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The conceptual framework for estimating food energy requirement

Published online by Cambridge University Press:  02 January 2007

Anna Ferro-Luzzi*
Affiliation:
National Institute for Food and Nutrition Research, Via Ardeatina, 546–00 178, Rome, Italy
*
*Corresponding author: Email ferroluzzi@inran.it
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Abstract

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Objective

In anticipation of the revision of the 1985 Food and Agricultural Organization/World Health Organization/United Nations University (FAO/ WHO/UNU) Expert Consultation Report on ‘Energy and Protein Requirements’, recent scientific knowledge on the principles underlying the estimation of energy requirement is reviewed.

Design

This paper carries out a historical review of the scientific rationale adopted by previous FAO/WHO technical reports on energy requirement, discusses the concepts used in assessing basal metabolic rate (BMR), energy expenditure, physical activity level (PAL), and examines current controversial areas. Recommendations and areas of future research are presented.

Conclusions

The database of the BMR predictive equations developed by the 1985 FAO/WHO/UNU Expert Consultation Report on Energy and Protein Requirements needs updating and expansion, applying strict and transparent selection criteria. The existence of an ethnic/tropical factor capable of affecting BMR is not supported by the available evidence. The factorial approach for the calculation of energy requirement, as set out in the 1985 report, should be retained. The estimate should have a normative rather than a prescriptive nature, except for the allowance provided for extra physical activity for sedentary populations, and for the prevention of non-communicable chronic diseases. The estimate of energy requirement of children below the age of 10 years should be made on the basis of energy expenditure rather than energy intake. The evidence of the existence of an ethnic/tropical factor is conflicting and no plausible mechanism has as yet been put forward.

