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Benjamín Caballero Center for Human Nutrition Johns Hopkins University AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA

AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

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Page 1: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

Benjamín CaballeroCenter for Human Nutrition

Johns Hopkins University

AUMENTAR EL GASTO

ENERGÉTICO:

ACTIVIDAD FÍSICA

Page 2: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

El método factorial

BMR(measured)

Physical Activity(“allowance”)

TEE

(derived)

Based on estimated energy cost of

voluntary activities

Page 3: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

The Doubly-labeled Water Method

BMR(MEASURED)

TEE

(MEASURED)

Physical Activity(calculated)

EPOC+

NEAT

Page 4: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

Components of PA EE

EPOC:

Excess Post-exercise Oxygen Consumption

NEAT:

Non-Exercise Activity Thermogenesis

Page 5: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

Components of Physical Activity EE

O2 Accel PAQ SOFIT

EPOC X -- -- --

NEAT X -/+ -- +/-

Voluntary PA X X X X

Page 6: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

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

Page 7: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

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

Page 8: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

School-based Physical Activity ProgramsSchool-based Physical Activity Programs

• Physical Education

• Exercise Breaks

• Games / Role playing

• Active Recess

Page 9: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

Physical EducationPhysical Education

Goals:

• Daily• 30 minutes• 50% MVPA

•3-month curriculum

•Staff training

•Equipment

•Mentor support

Page 10: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

Exercise BreaksExercise Breaks

• Classroom physical activity

• Goals:

• Daily• 5-15 minutes

Page 11: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

Active RecessActive Recess

Goals:

• Daily

• 15-30 minutes

•Increase amount of

time spent in MVPA

•Encourage free play

Page 12: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

GamesGames

•Based on traditional stories, current characters, etc.

•Culturally appropriate

•Consider safety, educational value

•Can be distributed in sessions throughout the day

Page 13: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)
Page 14: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

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

Page 15: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

PA patterns, 9am – 7pm, in intervention and

control groups

Page 16: AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA · AUMENTAR EL GASTO ENERGÉTICO: ACTIVIDAD FÍSICA. El método factorial BMR (measured) Physical Activity (“allowance”) TEE (derived)

At-school and 24-hr PA levels