constituents
  • Growth, pregnancy, milk produced during lactation
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2
Q

Constituents of TEE

A

TEE – total energy expenditure which involves the BMR (50-70%), physical activity (15-30%), and TEF (10%)

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3
Q

In weight stable individuals energy intake must equal ____

A

TEE

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4
Q

How EER is calculated and how equatiosn were derived

A

Based on the energy intake needed to maintain energy balance in individuals with healthy weights, the EER consists of predictive equations for calculating the amount of energy intake that will maintain any individual’s body weight, as measured by doubly labeled water studies

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5
Q

What is BMR and how it is measured, and difference wth BEE

A
  • Minimal rate of energy expenditure compatible with life
  • Measured in the supine position under standard conditions of rest, fasting, immobility, thermoneutrality and mental relaxation
  • BEE = basal energy expenditure expressed as kcal/24 hours

BMR is usually expressed per 24 hours (BEE or basal energy expenditure)

. BEE reflects the basic metabolic rate (BMR), or the daily energy needed to sustain cell metabolism and associated life processes, extrapolated to a 24-hour period.

The BEE is positively correlated with body size and composition and is easily predicted from age, sex, and height, but it is unclear how it may be affected by physical activity.

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6
Q

What is TEE

A
  • Energy spent, on average, in a 24-hour period by an individual or a group of individuals
  • Reflects the average amount of energy spent in a typical day
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7
Q

Different people move different amount of time, how it is accounted

A

To account for this variability, the EER equations include a physical activity coefficient (PA). This coefficient considers the impact of the duration and intensity of the physical activity performed and the efficiency of performance

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8
Q

What else is included in PA coefficients

A

An excess postexercise oxygen consumption (EPOC) factor, estimated at about 15%, is also included to adjust for an additional increase in energy expenditure induced for a period of time after the completion of a bout of physical activity

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9
Q

______were used by the IOM to assess physical activity patterns and energy expenditure of individuals for placement into one of four PAL categories: ____

A

Doubly labeled water data of both predicted and observed levels of physical activity were used by the IOM to assess physical activity patterns and energy expenditure of individuals for placement into one of four PAL categories: sedentary, low active, active, or very active

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10
Q

PAL equation and to whom applies

A
  • PAL = ratio of Total Energy Expenditure (TEE)/BEE
  • Adult men; non-pregnant, non lactating women:
  • BEE x PAL = TEE or the daily energy requirement
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11
Q

What term is closely related to PAL

A

In the EER equations, the PAL categories are closely linked to energy expended during physical activity in terms of metabolic equivalents (METs).

A MET is a numerical value that represents a multiple of the resting metabolic rate for a particular activity.

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12
Q

what is MET, what is the range

A

One MET equates to a rate of O2 consumption of 3.5 milliliters per kilogram of body weight per minute (ml/kg/min) in adults. MET values between 1.0 and 12.0 represent the typical range of PAL, from light to moderate to vigorous. The MET value applies to the level of energy expenditure achieved during the performance of an activity and provides a way of expressing the total caloric cost of the activity (Δ PAL).

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13
Q

What are the recommendaations for PAL daily

A

Based on a comprehensive review of the scientific data, the panel found that in order to move from a very sedentary to an active lifestyle, adults and children alike need to engage in activities equivalent to a total of 60 minutes of moderately intense physical activity throughout each day.

it includes everything an individual does beyond sleeping and breathing and thus, gardening, dog-walking, light housekeeping and taking the stairs instead of the elevator are all activities that contribute to an active lifestyle

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14
Q

What PA should be to prevent weight gain

A
  • To prevent weight gain and to accrue additional health benefits:
  • 60 min of moderate intensity PA/d
  • Moderate intensity: eq. to walking at a pace of 4 mph
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15
Q

Total energy expenditure should be

A

->Recommended PAL: 1.6 to 1.7

  • Total energy expended should be ³ 1.6 to 1.7 x Resting Energy Expenditure
  • Maintain body weight in ideal range (BMI 18.5 – 25)
  • ↓ Decrease risk of CVD
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16
Q

PAL, Met and TEE relationship

A

The PAL provides information about the duration and intensity of a set of different activities performed during a 24-hour period and the relative differences in usual levels of physical activity.

