Activity related energy expenditure, appetite and energy intake. Potential implications for weight management

The aim was to investigate relationships between activity related energy expenditure (AREE), appetite ratings and energy intake (EI) in a sample of 40 male (26.4years; BMI 23.5kg/m2) and 42 female (26.9years; BMI 22.4kg/m2) participants. AREE was expressed as the residual value of the regression between total daily EE (by doubly labeled water) and resting EE (by indirect calorimetry). EI was measured using an ad libitum buffet meal and visual analogue scales measured subjective appetite ratings before and after the meal. AREE was divided into low, middle and high sex-specific tertiles. General linear models were used to investigate differences in appetite ratings and EI across AREE tertiles. Before the meal, males in the high AREE tertile had significantly lower desire to eat and lower prospective food consumption and higher feelings of fullness compared to those in the low tertile. Males in the middle tertile had significantly higher satiety quotients after the meal and lower EI compared to the other tertiles. No significant differences across tertiles were found in females. Sex differences in relationships between AREE, appetite ratings and EI may lead to differing patterns of EI and subsequent weight maintenance

Does parental support moderate the effect of children’s motivation and self-efficacy on physical activity and sedentary behaviour?

Objectives: 1) To test whether parental support moderates the direct effects of children's motivation and self-efficacy on objectively measured moderate-vigorous physical activity (MVPA) and sedentary time. 2) To explore differences in the relationships between boys and girls. Design: Cross-sectional observational study. Method: Data were collected from 430 9-11 year old UK children and their parents; parents selfreported on the support they provided to their children to be active (through providing transport, encouragement, watching, or taking part with their child), and children self-reported their motivation and self-efficacy towards exercise. MVPA and sedentary time were measured using accelerometers. Results: Both parent- and child-level factors were largely positively associated with children's MVPA and negatively related to sedentary time. There was no evidence of a moderation effect of parental support on MVPA or sedentary time in boys. Parental provision of transport moderated the effect of girls' motivation on week-day MVPA; more motivated girls were less active when transport was provided. Transport and exercising with one's child moderated the effect of motivation and self-efficacy on girls' sedentary time at weekends; more motivated girls, and those with higher self-efficacy were less sedentary when parents provided more frequent transportation or took part in physical activity with them. Conclusions: The results largely supported a model of the independent effects of parent and child determinants for moderate-to-vigorous physical activity, but there was evidence that some types of parent support can moderate sedentary time in girls. Further research is needed to explore the causal pathways between the observed cross-sectional results

Sedentarismo, exercício físico e doenças crônicas

A inatividade física é fortemente relacionada à incidência e severidade de um vasto número de doenças crônicas. Assim sendo, o exercício físico torna-se uma das ferramentas terapêuticas mais importantes na promoção de saúde e o profissional de Educação Física, o responsável por sua ampla disseminação. Nesse artigo, discorremos sobre as seguintes questões: Qual o impacto - biológico e socioeconômico - da inatividade física na saúde dos indivíduos?; 2) Qual o impacto da inserção da atividade física vida dos indivíduos?; 3) Qual o papel da profissional de Educação Física na promoção de saúde e quais os desafios que a Educação Física, enquanto ciência ("lato sensu") e profissão, deve enfrentar nas próximas décadas? Tendo como ponto de partida o papel da inatividade física sobre a etiologia das doenças crônicas, pretendemos revelar o imenso potencial do exercício físico como agente terapêutico.Physical inactivity is strongly related to the incidence and severity of a number of chronic diseases. Hence, physical exercise emerges as one of the most important therapeutic tool to health promotion, with the Physical Education professional being the responsible for disseminating it widely. In this manuscript, we will discuss the following questions: 1) What is the social and biological impact of physical inactivity on overall health? 2) What is the impact of physical activity on people's lives? 3) What is the role of the Physical Education professional in the promotion of health and what are the challenges that Physical Education Discipline, as a science ("lato sensu") and profession, will face in the next decades? Having in mind the role of physical inactivity upon the etiology of chronic diseases, we intend to reveal the large potential of physical exercise as a therapeutic agent

Energy expenditure and obesity across the economic spectrum.

