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- Forsum, Elisabet, 1947-, et al.
(författare)
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Calculation of energy expenditure in women using the MET system
- 2006
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Ingår i: Medicine & Science in Sports & Exercise. - : Ovid Technologies (Wolters Kluwer Health). - 0195-9131 .- 1530-0315. ; 38:8, s. 1520-1525
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Interpretation of physical activity as energy expenditure requires adjustment for body size. This is usually accomplished by means of the MET system, which assumes a basal metabolic rate (BMR) of 4.184 kJ·kg -1·h-1 and, when the standard calculation is used, that the energy costs of different activities are proportional to BMR. These relationships may be altered by increases in percent total body fat (% TBF), and this paper examines relationships between % TBF and total energy expenditure (TEE) obtained using the standard and a proposed calculation. Methods: Published data regarding body composition, physical activity (heart rate recording), and BMR in 11 American women (before and after weight gain) and in 15 Swedish women (before and during pregnancy) were used to calculate TEE. Reference estimates of TEE were obtained using doubly labeled water. Results: In Swedish women, reference TEE minus standard TEE (MJ·24 h-1) was 1.37 ± 1.29 (P < 0.01) before and 1.03 ± 1.13 (P < 0.05) during pregnancy. For proposed TEE these differences were 0.43 ± 1.63 (P > 0.05) and 0.31 ± 1.28 (P > 0.05) (MJ·24 h-1), respectively. In American women before and after weight gain, reference TEE minus standard TEE (MJ·24 h-1) were 0.38 ± 1.79 (P > 0.05) and 1.39 ± 2.36 (P > 0.05), respectively, whereas the corresponding differences for proposed TEE (MJ·24 h-1) were -0.52 ± 2.20 (P > 0.05) and 0.21 ± 2.36 (P > 0.05), respectively. In Swedish women before pregnancy and American women after weight gain (N = 26, BMI = 18-39), significant (P < 0.001) relationships were found for standard TEE/proposed TEE (y) versus % TBF, (x, r = -0.65) and versus BMI (x, r = -0.70). Conclusions: In individuals with a TBF content typical for contemporary Western women, standard TEE is lower than proposed TEE. This bias increases as the TBF content of subjects increases. The results indicate that proposed TEE is more accurate than standard TEE, but this requires confirmation. Copyright © 2006 by the American College of Sports Medicine.
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- Forsum, Elisabet, 1947-, et al.
(författare)
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Evaluations of Actiheart, IDEEA and RT3 monitors for estimating activity energy expenditure in free-living women
- 2013
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Ingår i: Journal of Nutritional Science. - : Cambridge University Press. - 2048-6790. ; 2:e31
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Tidskriftsartikel (refereegranskat)abstract
- Activity energy expenditure (AEE) during free-living conditions can be assessed using devices based on different principles. To make proper comparisons of different devices' capacities to assess AEE, they should be evaluated in the same population. Thus, in the present study we evaluated, in the same group of subjects, the ability of three devices to assess AEE in groups and individuals during free-living conditions. In twenty women, AEE was assessed using RT3 (three-axial accelerometry) (AEERT3), Actiheart (a combination of heart rate and accelerometry) (AEEActi) and IDEEA (a multi-accelerometer system) (AEEIDEEA). Reference AEE (AEEref) was assessed using the doubly labelled water method and indirect calorimetry. Average AEEActi was 5760 kJ per 24 h and not significantly different from AEEref (5020 kJ per 24 h). On average, AEERT3 and AEEIDEEA were 2010 and 1750 kJ per 24 h lower than AEEref, respectively (P < 0·001). The limits of agreement (± 2 sd) were 2940 (Actiheart), 1820 (RT3) and 2650 (IDEEA) kJ per 24 h. The variance for AEERT3 was lower than for AEEActi (P = 0·006). The RT3 classified 60 % of the women in the correct activity category while the corresponding value for IDEEA and Actiheart was 30 %. In conclusion, the Actiheart may be useful for groups and the RT3 for individuals while the IDEEA requires further development. The results are likely to be relevant for a large proportion of Western women of reproductive age and demonstrate that the procedure selected to assess physical activity can greatly influence the possibilities to uncover important aspects regarding interactions between physical activity, diet and health.
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- Forsum, Elisabet, 1947-, et al.
(författare)
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Maternal body composition in relation to infant birth weight and subcutaneous adipose tissue
- 2006
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Ingår i: British Journal of Nutrition. - 0007-1145 .- 1475-2662. ; 96:2, s. 408-414
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Tidskriftsartikel (refereegranskat)abstract
- Infant birth weight has increased recently, representing an obstetric and potentially a public health problem since high birth weight involves a risk of obesity later in life. Maternal nutritional status is important for fetal growth and therefore relationships between maternal body weight and composition v. birth weight and infant subcutaneous adipose tissue were investigated in twenty-three healthy women and their newborn infants using multiple and simple linear regression analysis. Furthermore, using previously published data for nineteen infants, it was demonstrated that an anthropometric method could provide useful estimates of the amount of subcutaneous adipose tissue. Birth weight was correlated with the maternal content of total body fat (TBF) both before pregnancy and in gestational week 32 and, together with gestational age at birth, TBF (%) before pregnancy explained 45% of the variation in birth weight. This figure was not increased when gestational gains in weight or TBF were added to the model. Furthermore, in infants, birth weight correlated with the amount of their subcutaneous adipose tissue. Together maternal TBF (%) and amount of subcutaneous adipose tissue in infants explained 61–63% of the variation in birth weight while the amount of infant subcutaneous adipose tissue alone explained only 55%. The maternal TBF content is likely to be important for the recent increase in birth weight. This factor probably causes a general augmentation in fetal growth rather than a specific stimulation of adipose tissue growth.
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- Forsum, Elisabet, 1947-
(författare)
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Maternal physiology and nutrition during reproduction
- 2002
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Ingår i: Nutrition in Early Life. - Linköping : Linköpings universitet. - 9780470850640 ; , s. 73-90
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- The publication of the Department of Health White Paper "The Health of the Nation" (1992) and "Our Healthier Nation" (1998) gave emphasis to the importance of nutritional health of the nation at all ages. It is clear that the achievement of specific targets for pregnancy and infancy as set out in the White Paper will involve the training of all health care professionals in nutrition education. This book responds to the challenge and focuses on good nutrition for and during pregnancy, in low birth weight infants, and during infancy. It has a strong public health emphasis, dealing with health prevention issues for the Nation s younger population. The text is written as a scientific reference book for those seeking to apply science in the support of a successful pregnancy and in the prevention of nutritional problems during foetal and early post natal life. The importance of optimal nutrition during these periods of life is emphasised by the overwhelming evidence that nutritional problems in early embryonic life may cause congenital malformations and during late foetal life and early post natal life may set the molecular programme for later disease development.
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