The relationship between METs and PAL is incorporated into the sample EER template spreadsheet such that each physical activity performed in a 24-hour period is assigned a MET value based on its intensity and duration.

A resulting set of MET values is subsequently used to calculate the PAL for determination of the PA needed to estimate the TEE.

17
Q

What happens after delta PAL is determined

A

After the Δ PAL is calculated for each physical activity, the physical activity category (PAL: sedentary, low active, active, or very active) is determined based on the basal activity impact on energy expenditure and the sum of all activities (sum of Δ PAL). This factor accounts for TEF and postexercise increase in energy expenditure.

18
Q

PA for EER calculations based on PAL categories (4 categories)

A
  • PA = 1.00 if PAL is estimated to be > or equal 1.0 < 1.4 (Sedentary)
  • PA = 1.14 if PAL is estimated to be > or equal1.4 < 1.6 (Low Active)
  • PA = 1.27 if PAL is estimated to be > or equal 1.6 < 1.9 (Active)
  • PA = 1.45 if PAL is estimated to be > or equal 1.9 < 2.5 (Very Active)
19
Q

Desccribe PA categories

A
20
Q

Calculate TEE for

19 y.o. woman

5’5’’ tall

Weighs 135 pounds

Active

EER = 354.1 – 6.91 x Age (y) x PA x [9.36 x Wt (kg) + 726 x Ht (m)]

A

2473 kcl

21
Q

AMDR

A

Acceptable macronutrient distribution ranges

  • For adequate energy and nutrients and low risk of chronic diseases, the diet should provide
  • 45 – 65% Carbohydrate
  • 20 – 35% Fat (25 – 40% for young children)
  • 10 – 35% Protein
22
Q

AMDR with omega 3 and 6: children (1-3), (4-18) and adults

A
23
Q

Nutrient Functions and the Indicators Used to Estimate Requirements

A
24
Q

DRI report sets recommendations for ____ ( in protein)

A

The DRI report sets age-based recommended intakes for the first time for all nine of the indispensable amino acids found in dietary protein

25
Q

How AAs are classified ( relative to the diet)

A
26
Q

Precursors for conditionally indispensable AAs

A
27
Q

Exchange between body protein and free amino acid pools

A

All the proteins in the tissues and circulation are grouped into one pool.

Similarly, there is a second pool, consisting of the free amino acids dissolved in body fluids.

The other major pathways that involve the free amino acid pool are the supply of amino acids by the gut from the absorbed amino acids derived from dietary proteins, the de novo synthesis in cells,

28
Q

How much in adults protein are synthesized and degraded

A

250 g/day

29
Q

In what life stage protein turnover is the largest

What organs are the most metabolically active in regards to protein

and what has the largest portion of proteins in the body

A

The daily amount of protein turned over is greater in infants and less in the elderly, when compared with young adults on a body weight basis

The liver and intestine, despite their rather small contribution to the total protein content of the body, are together believed to contribute as much as 50 percent of whole body protein turnover.

Conversely, skeletal muscle is the largest single component of body protein mass (43 percent), but contributes only about 25 percent to total body protein turnover

30
Q

What value is more valuable than individual aa intake

A

More valuable than the individual amino acid requirements may be the scoring pattern developed for the DRI report that can be used to evaluate the quality of a protein source, such as milk, wheat, rice, or garbanzo beans, by the relative amounts of its amino acids.

This provides a method to balance intakes of poorer quality proteins by vegetarians and others who consume limited quantities of high quality dietary proteins.

31
Q

Criteria for DRI values of protein

A

The most satisfactory way of determining the protein requirement is nitrogen balance which is the difference between nitrogen intake and the amount excreted in urine, feces, skin, and other miscellaneous losses including sweat.

It is assumed that, where needs are met or exceeded, adults come into nitrogen balance while at inadequate intakes, negative nitrogen balance results.

32
Q

What is RDA for adults for Pro now, of EAR is 0.66 g/kg and CV-=12

A
  • Adjust for individual variability of CV = 12.0
  • CV = SD/Mean x 100%
  • 12 = SD/0.66 (EAR) x 100
  • SD = 12 x 0.66/100 = 0.07
  • 2 SD = 0.07 x 2 = 0.14
  • 0.66 + 2SD (0.14) = 0.80 g/kg/day