ENERGY
Energy is constantly
needed for the maintenance of body tissue and tempera-ture and for growth
(involuntary activity), as well as for voluntary activity. Examples of
voluntary activity include walking, running, swimming, garden-ing, and so on.
The three groups of nutrients that provide energy to the body are
carbohydrates, proteins, and fats. Carbohydrates are and should be the primary
energy source.
The unit used to
measure the energy value of foods is the kilocalorie, or kcal, commonly known as the
large calorie, or calorie. In the met-ric system
it is known as the kilojoule. One kilocalorie is equal to 4.184 kilojoules, but
this may be rounded off to 4.2 kilojoules. A calorie is the amount of heat
needed to raise the temperature of 1 kilogram of water 1 degree Celsius (C).
The number of calories
in a food is its energy value, or caloric density. Energy values of foods vary
a great deal because they are determined by the types and amounts of nutrients
each food contains.
One gram of
carbohydrate yields 4 calories; 1 gram of protein yields 4 calories; and 1 gram
of fat yields 9 calories. One gram of alcohol yields 7 calories.
The energy values of
foods are determined by a device known as a bombcalorimeter.
The inner part of a calorimeter holds a measured amount offood,
and the outer part holds water. The food is burned, and its caloric value is
determined by the increase in the temperature of the surrounding water. The
number of calories in average servings of common foods is listed in Table A-D
of the appendix.
One’s basal metabolism
is the energy necessary to carry on all involuntary vital processes while the
body is at rest. These processes are respiration, circula-tion, regulation of
body temperature, and cell activity and maintenance. The rate at which energy
is needed only for body maintenance is called the basalmetabolism
rate (BMR). The BMR may be referred to as the
resting energy expenditure (REE).
Medical tests can
determine one’s BMR (or REE). When such a test is given, the body is at rest
and performing only the essential, involuntary func-tions. Voluntary activity
is not measured in a BMR test. Factors that affect one’s BMR are lean body
mass, body size, sex, age, heredity, physical condition, and climate.
Lean body mass is muscle as opposed
to fat tissue. Because there is moremetabolic activity in muscle tissue than in
fat or bone tissue, muscle tissue re-quires more calories than does fat or bone
tissue. People with large body frames require more calories than do people with
small frames because the former have more body mass to maintain and move than
do those with small frames.
Men usually require
more energy than women. They tend to be larger and to have more lean body mass
than women do.
Children require more
calories per pound of body weight than adults because they are growing. As
people age, the lean body mass declines, and the basal metabolic rate declines
accordingly. Heredity is also a determining factor. One’s BMR may resemble
one’s parents’, just as one’s appearance may. One’s physical condition also
affects the BMR. For example, women require more calories during pregnancy and
lactation than at other times. The basal meta-bolic rate increases during fever
and decreases during periods of starvation or severely reduced calorie intake.
People living and working in extremely cold or warm climates require more
calories to maintain normal body temperature than they would in a more
temperate climate.
The body requires
energy to process food (digestion, absorption, transpor-tation, metabolism, and
storage); this requirement represents 10% of daily energy (calorie) intake.
Multiply BMR by 0.10 and add to the BMR (REE) before an activity factor is
calculated.
Female: REE = 655 + (9.6 × weight in kg) + (1.8 × height in cm) – (4.7 × age)
Male: REE = 66 + (13.7 × weight in kg) + (5 × height in cm) – (6.8 × age)
W = weight inkilograms (kg) (weight in pounds ÷ 2.2 =kg)
H = height in centimenters (cm) (height in inches x 2.54 = cm)
A = age in years
Estimating BMR.Dietitians commonly use the Harris-Benedict
equa-tion to determine the BMR (REE) of persons over the age of 18. This
equation uses height, weight, and age as factors and results in a more
individualized estimate of the REE than some other methods (Figure 3-5).
Another method used to
estimate one’s BMR, or REE, is the following:
· Convert body weight
from pounds to kilograms (kg) by dividing pounds by 2.2 (2.2 pounds equal 1
kilogram).
· Multiply the kilograms
by 24 (hours per day).
· Multiply the answer
obtained in step 2 above by 0.9 for a woman and by 1.0 for a man.
For example, assume
that a woman weighs 110 pounds. Divide 110 by 2.2 for an answer of 50 kg.
Multiply 50 kg by 24 hours in a day for an answer of 1,200 calories. Then
multiply 1,200 calories by 0.9 for an answer of 1,080 calories. This is the
estimated basal metabolic energy requirement for that particular woman.
An individual’s
average daily energy requirement is the total number
of calories needed in a 24-hour period. Energy requirements of people differ,
depending on BMR (REE) and activities. More energy is burned playing soccer
than playing the piano. Refer to Table 3-2 for calorie guidelines according to
MyPyramid.
Table 3-3 shows
suggested weights for adults according to height.
A person who takes in fewer calories
than she or he burns usually loses weight. If someone takes in more calories
than she or he burns, the body stores them as adipose tissue (fat). Some
adipose tissue is necessary to protect the body and support its organs. Adipose
tissue also helps regulate body temperature, just as insulation helps regulate
the temperature of a building. An excess of adipose tissue, however, leads to
obesity, which can endanger health because it puts extra burdens on body organs
and systems. For the healthy person, the goal is energy balance. This means
that the number of calories consumed matches the number of calories required for
one’s BMR (REE) and activity.
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