Skip to main content

Entwicklung von Energieaufwand und Körperzusammensetzung

  • Chapter
  • First Online:
Adipositas bei Kindern und Jugendlichen

Zusammenfassung

Das Kind braucht Nahrungsenergie für die Aufrechterhaltung der Homöostase, für das Körperhöhenwachstum und für die Funktionen des Körpers und die Infektabwehr. Der Organismus ist in der Lage, die Energieaufnahme effizient zu steuern und sie über einen angemessenen Zeitraum an den Energieaufwand und damit an den Energiebedarf anzupassen. In diesem Kapitel werden die komplexen Zusammenhänge der Regulation von Wachstum, Stoffwechsel und Energiehomöostase verständlich dargestellt.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 44.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Notes

  1. 1.

    Zusätzliche Anforderungen an das Wachstum (Energiegehalt des neuen Gewebes und Energiekosten der Gewebesynthese) von Kindern ändern die Gleichung nicht, da das Wachstum zu einem physiologischen Energiespeicher in neuen Geweben (fettfreie Masse und Fettmasse) führt.

Literatur

  • Acheson KJ, Schutz Y, Bessard T et al (1988) Glycogen storage capacity and de novo lipogenesis during massive overfeeding in man. Am J Clin Nutr 48:240–247

    Article  CAS  PubMed  Google Scholar 

  • Ahrens W, Pigeot I, Pohlabein H, De Henauw S, Lissner L, Molnar D, Moreno LA, Tornaritis M, Veidebaum T, Siani A, IDEFIC Consortium (2014) Prevalence of overweight and obesity in European children below the age of 10. Int J Obes 28(Suppl 2):S99–S107

    Article  Google Scholar 

  • Ambrosini GL, Emmett PM, Northstone K, Howe LD, Tilling K, Jebb SA (2012) Identification of a dietary pattern prospectively associated with increased adiposity during childhood and adolescence. Int J Obes 36:1299–1305

    Article  CAS  Google Scholar 

  • Bandini L, Schoeller DA, Dietz WH (1990) Energy expenditure in obese and nonobese adolescents. Pediatr Res 27:198–203

    Article  CAS  PubMed  Google Scholar 

  • Blundell J, Burley VJ, Lawton CL (1993) Dietary fat and the control of energy intake: evaluating the effects of fat on meal size and postmeal satiety. Am J Clin Nutr 57(Suppl):772S–778S

    Article  CAS  PubMed  Google Scholar 

  • Cheng HL, Amatoury M, Steinbeck K (2016) Energy expenditure and intake during puberty in healthy nonobese adolescents: a systemati review. Am J Clin Nutr 104(4):1061–1074

    Article  CAS  PubMed  Google Scholar 

  • Deheeger M, Rolland-cacherà MF, Fontvieille AM (1997) Physical activity and body composition in 10 year old French children: linkages with nutritional intake? Int J Obes 21:372–379

    Article  CAS  Google Scholar 

  • Elia M (2000) Fuels of the tissues. In: Garrow JS, WPT J, Ralph A (Hrsg) Human nutrition & dietetics. Churchill Livingstone, Edinburgh, S 37–59

    Google Scholar 

  • Flatt JP (1988) Importance of nutrient balance in body weight regulation. Diabetes Metab Rev 4:571–581

    Article  CAS  PubMed  Google Scholar 

  • Gazzaniga JM, Burns TL (1993) Relationship between diet composition and body fatness, with adjustment for resting energy expenditure and physical activity, in preadolescent children. Am J Clin Nutr 58:21–28

    Article  CAS  PubMed  Google Scholar 

  • Goran MI, Carpenter WH, Poehlman ET (1993) Total energy expenditure in 4- to 6-year-old children. Am J Phys 264:E706–E711

    CAS  Google Scholar 

  • Goran MI, Shewchuk R, Gower BA, Nagy TR, Carpenter WH, Johnson RK (1998) Longitudinal changes in fatness in white children: no effect of childhood energy expenditure. Am J Clin Nutr 67(2):309–316

    Article  CAS  PubMed  Google Scholar 

  • Jequier E (1984) Energy expenditure in obesity. In: James WPT (Hrsg) Clinics in endocrinology and metabolism. WB Saunders, Philadelphia, S 563–580

    Google Scholar 

  • Klesges RC, Klesges LM, Eck LH, Shelton ML (1995) A longitudinal analysis of accelerated weight gain in preschool children. Pediatrics 95:126–130

    CAS  PubMed  Google Scholar 

  • Maffeis C (1999) Childhood obesity: the genetic-environmental interface. Baillieres Best Pract Res Clin Endocrinol Metab 13(1):31–46

    Article  CAS  PubMed  Google Scholar 

  • Maffeis C, Schutz Y, Pinelli L (1992a) Effect of weight loss on resting energy expenditure in obese prepubertal children. Int J Obes 16:41–47

