Abstract

Energy Balance (EB) is an important topic to understand how an imbalance in its main determinants (energy intake and consumption) may lead to inappropriate weight gain, considered to be “dynamic” and not “static”. There are no studies to evaluate EB in Spain, and new technologies reveal themselves as key tools to solve common problems to precisely quantify energy consumption and expenditure at population level. The overall purpose of the ANIBES (“Anthropometry, Intake and Energy Balance”) Study was to carry out an accurate updating of food and beverage intake, dietary habits/behaviour and anthropometric data of the Spanish population (9–75 years, n = 2009), as well as the energy expenditure and physical activity patterns. Anthropometry measurements (weight, height, body mass index, waist circumference, % body fat, % body water) were obtained; diet was evaluated throughout a three-day dietary record (tablet device) accompanied by a 24 h-dietary recall; physical activity was quantified by questionnaire and accelerometers were also employed. Finally, information about perception and understanding of several issues related to EB was also obtained. The ANIBES study will contribute to provide valuable useful data to inform food policy planning, food based dietary guidelines development and other health oriented actions in Spain.

Highlights

  • IntroductionSix out of the seven main risk factors for premature death in Europe (high blood pressure, inadequate blood cholesterol concentrations, increased Body Mass Index (BMI), insufficient intake of fruits and vegetables, physical inactivity, and alcohol abuse) are related to lifestyle, and to poor dietary habits, and physical inactivity [1,2]

  • At the present time, six out of the seven main risk factors for premature death in Europe (high blood pressure, inadequate blood cholesterol concentrations, increased Body Mass Index (BMI), insufficient intake of fruits and vegetables, physical inactivity, and alcohol abuse) are related to lifestyle, and to poor dietary habits, and physical inactivity [1,2].From a public health perspective, the increase in overweight and obesity is of particular concern in Europe [3] and in Spain [4]

  • - Employed for the first time in Spain new technology to collect information on intake and physical activity to avoid the well known and common problems of under/over reporting

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Summary

Introduction

Six out of the seven main risk factors for premature death in Europe (high blood pressure, inadequate blood cholesterol concentrations, increased Body Mass Index (BMI), insufficient intake of fruits and vegetables, physical inactivity, and alcohol abuse) are related to lifestyle, and to poor dietary habits, and physical inactivity [1,2]. From a public health perspective, the increase in overweight and obesity is of particular concern in Europe [3] and in Spain [4]. Important changes in leisure time activities have notably contributed to increased sedentary time and reduction in the amount of physical activity [4]. Energy consumed during physical activity is the component that varies the most in the total energy expenditure, which is divided into exercise (planned activity), and non-exercise thermogenesis (NEAT; this would include daily living activity) [14,15]

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