Type
Research Article
Copyright
Copyright © The Author 2005

References

1WHO. Energy and Protein Requirements. Report of a Joint FAO/WHO/UNU Expert Consultation. Technical Report Series No. 724, 1-206. Geneva: World Health Organization, 1985.Google Scholar
2Committee on Calorie Requirement F. Calorie Requirements. FAO, Editor. 5, 165. Washington, USA: FAO Nutritional Studies, 1950.Google Scholar
3FAO. Calorie Requirements: Report of the Second Committee on Calorie Requirements. FAO, Editor. 15, 166. Rome, FAO: FAO Nutritional Studies, 1957.Google Scholar
4WHO. Energy and protein requirements. Report of a Joint FAO/WHO ad hoc Expert Committee. WHO, Editor. No. 522, 1118. Geneva: World Health Organization, 1973. Technical Report Series.Google Scholar
5Norgan, NG, Ferro-Luzzi, A. Human adaptation to energy undernutrition. In: Fregly, M, Blatteis, CM, eds. Handbook of Physiology. Oxford: Oxford University Press, 1995, 1391–409.Google Scholar
6FAO/WHO. Protein and energy requirements: a Joint FAO/WHO memorandum. Bulletin of World Health Organization 1979; 57: 6579.Google Scholar
7Schofield, WN. Predicting basal metabolic rate: new standards and review of previous work. Human Nutrition: Clinical Nutrition 1985; 1: 541.Google Scholar
8Scrimshaw, NS, Waterlow, JC, Schurch, B, eds. Energy and protein requirements. Proceedings of an IDECG Workshop, 1996.Google Scholar
9Buyckx, M, Dupont, JL, Durnin, JV, Ferro-Luzzi, A, Roberts, SB, Schurch, B, Shetty, PS. Report of the working group on general principles of assessing energy requirements. European Journal of Clinical Nutrition 1996; 50(Suppl. 1): S186–7.Google Scholar
10Shetty, PS, Henry, CJK, Black, AE, Prentice, AM. Energy requirements of adults: an update on basal metabolic rates (BMRs) and physical activity levels (PALs). European Journal of Clinical Nutrition 1996; 50(Suppl. 1): S11S23.Google Scholar
11Durnin, JVGA. Energy requirements:general principles. European Journal of Clinical Nutrition 1996; 50(Suppl. 1): S2S10.Google Scholar
12Hayter, JE, Henry, CJK. A re-examination of basal metabolic rate predictive equations: the importance of geographic origin of subjects in sample selection. European Journal of Clinical Nutrition 1994; 48: 702–7.Google Scholar
13De Lorenzo, A, Tagliabue, A, Andreoli, A, Testolin, G, Comelli, M, Deurenberg, P. Measured and predicted resting metabolic rate in Italian males and females, aged 18–59 years. European Journal of Clinical Nutrition 2001; 55(3): 208–14.CrossRefGoogle Scholar
14Henry, CJK, Rees, DG. New predictive equations for the estimation of basal metabolic rate in tropical peoples. European Journal of Clinical Nutrition 1991; 45: 177–85.Google Scholar
15Hayter, JE, Henry, CJK. Basal metabolic rate in human subjects migrating between tropical and temperate regions: a longitudinal study and review of previous work. European Journal of Clinical Nutrition 1993; 47: 724–34.Google Scholar
16Schofield, WN, Schofield, C, James, WPT. Basal metabolic rate – review and prediction, together with an annotated bibliography of source material. Human Nutrition Clinical Nutrition 1985; 39C(Suppl.1): 541.Google Scholar
17Pepe, M. Contributo alla conoscenza del metabolismo di base degli italiani. Nota VII: Il metabolismo di base di soggetti dai 18 ai 24 anni. Quaderni della Nutrizione 1938; 206–13.Google Scholar
18Felloni, G. Contributo alla conoscenza del metabolismo di base degli italiani. Nota I. Il metabolismo di base di soggetti dai 19 ai 25 anni. Quaderni della Nutrizione 1936; 3(25): 419–42.Google Scholar
19Lafratta, E. Contributo alla conoscenza del metabolismo di base degli italiani. Nota Vl: Il metabolismo di base di soggetti (maschi) dai 14 ai 20 anni. Quaderni della Nutrizione 1937; 4: 410–6.Google Scholar
20Lenti, C. Contributo alla conoscenza del metabolismo di base degli italiani. Nota I. Il metabolismo di base di soggetti dai 20 ai 25 anni. Quaderni della Nutrizione 1937; 4: 194225.Google Scholar
21Occhiuto, A, Pepe, M. Contributo alla conoscenza del metabolismo di base degli italiani. Nota X: Il metabolismo di base di soggetti (maschi) di oltre 25 anni. Quaderni della Nutrizione 1940; 7: 142–54.Google Scholar
22Granati, A, Busca, L. Il metabolismo di base di un gruppo di lavoratori. Quaderni della Nutrizione 1941; 8: 411–21.Google Scholar
23Pepe, M. Contributo alla conoscenza del metabolismo di base degli italiani. Nota VII: Il metabolismo di base di soggetti dai 18 ai 24 anni. Quaderni della Nutrizione 1938; 5: 206–14.Google Scholar
24Polito, A, Cuzzolaro, M, Raguzzini, A, Censi, L, Ferro-Luzzi, A. Body composition changes in anorexia nervosa. European Journal of Clinical Nutrition 1998; 52(9): 655–62.CrossRefGoogle ScholarPubMed
25Censi, L, Toti, E, Pastore, G, Ferro-Luzzi, A. The basal metabolic rate and energy cost of standardised walking of short and tall men. European Journal of Clinical Nutrition 1998; 52(6): 441–6.Google Scholar
26James, WPT, Ralph, A, Ferro-Luzzi, A. Energy needs of the elderly. A new approach. In: Munro, HN, Danford, DE, eds. Human nutrition. A comprehensive treatise. New York: Plenum Press, 1989, 129–51.Google Scholar
27Vinoy, S, Rosetta, L, Mascie-Taylor, CGN. Repeated measurements of energy intake, energy expenditure and energy balance in lactating Bangladeshi mothers. European Journal of Clinical Nutrition 2000; 54: 579–85.CrossRefGoogle ScholarPubMed
28Yamauchi, T, Umezaki, M, Ohtsuka, R. Influence of urbanisation on physical activity and dietary changes in Huli-speaking population: a comparative study of village dwellers and migrants in urban settlements. British Journal of Nutrition 2001; 85: 6573.Google Scholar
