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Benjamín CaballeroCenter for Human Nutrition
Johns Hopkins University
AUMENTAR EL GASTO
ENERGÉTICO:
ACTIVIDAD FÍSICA
El método factorial
BMR(measured)
Physical Activity(“allowance”)
TEE
(derived)
Based on estimated energy cost of
voluntary activities
The Doubly-labeled Water Method
BMR(MEASURED)
TEE
(MEASURED)
Physical Activity(calculated)
EPOC+
NEAT
Components of PA EE
EPOC:
Excess Post-exercise Oxygen Consumption
NEAT:
Non-Exercise Activity Thermogenesis
Components of Physical Activity EE
O2 Accel PAQ SOFIT
EPOC X -- -- --
NEAT X -/+ -- +/-
Voluntary PA X X X X
Measurement of physical activity
• PAL : TEE / BEE
• MET: O2
consumption of 3.5 mL/kg/min(= 0.0175 kcal/kg/min)
• PAL equivalents of METs: 0.0175 x 1.15 / 0.9
Niveles de actividad física (DRI 2003)
Promedio
Nivel Intervalo M H
Sedentario 1.0 - 1.39 1.23 1.29
Poco activo 1.4 - 1.59 1.52 1.51
Activo 1.6 - 1.89 1.74 1.74
Muy activo 1.9 - 2.5 2.09 2.06
School-based Physical Activity ProgramsSchool-based Physical Activity Programs
• Physical Education
• Exercise Breaks
• Games / Role playing
• Active Recess
Physical EducationPhysical Education
Goals:
• Daily• 30 minutes• 50% MVPA
•3-month curriculum
•Staff training
•Equipment
•Mentor support
Exercise BreaksExercise Breaks
• Classroom physical activity
• Goals:
• Daily• 5-15 minutes
Active RecessActive Recess
Goals:
• Daily
• 15-30 minutes
•Increase amount of
time spent in MVPA
•Encourage free play
GamesGames
•Based on traditional stories, current characters, etc.
•Culturally appropriate
•Consider safety, educational value
•Can be distributed in sessions throughout the day
Implementation of the PA program at schools
• Minimal goal (3 PE lessons/wk) : 93.9%
• Maximal goal (5 PE lessons/wk): 56.5%
• Average duration of class = 32.8 minutes
PA patterns, 9am – 7pm, in intervention and
control groups
At-school and 24-hr PA levels