Measures hydrogen atoms of the body water through losses and oxygen atoms as carbon dioxide gas
Uses stable isotopes of water with deuterium oxide
Energy Balance
Relation of energy intake to energy expenditure
Positiveenergybalance
Energy intake is higher that expenditure
Induces anabolism
Child growth, pregnancy, weight gain
Negative energy balance
Energy intake is lower than expenditure
Induces catabolism
Growth retardation and failure, weight loss
Metabolizablefuelvalue (MFV)
Maximum amount of energy that can be derived from food but does not consider complete utilization
Physiologicalfuelvalue (PFV)
Considers average digestibility
Nutrient/ Food Component
Carbohydrates (4 kcals/gram, 98% digestibility)
Proteins (4 kcals/gram, 95% digestibility)
Fats (9 kcals/gram, 92% digestibility)
Alcohol (7 kcals/gram, varied digestibility)
Carbohydrates
Delivered to the cells in the form of glucose
Fructose and galactose are converted to glucose in the liver
Oxidized via Krebscycle
Some glucose are converted to other necessary carbohydrates (ribose, fructose) and as skeletons for the synthesis of nonessentialAas
Excess are converted to glycogen or FAs as TGs
Fats
TGs are hydrolyzed to FAs and glycerol by lipoproteinlipase
Glycerol can be oxidized and metabolized as glucose
FFAs are released from adipose cells when needed for energy
FAs are metabolized in the liver by betaoxidationforming acetic acid and shorter chains of FAs
Final product is acetyl CoAwithoxaloaceticacid and oxidized via Krebs cycle
Carnitine is essential for the oxidation of LCFAs
Proteins
AAs are first deaminated and a keto acid is formed (Liver)
Carbon skeletons are converted into intermediate products and are then carried to peripheral tissues to enter the Krebscycle via glucose (glucogenic AAs) or fatpathway (ketogenic AAs)
Amphibolic AAs are both glucogenic and ketogenic
Only Lys andLeu are exclusively ketogenic
Hypothalamus
Responsible for feeding and satiety
Neuropeptide Y
Stimulates appetite, diminishes energy expenditure and increases fat storage
Leptin
Hormone encoded by the ob gene in adipose tissues that diminishes appetite and increases energy expenditure
Hunger
Feeling that motivates to eat, a painful sensation caused by lack of food that initiates food-seeking behavior
Appetite
Physiologic desire to eat, an integrated sensory response that initiates or delays eating
Satiety
Suppresses hunger and determines the time between meals, stops one from eating
Satiation
Maintains the signal not to start eating again, determines amount of food to be consumed in a meal
BasalMetabolism
Basic essential metabolic processes required by the body at rest
Minimum amount of energy required for vital processes such as respiration, circulation and maintenance of body temperature and muscle tonus
Comprises approximately 2/3 of the daily energy expenditure
BasalMetabolicRate (BMR)
Measured in kcal/kg/hr
Resting Metabolism
Similar to basal metabolism but is measured under actual conditions and includes the thermic effect of food
Measured as Resting Metabolic Rate (RMR)
EnergyExpenditureofOrgans
Liver (29%)
Brain (19%)
Heart (10%)
Kidney (7%)
Skeletal muscles (at rest) (18%)
Various (17%)
Bodycomposition-relatedconditionsaffectingBMR
Higher surface area, higher BMR
Higher muscle to fat ratio, higher BMR
Males have an average of 15% body fat; females have around 25 to 27% body fat
Pregnancy increases BMR by 20% during the 2nd and 3rd trimester
AgeaffectingBMR
Gradually decreases after 2 years of age with a short-term rise during puberty
Hormones affecting BMR
Thyroxine (decreased secretion can decrease BMR up to 30%, increased secretion can increase BMR up to 50 to 75%)
Adrenalin (Epinephrine) (short term increase)
Sleep affecting BMR
Slight reduction
NutritionalstatusaffectingBMR
Prolonged calorie undernutrition can decrease BMR from 20 to 30%
Habitual high energy intake (luxus consumption) can increase BMR
TemperatureaffectingBMR
A rise in 1 degree Farenheit in body temperature can increase BMR by 7%
1 degree Celsius increase can increase BMR by 13%
Decrease in environmental temperature increases heat production for thermoregulation
Increase in environmental temperature also has the same effect