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Energy Balance Body Composition. Gaining & Losing weight. Whether a person gains or loses weight depends on: Energy intake vs. energy expenditure Genetic factors Childhood weight Behavioral factors Social factors. Energy Balance. Energy balance
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Gaining & Losing weight • Whether a person gains or loses weight depends on: • Energy intake vs. energy expenditure • Genetic factors • Childhood weight • Behavioral factors • Social factors
Energy Balance • Energy balance • Occurs when energy intake = energy expenditure • Energy intake = kcal from food • Energy expenditure = energy expended at rest + during physical activity
Energy Expenditure • BMR • Physical activity • Thermic Effects • Cost of food processing
Energy Balance • Basal Metabolic Rate (BMR) • Energy expended to maintain basal, or resting, functions of the body • highest proportion of total energy expenditure • More lean tissue increases your BMR • BMR decreases with age • ~3-5% per decade after 30 • Estimating BMR • body weight (kg) * 1.0 kcal/kg/hour
Energy Balance • Thermic Effect of Food (TEF) • Energy expended to process food • ~5-10% of total kcal of the meal • 500 kcal meal costs 25 - 50 kcal to process • Fats require little energy to digest, transport & absorb • Proteins & Carbs require more
Physical Activity • 20-35% of total energy output • Includes everything above basal level • Sitting, standing, walking • Moving large muscles requires more Energy • Calculating Energy expenditure: • Energy Cost (kcal/kg/min) * Time (min) • Do a couple
Genetic factors • Different hypotheses explain the impact of genetics on body fat • Thrifty Gene Theory • Set-point Theory • Leptin Theory
Thrifty Gene Theory • H1: individuals with the gene use less energy (at all times) than people who do not possess the gene • More efficient fat storage • Lower metabolic rates • Evolutionary story: Protection against starvation during lean times • Applied to American Indian populations with high rates of obesity & diabetes • Evidence: No direct; little indirect
Set-Point Theory • H1: Body is tuned to maintain weight within a narrow range, or “set-point” • Evidence: • Body appears to maintain weight @ present level • Rebound weight gain among dieters • Occasional over-eating often does not result in weight gain • Can change set point through consistent, long term changes in diet & exercise
Leptin Theory • Leptin: hormone produced by adipose cells; goes systemic • Binds to neurons in “satiety center” in brain; inhibits neurons that stimulate feelings of hunger • Increased production reduces food intake, body weight and body fat
Childhood weight • Environmental factors in childhood influence • Food choices • Activity levels • Later adult behaviors • Childhood overweight increases the risk of heart disease and premature death as an adult
Behavioral Choices • Food Choices • Composition of diet should remain balanced • Overeating dietary fat increases obesity faster than overeating carbs or proteins • Why? • Less energy required to digest fats than other two • More easily stored as adipose tissue…no conversion necessary
Behavioral Choices • Hunger vs. Appetite • Appetite = psychological desire to eat; cause overeating • “Satiety mechanism” malfunction • Hormone or sensory receptor malfunction • Increase or decrease satiety
Social Factors • Social factors influence our diet: • Family or cultural traditions • Holidays and celebrations • Easy access to high-fat foods • Less physically active lifestyles • Societal expectations of the “perfect” body
How many kcals do we need? • Manual calculation: • BMR (women) = body weight (kg) * 0.9 kcal/ kg/hour • BMR (men) = body weight (kg) * 1.0 kcal/ kg/hour • 77.3 kg * 1 * 24 = 1855 kcal • Activity = some percentage of BMR; Ex: 70% • 1855 kcal * 0.70 = 1299 kcal • 1855 + 1299 = 3154 kcal • How many are you eating? Recall: • Fats: 9 kcal/gram • Carbs: 4 kcal /gram • Proteins: 4 kcal/gram
What is a healthful body weight? • Appropriate for your age • Maintained without constant dieting • Is acceptable to you • Based on family history of body shape and weight • Promotes healthful eating habits and allows for regular physical activity
Evaluating body weight • Actual weight is not the only factor to consider • Determining if a person’s body weight is healthful should include: • Determining the Body Mass Index (BMI) • Measuring body composition • Assessing the pattern of fat distribution
Evaluating body weight • Body Mass Index = BMI • BMI = weight (kg) / height (m)2 • BMI values below 18.5 or above 30 have increased risks of health problems
Distribution of Body Weights in U.S. Adults Healthy weight (BMI 18.5–24.9) Underweight (BMI <18.5) Overweight (BMI 25–29.9) Obesity (BMI 30–39.9) Extreme obesity (BMI >40) _
Achieving & maintaining healthy weight • Healthful weight change requires • Gradual change in energy intake • Regular and appropriate physical exercise • Application of behavior modification techniques
Losing weight • Follow recommended serving sizes • Reduce intake of high-fat and high-energy foods (~20%) • Regular physical exercise (of ANY kind will do, but which kinds preferentially burn fat?) • Increase energy expenditure • Increase BMR
Gaining weight • Eat 500 to 1,000 extra kcal/day • Eat frequently throughout the day • Maintain a balanced diet; keep fat intake to 25-30% of total energy intake • Avoid tobacco products • depresses appetite; increase BMR • Regular exercise with resistance training • Promotes conversion of calories to lean muscle rather that fat
Gaining weight • Supplements? • Studies continue to show no effect of AA and protein supplements: • No gains in muscle mass and strength, nor in performance • Including androstenedione (Mark McGuire) • Some effects of this supplement are increased LDL:HDL levels (why bad?) & mood disturbances • Also, those unfortunate (if you’re a male) feminizing characteristics
Disorders & Energy intake • Underweight: having too little body fat to maintain health • BMI less than 18.5 kg/m2 • Increases risk of infection and illness • Overweight: • BMI of 25 - 29.5 kg/m2 • Some health risks; most importantly, adopt healthier lifestyle to avoid becoming obese
Obesity & Morbid obesity • Obesity: Having excess body fat that adversely effects health • BMI 30 - 39.9 kg/m2 • BMI > 40 kg/m2 = morbidly obese • Body weight exceeds 100% of normal • Morbid obesity: body weight exceeding 100% of normal, creating a very high risk for serious health complications
Critical periods • Weight gain in specific life stages have strong effects on weight later in life. • Weight gain in these periods increase risk of adult obesity & related diseases • Gestation & early infancy • Ages 5-7 • Adolescence