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Severely restricting energy intake for 24 h does not affect markers of bone metabolism at rest or in response to re-feeding.

ABSTRACT: PURPOSE:Intermittent energy restriction commonly refers to ad libitum energy intake punctuated with 24 h periods of severe energy restriction. This can improve markers of metabolic health but the effects on bone metabolism are unknown. This study assessed how 24 h severe energy restriction and subsequent refeeding affected markers of bone turnover. METHODS:In a randomised order, 16 lean men and women completed 2, 48 h trials over 3 days. On day 1, participants consumed a 24 h diet providing 100% [EB: 9.27 (1.43) MJ] or 25% [ER: 2.33 (0.34) MJ] of estimated energy requirements. On day 2, participants consumed a standardised breakfast (08:00), followed by an ad libitum lunch (12:00) and dinner (19:30). Participants then fasted overnight, returning on day 3. Plasma concentrations of C-terminal telopeptide of type I collagen (CTX), procollagen type 1 N-terminal propeptide (P1NP) and parathyroid hormone (PTH) were assessed as indices of bone metabolism after an overnight fast on days 1-3, and for 4 h after breakfast on day 2. RESULTS:There were no differences between trials in fasting concentrations of CTX, P1NP or PTH on days 1-3 (P?>?0.512). During both trials, consuming breakfast reduced CTX between 1 and 4 h (P?

SUBMITTER: Clayton DJ

PROVIDER: S-EPMC7669762 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Severely restricting energy intake for 24 h does not affect markers of bone metabolism at rest or in response to re-feeding.

Clayton David J DJ James Lewis J LJ Sale Craig C Templeman Iain I Betts James A JA Varley Ian I

European journal of nutrition 20200203 8

<h4>Purpose</h4>Intermittent energy restriction commonly refers to ad libitum energy intake punctuated with 24 h periods of severe energy restriction. This can improve markers of metabolic health but the effects on bone metabolism are unknown. This study assessed how 24 h severe energy restriction and subsequent refeeding affected markers of bone turnover.<h4>Methods</h4>In a randomised order, 16 lean men and women completed 2, 48 h trials over 3 days. On day 1, participants consumed a 24 h diet ...[more]

PMID: 32016644

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Project description:BackgroundVarious recommendations exist for total water intake (TWI), yet it is seldom reported in dietary surveys. Few studies have examined how real-life consumption patterns, including beverage type, variety and timing relate to TWI and energy intake (EI).MethodsWe analysed weighed dietary records from the National Diet and Nutrition Survey of 1724 British adults aged 19-64 years (2000/2001) to investigate beverage consumption patterns over 24 hrs and 7 days and associations with TWI and EI. TWI was calculated from the nutrient composition of each item of food and drink and compared with reference values.ResultsMean TWI was 2.53 L (SD 0.86) for men and 2.03 L (SD 0.71) for women, close to the European Food Safety Authority "adequate Intake" (AI) of 2.5 L and 2 L, respectively. However, for 33% of men and 23% of women TWI was below AI and TWI:EI ratio was <1 g/kcal. Beverages accounted for 75% of TWI. Beverage variety was correlated with TWI (r 0.34) and more weakly with EI (r 0.16). Beverage consumption peaked at 0800 hrs (mainly hot beverages/ milk) and 2100 hrs (mainly alcohol). Total beverage consumption was higher at weekends, especially among men. Overall, beverages supplied 16% of EI (men 17%, women 14%), alcoholic drinks contributed 9% (men) and 5% (women), milk 5-6%, caloric soft drinks 2%, and fruit juice 1%.In multi-variable regression (adjusted for sex, age, body weight, smoking, dieting, activity level and mis-reporting), replacing 100 g of caloric beverages (milk, fruit juice, caloric soft drinks and alcohol) with 100 g non-caloric drinks (diet soft drinks, hot beverages and water) was associated with a reduction in EI of 15 kcal, or 34 kcal if food energy were unchanged. Using within-person data (deviations from 7-day mean) each 100 g change in caloric beverages was associated with 29 kcal change in EI or 35 kcal if food energy were constant. By comparison the calculated energy content of caloric drinks consumed was 47 kcal/100 g.ConclusionsTWI and beverage consumption are closely related, and some individuals appeared to have low TWI. Compensation for energy from beverages may occur but is partial. A better understanding of interactions between drinking and eating habits and their impact on water and energy balance would give a firmer basis to dietary recommendations.

