Abstract

BackgroundPrepubescent children may oxidize fatty acids more readily than adults. Therefore, dietary fat needs would be higher for children compared with adults. The dietary fat recommendations are higher for children 4 to 18 yrs (i.e., 25 to 35% of energy) compared with adults (i.e., 20 to 35% of energy). Despite this, many parents and children restrict dietary fat for health reasons.MethodsThis study assessed whether rates of fat oxidation are similar between prepubescent children and adults. Ten children (8.7 ± 1.4 yr, 33 ± 13 kg mean ± SD) in Tanner stage 1 and 10 adults (41.6 ± 8 yr, 74 ± 13 kg) were fed a weight maintenance diet for three days to maintain body weight and to establish a consistent background for metabolic rate measurements (all foods provided). Metabolic rate was measured on three separate occasions before and immediately after breakfast and for 9 hrs using a hood system (twice) or a room calorimeter (once) where continuous metabolic measurements were taken.ResultsDuring all three sessions whole body fat oxidation was higher in children (lower RQ) compared to adults (mean RQ= 0.84 ± .016 for children and 0.87 ± .02, for adults, p < 0.02). Although, total grams of fat oxidized was similar in children (62.7 ± 20 g/24 hrs) compared to adults (51.4 ± 19 g/24 hrs), the grams of fat oxidized relative to calorie expenditure was higher in children (0.047 ± .01 g/kcal, compared to adults (0.032 ± .01 p < 0.02). Females oxidized more fat relative to calorie expenditure than males of a similar age. A two way ANOVA showed no interaction between gender and age in terms of fax oxidation.ConclusionThese data suggest that fat oxidation relative to total calorie expenditure is higher in prepubescent children than in adults. Consistent with current dietary guidelines, a moderate fat diet is appropriate for children within the context of a diet that meets their energy and nutrient needs.

Highlights

  • Prepubescent children may oxidize fatty acids more readily than adults

  • Their VO2max values were estimated by linear regression (VO2- Heart rate (HR)) analysis and use of the age predicted maximal heart rate

  • Values for VO2 and VCO2 obtained for the two hood experiment days were statistically identical as were average heart rate and blood pressure recordings for each group

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Summary

Introduction

Dietary fat needs would be higher for children compared with adults. The dietary fat recommendations are higher for children 4 to 18 yrs (i.e., 25 to 35% of energy) compared with adults (i.e., 20 to 35% of energy). Many parents and children restrict dietary fat for health reasons. Changes in insulin sensitivity or other factors such as the steroidal environment [3] could alter fuel mobilization and utilization before and during puberty. Jones et al [4] found higher net fat oxidation in children (5–10 yrs), both post-absorptive and postprandial, than in adults. No other direct comparisons of fuel utilization, between pre-pubescent children and adults, seem to exist. If fuel metabolism is altered before or during puberty it is logical that macronutrient requirements change during this period. Additional data are needed to establish whether this occurs

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