    CAS  Google Scholar 

  • Maffeis C, Schutz Y, Pinelli L (1992b) Postprandial thermogenesis in obese children before and after weight reduction. Eur J Clin Nutr 46:577–583

    CAS  PubMed  Google Scholar 

  • Maffeis C, Schutz Y, Schena F, Zaffanello M, Pinelli L (1993a) Energy expenditure during walking and running in obese and nonobese prepubertal children. J Pediatr 123(2):193–199

    Article  CAS  PubMed  Google Scholar 

  • Maffeis C, Schutz Y, Zoccante L, Micciolo R, Pinelli L (1993b) Meal-induced thermogenesis in lean and obese prepubertal children. Am J Clin Nutr 578:481–485

    Article  Google Scholar 

  • Maffeis C, Pinelli L, Schutz Y (1995) Increased fat oxidation in prepubertal children: a metabolic defense against further weight gain? J Pediatr 126:15–20

    Article  CAS  PubMed  Google Scholar 

  • Maffeis C, Zaffanello M, Pinelli L, Schutz Y (1996a) Total energy expenditure and patterns of activity in 8 to 10-year-old obese and nonobese children. J Pediatr Gastroenterol Nutr 23:256–261

    Article  CAS  PubMed  Google Scholar 

  • Maffeis C, Pinelli L, Schutz Y (1996b) Fat intake and adiposity in 8 to 11-year-old obese children. Int J Obes 20:170–174

    CAS  Google Scholar 

  • Maffeis C, Zaffanello M, Schutz Y (1997) Relationship between physical inactivity and adiposity in prepubertal boys. J Pediatr 131:288–292

    Article  CAS  PubMed  Google Scholar 

  • Maffeis C, Armellini F, Tatò L, Schutz Y (1999) Fat oxidation and adiposity in children: exogenous versus endogenous fat utilisation. J Clin Endocrinol Metab 84:654–658

    Article  CAS  PubMed  Google Scholar 

  • Maffeis C, Provera S, Filippi L, Sidoti G, Schena S, Pinelli L, Tato L (2000) Distribution of food intake as a risk factor for childhood obesity. Int J Obes Relat Metab Disord 24(1):75–80

    Article  CAS  PubMed  Google Scholar 

  • Maffeis C, Schutz Y, Grezzani A et al (2001) Meal-induced thermogenesis and obesity: is a fat meal a risk factor for fat gain in children? J Clin Endocrinol Metab 86:214–219

    CAS  PubMed  Google Scholar 

  • Maffeis C, Schutz Y, Chini L, Grezzani A, Piccoli R, Tatò L (2004) Effect of dinner composition on postprandial macronutrient oxidation in prepubertal girls. Obes Res 12(7):1128–1135

    Article  PubMed  Google Scholar 

  • Maffeis C, Zaffanello M, Pellegrino M, Banzato C, Bogoni G, Viviani E, Ferrari M, Tatò L (2005) Nutrient oxidation during moderately intense exercise in obese prepubertal boys. J Clin Endocrinol Metab 90:231–236

    Article  CAS  PubMed  Google Scholar 

  • Martin WH (1996) Effects of acute and chronic exercise on fat metabolism. Exer Sports Sci Rev 24:203–231

    Google Scholar 

  • Martin WH, Dalsky GP, Hurley BF et al (1993) Effect of endurance training on plasma free fatty acid turnover and oxidation during exercise. Am J Phys 265:E708–E714

    CAS  Google Scholar 

  • McHill AW, Phillips AJ, Czeisler CA, Keating L, Yee K, Barger LK, Garaulet M, Scheer FA, Klerman EB (2017) Later circadian timing of food intake is associated with increased body fat. Am J Clin Nutr 106(5):1213–1219

    CAS  PubMed  PubMed Central  Google Scholar 

  • Molnar D, Schutz Y (1998) Fat oxidation in nonobese and obese adolescents: effect of body composition and pubertal development. J Pediatr 132:98–104

    Article  CAS  PubMed  Google Scholar 

  • Molnar D, Varga P, Rubecz I et al (1985) Food induced thermogenesis in obese children. Eur J Pediatr 144:27–31

    Article  CAS  PubMed  Google Scholar 

  • Nadal A, Quesada I, Tudurí E, Nogueiras R, Alonso-Magdalena P (2017) Endocrine-disrupting chemicals and the regulation of energy balance. Nat Rev Endocrinol 13:536–546

    Article  CAS  PubMed  Google Scholar 

  • Nicklas TA, Elkasabany A, Srinivasan SR, Berenson G (2001) Trends in nutrient intake of 10-year-old children over two decades (1973–1994): the Bogalusa Heart Study. Am J Epidemiol 153(10):969–977

    Article  CAS  PubMed  Google Scholar 

  • Rico H, Revilla M, Villa LF et al (1993) Body composition in children and Tanner’s stages: a study with Dual-Enegy-X-Ray absorptiometry. Metabolism 42:967–970

