Low Energy Turnover of Physically Inactive Participants as a Determinant of Insufficient Mineral and Vitamin Intake in NHANES.

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Version: Final published version
Serval ID
serval:BIB_BB88B8CC3081
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Low Energy Turnover of Physically Inactive Participants as a Determinant of Insufficient Mineral and Vitamin Intake in NHANES.
Journal
Nutrients
Author(s)
Heydenreich J., Melzer K., Flury C., Kayser B.
ISSN
2072-6643 (Electronic)
ISSN-L
2072-6643
Publication state
Published
Issued date
14/07/2017
Peer-reviewed
Oui
Volume
9
Number
7
Pages
NA
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Micronutrient requirements do not scale linearly with physical activity-related energy expenditure (AEE). Inactive persons may have insufficient micronutrient intake because of low energy intake (EI). We extracted data from NHANES 2003-2006 on 4015 adults (53 ± 18 years (mean ± SD), 29 ± 6 kg/m², 48% women) with valid physical activity (accelerometry) and food intake (2 × 24 h-dietary recall) measures. Total energy expenditure (TEE) was estimated by summing the basal metabolic rate (BMR, Harris-Benedict), AEE, and 10% of TEE for the thermic effect of food, to calculate the physical activity levels (PAL = TEE/BMR). Energy intake (EI) was scaled to match TEE assuming energy balance. Adjusted food intake was then analyzed for energy and micronutrient content and compared to estimated average requirements. The NHANES population was physically insufficiently active. There were 2440 inactive (PAL < 1.4), 1469 lightly to moderately active (PAL1.4 < 1.7), 94 sufficiently active (PAL1.7 < 2.0), and 12 very active participants (PAL ≥ 2.0). The inactive vs. active had significantly lower intake for all micronutrients apart from vitamin A, B12, C, K, and copper ( <i>p</i> < 0.05). The inactive participants had insufficient intake for 6/19 micronutrients, while the active participants had insufficient intake for 5/19 ( <i>p</i> < 0.05) micronutrients. Multiple linear regression indicated a lower risk for insufficient micronutrient intake for participants with higher PAL and BMI ( <i>p</i> < 0.001). Symmetrical up-scaling of PAL and EI to recommended physical activity levels reduced the frequency of micronutrient insufficiencies. It follows that prevalence of insufficient micronutrient intake from food in NHANES might be partly determined by low energy turnover from insufficient PAL.

Keywords
Adult, Aged, Basal Metabolism, Body Mass Index, Diet, Eating, Energy Metabolism/physiology, Exercise/physiology, Female, Humans, Male, Micronutrients/administration & dosage, Middle Aged, Minerals/administration & dosage, Nutrition Surveys, Nutritional Status, Vitamins/administration & dosage, adults, energy intake, energy turnover, micronutrients, minerals, physical activity level, total energy expenditure, vitamins
Pubmed
Web of science
Open Access
Yes
Create date
24/08/2017 15:51
Last modification date
20/08/2019 15:29
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