Global economic development has been associated with an increased prevalence of obesity and related health problems. Increased caloric intake and reduced energy expenditure are both cited as development-related contributors to the obesity crisis, but their relative importance remains unresolved. Here, we examine energy expenditure and two measures of obesity (body fat percentage and body mass index, BMI) for 4,213 adults from 34 populations across six continents and a wide range of lifestyles and economies, including hunter-gatherer, pastoralist, farming, and industrialized populations. Economic development was positively associated with greater body mass, BMI, and body fat, but also with greater total, basal, and activity energy expenditure. Body size-adjusted total and basal energy expenditures both decreased approximately 6 to 11% with increasing economic development, but were highly variable among populations and did not correspond closely with lifestyle. Body size-adjusted total energy expenditure was negatively, but weakly, associated with measures of obesity, accounting for roughly one-tenth of the elevated body fat percentage and BMI associated with economic development. In contrast, estimated energy intake was greater in economically developed populations, and in populations with available data (n = 25), the percentage of ultraprocessed food in the diet was associated with body fat percentage, suggesting that dietary intake plays a far greater role than reduced energy expenditure in obesity related to economic development

Rising rural body-mass index is the main driver of the global obesity epidemic in adults

Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities 1,2 . This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity 3�6 . Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55 of the global rise in mean BMI from 1985 to 2017�and more than 80 in some low- and middle-income regions�was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing�and in some countries reversal�of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories. © 2019, The Author(s)

Leisure-Time Physical Activity Levels Among Canadian Adolescents, 1981–1998

Background:In recent years, it has been noted that children and youth are physically inactive, and physical activity levels have declined over the past decades. However, few empirical studies have been conducted to test this assumption. Therefore, the purpose of this study was to examine leisure-time physical activity levels among Canadian adolescents 12–19 years of age.Methods:Age, sex, geographic, and temporal trends in leisure-time physical activity energy expenditure (AEE) were examined using data from 5 national surveys conducted between 1981 and 1998. AEE was calculated from participants’ questionnaire responses on physical activity participation. General linear models were used to examine the differences in AEE across survey years, geographic regions, sexes, and age groups.Results:Males and 12–14-year-olds displayed greater AEE than females and 15–19-year-olds, respectively, and AEE was lowest in Quebec and highest in the West. AEE increased between the 1981 and 1988 surveys and has since remained relatively stable. The prevalence of subjects meeting the 12.6 kJ · kg−1 · d−1 (3 kcal · kg−1 · d−1) recommendation increased from 1981 to 1988. Since 1988, the prevalence of those meeting the 12.6 kJ · kg−1 · d−1 recommendation has decreased in 12–14 year old boys and remained relatively stable in the other groups. In 1998, about 45% of males and 35% of females met the 12.6 kJ · kg−1 · d−1 recommendation. In 1998, about 20% of 12–19-year-old males and 12–14-year-old females met the 25.1 kJ · kg−1 · d−1 (6 kcal · kg−1 · d−1) recommendation, while about 10% of 15–19-year-old females met this recommendation. In females, the prevalence of those meeting the 25.1 kJ · kg−1 · d−1 recommendation has remained relatively stable (about 10%) since 1981 except for an increase between 1996 and 1998 in 12–14-year-old girls. In males, a similar pattern, but not as dramatic, of that observed for the prevalence of those meeting the 12.6 kJ · kg−1 · d−1 emerged—that is, an increase between 1981 and 1988 and then a decrease in 12–14-year-old boys and a stable pattern in 15–19-year-old boys.Conclusion:Although self-reported leisure-time physical activity appears to have increased since 1981, a majority of Canadian adolescents do not meet current recommendations for physical activity.</jats:sec