Daily metabolizable energy intake (ME) and total daily energy expenditure (TEE) were measured in 28 nonobese and 27 obese adolescents over a 2-wk period. Reported ME was significantly (p less than 0.001) lower than measured TEE in both the nonobese and the obese groups (2193 +/- 618 vs 2755 +/- 600 kcal/d and 1935 +/- 722 vs 3390 +/- 612 kcal/d, respectively). Reported ME as a percentage of TEE was significantly lower in the obese than the nonobese group (58.7 +/- 23.6% vs 80.6 +/- 18.7%, respectively). When reported ME was adjusted to account for changes in body energy stores, reported ME still remained significantly lower than TEE in both groups. ME was highly reproducible over the 2-wk period. Intraclass correlation coefficients among days for subjects with complete 14-d diaries were 0.87 and 0.89 for nonobese and obese groups, respectively. In both groups, interindividual variability in ME was significantly greater than intraindividual variability. Our data suggest that reported ME in nonobese and obese adolescents is not representative of TEE or energy requirements.
PHILLIPS, SARAH M., LINDA G. BANDINI, ELENA N. NAUMOVA, HELENE CYR, SKYE COLCLOUGH, WILLIAM H. DIETZ, AND AVIVA MUST. Energy-dense snack food intake in adolescence: longitudinal relationship to weight and fatness. Obes Res. 2004;12:461-472. Objective: The longitudinal relationship between the consumption of energy-dense snack (EDS) foods and relative weight change during adolescence is uncertain. Using data from the Massachusetts Institute of Technology Growth and Development Study, the current analysis was undertaken to examine the longitudinal relationship of EDS food intake with relative weight status and percentage body fat and to examine how EDS food consumption is related to television viewing.
Research Methods and Procedures:One hundred ninetysix nonobese premenarcheal girls 8 to 12 years old were enrolled between 1990 and 1993 and followed until 4 years after menarche. At each annual follow-up visit, data were collected on percentage body fat (%BF), BMI z score, and dietary intake. Categories of EDS foods considered were baked goods, ice cream, chips, sugar-sweetened soda, and candy. Results: At study entry, girls had a mean Ϯ SD BMI z score of -0.27 Ϯ 0.89, consumed 2.3 Ϯ 1.7 servings of EDS foods per day, and consumed 15.7 Ϯ 8.1% of daily calories from EDS foods. Linear mixed effects modeling indicated no relationship between BMI z score or %BF and total EDS food consumption. Soda was the only EDS food that was significantly related to BMI z score over the 10-year study period, but it was not related to %BF. In addition, a significant, positive relationship was observed between EDS food consumption and television viewing. Discussion: In this cohort of initially nonobese girls, overall EDS food consumption does not seem to influence weight status or fatness change over the adolescent period.
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