    Article  CAS  PubMed  Google Scholar 

  • Rolls BJ, Kim-Harris S, Fischman MW et al (1994) Satiety after preloads with different amounts of fat and carbohydrate: implications for obesity. Am J Clin Nutr 60:476–487

    Article  CAS  PubMed  Google Scholar 

  • Schutz Y (1993) The adjustement of energy expenditure and oxidation to energy intake: the role of carbohydrate and fat balance. Int J Obes Relat Metab Disord 17(Suppl 3):S23–S27

    CAS  PubMed  Google Scholar 

  • Schutz Y (2004) Concept of fat balance in human obesity revisited with particular reference to de novo lipogenesis. Int J Obes Relat Metab Disord 28(Suppl 4):S3–S11

    Article  CAS  PubMed  Google Scholar 

  • Schutz Y, Flatt JP, Jequier E (1989) Failure of dietary fat to promote fat oxidation: a factor favoring the development of obesity. Am J Clin Nutr 50:307–314

    Article  CAS  PubMed  Google Scholar 

  • Schutz Y, Tremblay A, Weinsier RL, Nelson KM (1992) Role of fat oxidation in the long-term stabilization of body weight in obese women. Am J Clin Nutr 55:670–674

    Article  CAS  PubMed  Google Scholar 

  • Schutz Y, Rueda-Maza CM, Zaffanello M, Maffeis C (1999) Whole-body protein turnover and resting energy expenditure in obese, prepubertal children. Am J Clin Nutr 69(5):857–862

    Article  CAS  PubMed  Google Scholar 

  • Schutz Y, Byrne NM, Dulloo A, Hills AP (2014) Energy gap in the aetiology of body weight gain and obesity: a challenging concept with a complex evaluation and pitfalls. Obes Facts 7:15–25

    Article  PubMed  PubMed Central  Google Scholar 

  • Shultz SP, Browning RC, Schutz Y, Maffeis C, Hills AP (2011) Childhood obesity and walking: guidelines and challenges. Int J Pediatr Obes 6(5–6):332–341

    Article  PubMed  Google Scholar 

  • Skinner AC, Skelton JA (2014) Prevalence and trends in obesity and severe obesity among children in the United States, 1999–2012. JAMA Pediatr 168:561–566

    Article  PubMed  Google Scholar 

  • Stubbs RJ, Harbron CG, Murgatroyd PR, Prentice AM (1995a) Covert manipulation of dietary fat and energy density: effect on substrate flux and food intake in men feeding ad libitum. Am J Clin Nutr 62:316–329

    Article  CAS  PubMed  Google Scholar 

  • Stubbs RJ, Ritz P, Coward WA, Prentice AM (1995b) Covert manipulation of the dietary fat to carbohydrate ratio and energy density: effect on food intake and energy balance in free-living men feeding ad libitum. Am J Clin Nutr 62:330–337

    Article  CAS  PubMed  Google Scholar 

  • Tounian P, Ph GJ, Carlier L et al (1993) Resting energy expenditure and food -induced thermogenesis in obese children. J Pediatr Gastroenterol Nutr 16:451–457

    Article  CAS  PubMed  Google Scholar 

  • Traversy GP, Chaput JP (2016) Obese children do not need increase their physical activity any more than their lean counterparts do. Front Pediatr 4:35

    Article  PubMed  PubMed Central  Google Scholar 

  • Tremblay A, Coveney S, Despres JP et al (1992) Increased resting metabolic rate and lipid oxidation in exercise-trained individuals: evidence for a role of β-adrenergic stimulation. Can J Physiol Pharmacol 70:1342–1347

    Article  CAS  PubMed  Google Scholar 

  • Weinsier RL, Schutz Y, Bracco D (1992) Reexamination of the relationship of resting metabolic rate to fat-free mass and to the metabolically active components of fat-free mass in humans. Am J Clin Nutr 55(4):790–794

    Article  CAS  PubMed  Google Scholar 

  • Weyer C, Pratley RE, Salbe AD et al (2000) Energy expenditure, fat oxidation, and body weight regulation: a study of metabolic adaptation to long term weight change. J Clin Endocrinol Metab 85:1087–1094

    Article  CAS  PubMed  Google Scholar 

  • World Health Organization (1985) Energy and protein requirements: report of a joint FAO/WHO/UNU expert consultation. World Health Organization, Geneva

    Google Scholar 

  • Zurlo F, Lillioja S, Esposito-Del Puente A et al (1990) Low ratio of fat to carbohydrate oxidation as a predictor of weight gain: study of 24-h RQ. Am J Phys 259:E650–E657

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Claudio Maffeis .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Maffeis, C., Schutz, Y., Wabitsch, M. (2022). Entwicklung von Energieaufwand und Körperzusammensetzung. In: Wabitsch, M., Hebebrand, J., Kiess, W., Reinehr, T., Wiegand, S. (eds) Adipositas bei Kindern und Jugendlichen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59216-8_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-59216-8_10

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-59215-1

  • Online ISBN: 978-3-662-59216-8

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics