MACROS & ENERGY EXPENDITURE Flashcards

(35 cards)

1
Q

Define energy balance and outline the different factors
affecting energy expenditure.

A

Energy balance: energy intake (calories consumed) and energy expenditure (calories burned); determines weight maintenance, gain, or loss

BMR, TEF, PA, NEAT

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2
Q

Basal Metabolic Rate (BMR)

A

Energy (ATP) needed for basic functions at rest; estimates minimum number of calories needed to function

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3
Q

Thermic Effect of Food (TEF)

A

Energy used for digestion, absorption, and metabolism (~10-35% of daily energy/calories); AKA Dietary induced thermogenesis (DIT)

Reaches max 1 hour after meal

Obese people have low DIT

** for physically active people, DIT is a small portion of TDEE (<10%)

1) obligatory thermogenesis: energy requiring processes of digesting, absorbing, and assimilating food

2) facultative thermogenesis: increased activation of sympathetic nervous system leading to increase in energy metabolism

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4
Q

Physical Activity (PA)

A

Includes both structured exercise and daily activities (ADLs)

greatest change/variation in energy expenditure (can choose to do it to burn more calories)

key components: *intensity and duration

Vigorous exercise can increase EE 10x above resting values

Accounts for 15-30% of TDEE

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5
Q

Non-Exercise Activity Thermogenesis (NEAT)

A

Energy from activities like fidgeting and standing.

Increasing NEAT while increasing kcal intake allows resistance to weight gain

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6
Q

What are some energy consuming processes? (uses ATP)

A
  • breathing, digestion, muscle tone
  • gene expression (transcription of genes to make new proteins)
  • breaking down proteins into amino acids
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7
Q

What are the physical activity guidelines?

A

150 – 300 mins/wk of moderate intensity aerobic activity
OR
75 – 150 mins/wk of vigorous intensity aerobic activity
OR
A combination of both, but in addition to:
2x/wk Muscle strengthening (resistance training) exercises of all major muscle groups at moderate or greater intensity.

Active = 500-1000 MET minutes

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8
Q

What percentage of adults meet the PA guidelines?

A

25% men, 20% women

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9
Q

Exercise intensity scale

A

RPE = RATE OF PERCEIVED EXERTION (Borg)

Sedentary -> sitting, 1-2 RPE, VO2 max <37, %HR max <40, <1.5 METs

Light -> light walking, 3-4 RPE

Moderate -> brisk walking/jogging, 5-6 RPE

Vigorous -> running, 7-8 RPE

Maximal -> sprinting, 9-10 RPE, VO2 max >91, %HR max > 93, >9 METs

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10
Q

Define METs and understand the importance.

A

Metabolic Equivalent of Task (MET) is a unit used to estimate the energy cost of physical activities. 1 MET = resting energy expenditure (≈3.5 mL O₂/kg/min).

Importance:
Helps compare the intensity of different activities.
Used in exercise prescription and energy expenditure calculations.
Higher METs indicate greater energy expenditure.

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11
Q

METs defined as multiples of the RMR

A

One MET = 3.5 mL O2 / kg BW / min

Two METs = 7 mL O2 /kg BW / min

1 L of oxygen consumed = 5kcal (5kcals/LO2)

lbs to kgs = BW lbs / 2.2 kgs

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12
Q

Calories burned based on MET level

A

(METS x 3.5 x BW kg)/200

answer x minutes

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13
Q

How much exercise is enough for improving healthspan and reducing disease risk?

A

J shaped curve: health risk compared to exercise training volume

Current guidelines (30 min per day) will reduce risk by half

High volume is around 20 hours per week and has greatest benefit (low risk of disease)

Can be too extreme at highest volume (extreme exercise hypothesis)

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14
Q

How many MET minutes correspond to each activity level/hazard ratio?

A

Graph of hazard ratio over MET minutes per week

Inactive - 0 MET, 1.0 hazard ratio
Insufficiently active - 1 to 500, 0.95 hazard ratio
Active (current guidelines) - 500 to 1000, 0.9 hazard ratio
Highly active - >1000, 0.95 hazard ratio

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15
Q

How does climate effect metabolic rates?

A

Warm climates
- higher RMR
- due to expending more energy in cooling processes
- and moving more outside

Cold climates
- MR can double or triple
- due to shivering
- higher BMR than warm environments

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16
Q

What are the inputs and outputs of energy metabolism? What can we measure?

A

Substrates + O2 –> CO2 +H2O + Heat

Inputs: substrates (lipids, proteins, carbohydrates, ketones) and oxygen (beginning of combustion)

Outputs: energy(heat), water, CO2 (byproducts of metabolism)

can measure oxygen and CO2 (proxies for ATP production)

occurs mainly in mitochondria (oxidative phosphorylation)

some occurs in cytoplasm (substrate level phosphorylation/glycolysis)

17
Q

Outline the contents of carbohydrates, fats, proteins, and Ketones. *Substrates! (used to generate ATP)

A

Carbohydrates: Made of carbon, hydrogen, and oxygen (CHO). Includes sugars, starches, and fiber. Primary energy source (~4 kcal/g).

Fats: Composed of triglycerides, fatty acids, and glycerol. Provides the most energy (~9 kcal/g).

Proteins: Made of amino acids (C, H, O, N). Used for muscle repair, enzymes, and energy (~4 kcal/g).

Ketones: Byproducts of fat metabolism during low-carb intake. Used as an alternative fuel source by the brain and muscles.

18
Q

Quantify the amount, energy content and distribution of each of the macronutrients within an average-sized adult.

A

Atwater’s factors

Carbohydrates: ~45–65% of daily intake (~4 kcal/g). Stored as glycogen (~400–500 g in muscle and liver).

Fats: ~20–35% of daily intake (~9 kcal/g). Stored as adipose tissue (~10–30% of body weight).

Proteins: ~10–35% of daily intake (~4 kcal/g). Found in muscles (~40% of body protein).

Alcohols: 7kcal/g; sugar preferred by cells; body shuts down using glucose and lipids and prefer ethanol (it is an easily accessible carbon source)

Total daily caloric needs: ~2,000–2,500 kcal/day for an average adult.

19
Q

Carbohydrate distribution

A

Plasma glucose ~4 grams

Liver glycogen ~100 grams

Muscle glycogen ~400 grams

Total CHO stores ~500 grams

We have relatively little CHO stored in body
THEREFORE… dietary CHO is very important!

20
Q

Fat distribution

A

Well nourished male: 80g, more for females (higher body fat percentage)

Adipose tissue triglycerides: 12,000g (108000 kcals)

Intramyocellular triglycerides (IMTG): 300g (2700 kcals)

Plasma triglycerides and plasma fatty acids: very little

Total 12,304 g

21
Q

Glycogen & glycogen breakdown

A

Storage of CHO (in liver and muscle); 100s to 1000s of links of glucose (C6H12O6)
liver: maintains blood glucose
muscle: local fuel storage for muscle contraction

Breakdown: glycogen broken into glucose for fuel (glycogenolysis)
* glucose is major source of fuel for moderate to high intensity exercise; depletion during exercise (bonking)

22
Q

What are lipids (fats)?

A
  • Energy dense (9 kcal/gram); More than 2x as much as CHO
  • Same elements as carbohydrates (C, H, O), But differ greatly in how they are linked - Typical lipid tristearin = C57H110O6
23
Q

Triglyceride breakdown

A

Lipids as an energy source

Triglycerides must be broken down to release fatty acids for energy

  • triglyceride breakdown = “lipolysis”
  • lipase = enzyme that breaks down lipids/triglycerides
24
Q

Protein metabolism

A

Proteins are constantly “turned over”; building and breaking down protein all the time

Exercise enhances protein metabolism (enhances catabolism AKA protein breakdown) and resting enhances anabolism (protein synthesis)

Important to consider nitrogen balance (growth = positive nitrogen balance; negative = aging, fasting, starving, sick)

Nitrogen balance = amount of nitrogen in urine compared to what you are eating

25
Define proteins
Not an important fuel source during exercise Made up of a carboxy group (-COOH) and amine group (-NH2) and R group (side chain) 9 essential amino acids gathered from diet, the rest are synthesized in the body (nonessential) Examples of proteins: hormones, enzymes, transporters, hemoglobin, etc
26
Describe essential amino acids, protein catabolism and anabolism.
Essential amino acids (EAAs): 9 amino acids the body cannot produce; must come from diet (e.g., leucine, lysine). Protein catabolism: Breakdown of proteins into amino acids for energy or other uses, often during fasting or exercise. Protein anabolism: Building proteins from amino acids, essential for muscle growth and repair. Requires energy and occurs post-exercise. ** protein synthesis, tissue building
27
Describe what can be learned from direct and indirect calorimetry data.
Direct calorimetry (chamber): Measures total heat production to estimate energy expenditure; subject enclosed in a metabolic chamber (controlling air in and air out); measuring urine (nitrogen!! tells how much protein is broken down) Indirect calorimetry (lab setting): Estimates energy expenditure based on O₂ consumption (VO2) and CO₂ production. (measures volume of O2 consumed using CO2 produced, or volume inspired from volume expired) **measures %O2 expired, %CO2 expired, and volume expired **allows you to calculate VO2 and VCO2 **VO2 x 5kcals/LO2 = energy expenditure calculating kcals from oxygen: 5 kcal/LO2 Insights gained: Resting Metabolic Rate (RMR) and Total Energy Expenditure (TEE). Substrate utilization (fat vs. carbohydrate oxidation). Exercise efficiency and metabolic adaptations.
28
How to calculate VO2
VO2 = oxygen inspired - oxygen expired
29
Why is VO2 a good measure of energy expenditure?
Because nearly all of our ATP is generated by aerobic oxidation *oxidative phosphorylation!! (the combustion reaction in the mitochondria) water + CO2 come out of ATP synthase (complex IV); oxygen is utilized to create ATP and heat *measuring the rate of O2 consumption and CO2 production allows estimate of ATP being produced or calories utilized
30
What is the double labelled water technique?
measures TDEE by measuring isotope levels in urine to calculate CO2 production (converted into cals burned) isotopes: deuterium 2H (eliminated by flow of water) and oxygen 18O (eliminated by flow of water and CO2) The difference in elimination of the two isotopes provides measure of CO2 production Converted to calories using 5 kcals burned per L O2
31
Define RER and compare the RER for the different macronutrients.Respiratory Exchange Ratio (RER) = VCO₂ / VO₂ (CO₂ produced / O₂ consumed). It indicates fuel utilization:
Carbohydrates: RER ≈ 1.0 (more CO₂ produced per O₂ used). *body prefers CHOs (glucose) because they are easier to break down; used during moderate to high intensity Fats: RER ≈ 0.7 (more O₂ needed for fat oxidation). *enzymes breaking down lipids are slower; it takes more oxygen to oxidize lipids to generate energy Proteins: RER ≈ 0.8 (rarely a primary fuel source). RER > 1.0 occurs due to CO₂ production from buffering lactic acid during high-intensity exercise. RQ ~ RER
32
Tissue substrate preferences at rest and exercise** memorize
Skeletal muscle tissue: fatty acids at rest, fatty acids AND glucose/glycogen during exercise (intensity/duration dependent) Brain tissue: blood glucose (lactate and ketone bodies) fatty acids can't pass BBB at rest (need 120 g CHO per day); blood glucose during exercise Red blood cell tissue: blood glucose (no mitochondria) at rest AND during exercise Liver tissue: fatty acids at rest; fatty acids, glucose, and amino acids during exercise Heart tissue: fatty acids and glucose at rest; fatty acids, glucose, and lactate during exercise
33
Complete the equation (breakdown direction) ATP --> Energy + _____ + ______
Pi + ADP
34
Which are the two largest components of daily energy expenditure that we have the ability to modify?
NEAT and physical activity
35
What is the major/predominant fuel source utilized by cells during rest?
Lipids/fats