Project description:BackgroundRestricting fluids and foods during labour is common practice across many birth settings with some women only being allowed sips of water or ice chips. Restriction of oral intake may be unpleasant for some women, and may adversely influence their experience of labour.ObjectivesTo determine the benefits and harms of oral fluid or food restriction during labour.Search methodsWe searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 June 2013) and reference lists of retrieved studies.Selection criteriaRandomised controlled trials (RCTs) and quasi-RCTs of restricting fluids and food for women in labour compared with women free to eat and drink.Data collection and analysisTwo review authors independently assessed the studies for inclusion, assessed risk of bias and carried out data extraction.Main resultsWe identified 19 studies of which we included five, involving 3130 women. We excluded eight studies, one awaits classification and five are ongoing studies. All the included studies looked at women in active labour and at low risk of potentially requiring a general anaesthetic. One study looked at complete restriction versus giving women the freedom to eat and drink at will; two studies looked at water only versus giving women specific fluids and foods and two studies looked at water only versus giving women carbohydrate drinks.When comparing any restriction of fluids and food versus women given some nutrition in labour, the meta-analysis was dominated by one study undertaken in a highly medicalised environment. There were no statistically significant differences identified in: caesarean section (average risk ratio (RR) 0.89, 95% confidence interval (CI) 0.63 to 1.25, five studies, 3103 women), operative vaginal births (average RR 0.98, 95% CI 0.88 to 1.10, five studies, 3103 women) and Apgar scores less than seven at five minutes (average RR 1.43, 95% CI 0.77 to 2.68, four studies, 2902 infants), nor in any of the other outcomes assessed. Women's views were not assessed. The pooled data were insufficient to assess the incidence of Mendelson's syndrome, an extremely rare outcome. Other comparisons showed similar findings, except one study did report a significant increase in caesarean sections for women taking carbohydrate drinks in labour compared with water only, but these results should be interpreted with caution as the sample size was small.Authors' conclusionsSince the evidence shows no benefits or harms, there is no justification for the restriction of fluids and food in labour for women at low risk of complications. No studies looked specifically at women at increased risk of complications, hence there is no evidence to support restrictions in this group of women. Conflicting evidence on carbohydrate solutions means further studies are needed and it is critical in any future studies to assess women's views.

Project description:This study aimed to determine feeding behavior, water intake (WI), and energy requirements of high- and low-residual feed intake (RFI) Nellore bulls. Data were collected from 42 weaned Nellore bulls (initial body weight [BW] 260 ± 8.1 kg; age 7 ± 1.0 mo) housed in a feedlot in group pens that contained electronic feeders, waterers, and a scale connected to the waterers. The individual dry matter intake (DMI), WI, and BW were recorded daily. The indexes of average daily gain (ADG), feed efficiency (gain to feed ratio), and RFI were calculated based on the data collected. The number of feeder and waterer visits and the time spent feeding or drinking water per animal per day were recorded as feeding behavior measures. Energy requirements for maintenance and gain were calculated according to the BR-CORTE system. Low-RFI bulls had lower DMI (P < 0.01) than high-RFI bulls, and no differences (P > 0.05) were observed between the two groups regarding WI, performance, and feeding behavior measurements. The net energy requirements for maintenance, metabolizable energy for maintenance, and efficiency of metabolizable energy utilization were 63.4, 98.6 kcal/metabolic empty body weight (EBW)0.75 daily, and 64.3%, respectively, for low-RFI bulls, and 78.1, 123.9 kcal/EBW0.75 daily, and 63.0%, respectively, for high-RFI bulls. The equations obtained for net energy for gain (NEg) were: NEg (Mcal/EBW0.75) daily = 0.0528 × EBW0.75 × EBG0.5459 for low-RFI and 0.054 × EBW0.75 × EBG0.8618 for high-RFI bulls, where EBG is the empty body gain. We did not observe any difference (P > 0.05) regarding the composition of gain in terms of protein or fat deposition between the two groups. Both groups also presented similar (P > 0.05) carcass and non-carcass traits. Therefore, our study shows that low-RFI Nellore bulls eat less, grow at a similar rate, and have lower maintenance energy requirements than high-RFI bulls. We also suggest that the lower feed intake did not compromise the carcass traits of more efficient animals, which would reduce production costs and increase the competitiveness of the Brazilian beef sector on the world market.

Dataset Information

Severely restricting energy intake for 24 h does not affect markers of bone metabolism at rest or in response to re-feeding.

Publications

Severely restricting energy intake for 24 h does not affect markers of bone metabolism at rest or in response to re-feeding.

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