Energy Gap between Doubly Labeled Water-Based Energy Expenditure and Calculated Energy Intake from Recipes and Plate Waste, and Subsequent Weight Changes in Elderly Residents in Japanese Long-Term Care Facilities: CLEVER Study
Unintentional weight loss is a major frailty component; thus, assessing energy imbalance is essential for institutionalized elderly residents. This study examined prediction errors of the observed energy intake (OEI) against the actual energy intake obtained from the doubly labeled water (DLW) metho...
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| Format: | Article |
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MDPI AG
2020-09-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/12/9/2677 |
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| author | Yuki Nishida Shigeho Tanaka Satoshi Nakae Yosuke Yamada Hiroyuki Shirato Hirohiko Hirano Satoshi Sasaki Fuminori Katsukawa |
| author_facet | Yuki Nishida Shigeho Tanaka Satoshi Nakae Yosuke Yamada Hiroyuki Shirato Hirohiko Hirano Satoshi Sasaki Fuminori Katsukawa |
| author_sort | Yuki Nishida |
| collection | DOAJ |
| description | Unintentional weight loss is a major frailty component; thus, assessing energy imbalance is essential for institutionalized elderly residents. This study examined prediction errors of the observed energy intake (OEI) against the actual energy intake obtained from the doubly labeled water (DLW) method and clarified the relationship between the energy gap obtained by subtracting total energy expenditure (TEE) from OEI and subsequent weight changes in elderly residents in long-term care facilities. Overall, 46 participants were recruited in Japan. TEE was measured using the DLW method, and OEI was calculated from recipes and plate waste simultaneously over a 14–15-day period at baseline. The total energy intake (TEI<sub>DLW</sub>) was determined on the basis of DLW and weight changes during the DLW period. The weight was longitudinally tracked monthly for 12 months in the 28 residents who still lived at the facilities. OEI was higher than TEI<sub>DLW</sub> by a mean of 232 kcal/day (15.3%) among 46 residents at baseline. The longitudinal data of 28 residents showed that the energy gap tended to be correlated with the slope of weight change (<i>ρ</i> = 0.337, <i>p</i> = 0.080) and the median value was significantly lower in the weight loss group (152 kcal/day) than in the weight gain group (350 kcal/day) (<i>p</i> < 0.05). In conclusion, weight loss could occur at Japanese long-term care facilities even if the difference obtained by subtracting TEE from OEI was positive because OEI was overestimated by more than 200 kcal/day. |
| first_indexed | 2024-03-10T16:37:30Z |
| format | Article |
| id | doaj.art-183d0d381ed043aeb02914d1818c7f7f |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T16:37:30Z |
| publishDate | 2020-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-183d0d381ed043aeb02914d1818c7f7f2023-11-20T12:18:47ZengMDPI AGNutrients2072-66432020-09-01129267710.3390/nu12092677Energy Gap between Doubly Labeled Water-Based Energy Expenditure and Calculated Energy Intake from Recipes and Plate Waste, and Subsequent Weight Changes in Elderly Residents in Japanese Long-Term Care Facilities: CLEVER StudyYuki Nishida0Shigeho Tanaka1Satoshi Nakae2Yosuke Yamada3Hiroyuki Shirato4Hirohiko Hirano5Satoshi Sasaki6Fuminori Katsukawa7Department of Nutrition and Metabolism, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo 162-8636, JapanDepartment of Nutrition and Metabolism, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo 162-8636, JapanDepartment of Nutrition and Metabolism, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo 162-8636, JapanDepartment of Nutrition and Metabolism, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo 162-8636, JapanSilverpia-Kaga Long-Term Care Health Facility, Tokyo 173-0003, JapanDentistry and Oral Surgery, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, JapanDepartment of Social and Preventive Epidemiology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, JapanSports Medicine Research Center, Keio University, Yokohama 223-8521, JapanUnintentional weight loss is a major frailty component; thus, assessing energy imbalance is essential for institutionalized elderly residents. This study examined prediction errors of the observed energy intake (OEI) against the actual energy intake obtained from the doubly labeled water (DLW) method and clarified the relationship between the energy gap obtained by subtracting total energy expenditure (TEE) from OEI and subsequent weight changes in elderly residents in long-term care facilities. Overall, 46 participants were recruited in Japan. TEE was measured using the DLW method, and OEI was calculated from recipes and plate waste simultaneously over a 14–15-day period at baseline. The total energy intake (TEI<sub>DLW</sub>) was determined on the basis of DLW and weight changes during the DLW period. The weight was longitudinally tracked monthly for 12 months in the 28 residents who still lived at the facilities. OEI was higher than TEI<sub>DLW</sub> by a mean of 232 kcal/day (15.3%) among 46 residents at baseline. The longitudinal data of 28 residents showed that the energy gap tended to be correlated with the slope of weight change (<i>ρ</i> = 0.337, <i>p</i> = 0.080) and the median value was significantly lower in the weight loss group (152 kcal/day) than in the weight gain group (350 kcal/day) (<i>p</i> < 0.05). In conclusion, weight loss could occur at Japanese long-term care facilities even if the difference obtained by subtracting TEE from OEI was positive because OEI was overestimated by more than 200 kcal/day.https://www.mdpi.com/2072-6643/12/9/2677doubly labeled waterlong-term care facilityobserved energy intaketotal energy expenditureweight loss |
| spellingShingle | Yuki Nishida Shigeho Tanaka Satoshi Nakae Yosuke Yamada Hiroyuki Shirato Hirohiko Hirano Satoshi Sasaki Fuminori Katsukawa Energy Gap between Doubly Labeled Water-Based Energy Expenditure and Calculated Energy Intake from Recipes and Plate Waste, and Subsequent Weight Changes in Elderly Residents in Japanese Long-Term Care Facilities: CLEVER Study Nutrients doubly labeled water long-term care facility observed energy intake total energy expenditure weight loss |
| title | Energy Gap between Doubly Labeled Water-Based Energy Expenditure and Calculated Energy Intake from Recipes and Plate Waste, and Subsequent Weight Changes in Elderly Residents in Japanese Long-Term Care Facilities: CLEVER Study |
| title_full | Energy Gap between Doubly Labeled Water-Based Energy Expenditure and Calculated Energy Intake from Recipes and Plate Waste, and Subsequent Weight Changes in Elderly Residents in Japanese Long-Term Care Facilities: CLEVER Study |
| title_fullStr | Energy Gap between Doubly Labeled Water-Based Energy Expenditure and Calculated Energy Intake from Recipes and Plate Waste, and Subsequent Weight Changes in Elderly Residents in Japanese Long-Term Care Facilities: CLEVER Study |
| title_full_unstemmed | Energy Gap between Doubly Labeled Water-Based Energy Expenditure and Calculated Energy Intake from Recipes and Plate Waste, and Subsequent Weight Changes in Elderly Residents in Japanese Long-Term Care Facilities: CLEVER Study |
| title_short | Energy Gap between Doubly Labeled Water-Based Energy Expenditure and Calculated Energy Intake from Recipes and Plate Waste, and Subsequent Weight Changes in Elderly Residents in Japanese Long-Term Care Facilities: CLEVER Study |
| title_sort | energy gap between doubly labeled water based energy expenditure and calculated energy intake from recipes and plate waste and subsequent weight changes in elderly residents in japanese long term care facilities clever study |
| topic | doubly labeled water long-term care facility observed energy intake total energy expenditure weight loss |
| url | https://www.mdpi.com/2072-6643/12/9/2677 |
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