29Sun, M, Gower, BA, Bartolucci, AA, Hunter, GR, Figueroa-Colon, R, Goran, MI. A longitudinal study of resting energy expenditure relative to body composition during puberty in African American and white children. American Journal of Clinical Nutrition 2001; 73(2): 308–15.Google Scholar
30Hunter, GR, Weinsier, RL, Darnell, BE, Zuckerman, PA, Goran, MI. Racial differences in energy expenditure and aerobic fitness in pre-menopausal women. American Journal of Clinical Nutrition 2000; 71(2): 500–6.CrossRefGoogle Scholar
31Weinsier, RL, Hunter, GR, Zuckerman, PA, Redden, DT, Darnell, BE, Larson, DE, Newcomer, BR, Goran, MI. Energy expenditure and free-living physical activity in black and white women: comparison before and after weight loss. American Journal of Clinical Nutrition 2000; 71(5): 1138–46.Google Scholar
32van der Ploeg, GE, Gunn, SM, Withers, RT, Modra, AC, Keeves, JP, Chatterton, BE. Predicting the resting metabolic rate of young Australian males. European Journal of Clinical Nutrition 2001; 55: 145–52.Google Scholar
33Ferro-Luzzi, A, Petracchi, C, Kuriyan, R, Kurpad, A. Basal metabolism of weight-stable chronically undernourished men and women: lack of metabolic adaptation and ethnic differences. American Journal of Clinical Nutrition 1997; 66: 1086–93.Google Scholar
34Henry, CJK, Dyer, S, Ghusain-Choueiri, A. New equations to estimate basal metabolic rate in children aged 10–15 years. European Journal of Clinical Nutrition 1999; 53: 134–42.CrossRefGoogle ScholarPubMed
35Ferro-Luzzi, A, Morris, SS, Taffese, S, Demissé, T, D'Amato, M. Seasonal Undernutrition in Rural Ethiopia: Magnitude, Correlates, and Functional Significance. Research Reports Series (118). Washington DC: International Food Policy Research Institute, 2001, 174.Google Scholar
36Ferro-Luzzi, A, Scaccini, C, Taffese, S, Aberra, B, Demeke, T. Seasonal energy deficiency in Ethiopian rural women. European Journal of Clinical Nutrition 1990; 44: 718.Google Scholar
37Valencia, ME, Moya, SY, McNeill, G, Haggarty, P. Basal metabolic rate and body fatness of adult men in northern Mexico. European Journal of Clinical Nutrition 1994; 48: 205–11.Google ScholarPubMed
38Scrimshaw, NS, Hautvast, JGAJ, Schurch, B, eds. IDECG Annual Report 1997. Switzerland: Lausanne, 1997.Google Scholar
39Keys, A, Brozek, J, Henschel, A, Mickelsen, O, Taylor, HL. The Biology of Human Starvation, 1st ed. Minneapolis: The University of Minnesota Press, 1950.Google Scholar
40Sparti, A, deLany, JP, de la Bretonne, JA, Sander, GE, Bray, GA. Relationship between resting metabolic rate and the composition of fat-free mass. Metabolism 1997; 46(10): 1225–30.CrossRefGoogle ScholarPubMed
41Polito, A, Fabbri, A, Ferro-Luzzi, A, Cuzzolaro, M, Censi, L, Ciarapica, D, et al. Basal metabolic rate in anorexia nervosa: relation to body composition and leptin concentrations. American Journal of Clinical Nutrition 2000; 7: 1495–502.Google Scholar
42Soares, MJ, Kulkarni, RN, Piers, LS, Vaz, M, Shetty, PS. Energy supplementation reverses changes in the basal metabolic rates of chronically undernourished individuals. British Journal of Nutrition 1992; 68: 593602.Google Scholar
43Carpenter, WH, Poehlman, ET, O'Connell, M, Goran, MI. Influence of body composition and resting metabolic rate on variation in total energy expenditure: a meta-analysis. American Journal of Clinical Nutrition 1995; 61: 410.Google Scholar
44Prentice, AM, Goldberg, GR, Murgatroyd, PR, Cole, TJ. Physical activity and obesity: problems in correcting expenditure for body size. International Journal of Obesity 1996; 20: 688–91.Google ScholarPubMed
45Haggarty, P, Valencia, ME, McNeill, G, Gonzales, NL, Moya, SY, Pinelli, A, et al. Energy expenditure during heavy work and its interactions with body weight. British Journal of Nutrition 1997; 77: 359–73.Google Scholar
46Ferro-Luzzi, A, Scaccini, C, Taffese, S, Aberra, B, Demeke, T. Seasonal energy in Ethiopian rural women. European Journal of Clinical Nutrition 1990; 44(Suppl.): 718.Google ScholarPubMed
47Shetty, PS. Chronic undernutrition and metabolic adaptation. Proceedings of the Nutrition Society 1993; 52: 267–84.Google Scholar
48Immink, MDC, Blake, CC, Viteri, FE, Flores, R, Torun, B. Energy supplementation and productivity of Guatemalan sugar-cane cutters: a longitudinal approach. Archivios Latinoamericanos de Nutricion 1986; 36: 247–59.Google Scholar
49EURODIET. Nutrition and diet for healthy lifestyles in Europe: science and policy implications. Public Health Nutrition 2001; 4(1A): 175.Google Scholar
50WCRF, Food, Nutrition and the Prevention of Cancer: a Global Perspective. Washington DC: American Institute for Cancer Research, 1997.Google Scholar
51Ferro-Luzzi, A, Martino, L. Obesity and physical activity. In: Chadwick, DJ, Cardew, GL, eds. The origin and consequences of obesity. CIBA Foundation Symposium 2001. London: John Wiley & Sons, 1996: 207–27.Google Scholar
52Joint WHO/FAO Expert Consultation. Diet, Nutrition and the Prevention of Chronic Diseases. Report of the Joint WHO/FAO Expert Consultation. WHO, editor. No. 916 (TRS 916), 1149. Geneva, Switzerland: WHO, 2003. Technical Report SeriesGoogle Scholar
53Erlichman, J, Kerbey, AL, James, WPT. Physical activity and its impact on health outcomes. Paper 1: The impact of physical activity on cardiovascular disease and all-cause mortality: an historical perspective. Obesity Review 2002; 3(4): 257–71.CrossRefGoogle ScholarPubMed
54Erlichman, J, Kerbey, AL, James, WPT. Physical activity and its impact on health outcomes. Paper 2: Prevention of unhealthy weight gain and obesity by physical activity: an analysis of the evidence. Obesity Review 2002; 3(4): 273–87.Google Scholar