Basal Energy Expenditure of Chinese Healthy Adults:Comparison of Measured and Predicted Values

Objective This study aimed to measure the basal energy expenditure(BEE)of Chinese healthy adults and establish an accurate predictive equation for this population.Methods In total,470 Chinese healthy adults had their BEE measured using the Cosmed K4b2 portable metabolic system.Multiple linear regression analysis was applied to develop new optimal equations for predicting BEE.The bias,accuracy rate,concordance correlation coefficient(CCC),and root mean square error(RMSE)were used to evaluate the accuracy of the predictive equations.Results There was a significant difference in BEE between males and females,with 5,954 kJ/d and 5,089 kJ/d,respectively.People living in rural areas expended significantly higher BEE(5,885 kJ/d)than those in urban areas(5,279 kJ/d).Previous equations developed by Henry,Schofield,Harris-Benedict(HB),and Liu overestimated the BEE of Chinese healthy adults.The new equations derived from the present study displayed the smallest average bias and RMSE from the measured basal energy expenditure(mBEE).The CCC of the new equations was higher than other predictive equations,but it was lower than 0.8.There was no significant difference in the accuracy rate among all predictive equations.Conclusions Sex and regional differences in BEE were observed in Chinese healthy adults.Neither the widely used previous predictive equations nor the one derived in the present study were accurate enough for estimating the BEE of Chinese healthy adults.Further study is required to develop more accurate equations for predicting the BEE of Chinese healthy adults aged between 20–45 years.

Zinc Absorption from Representative Diet in a Chinese Elderly Population Using Stable Isotope Technique

Objective To determine the dietary zinc absorption in a Chinese elderly population and provide the basic data for the setting of zinc （Zn） recommended nutrient intakes （RNI） for Chinese elderly people. Methods A total of 24 elderly people were recruited for this study and were administered oral doses of 3 mg 67Zn and 1.2 mg dysprosium on the fourth day. The primary macronutrients, energy, and phytic acid in the representative diet were examined based on the Chinese National Standard Methods. Fecal samples were collected during the experimenta and dysprosium content. period and analyzed for zinc content, 67Zn isotope ratio, Results The mean （± SD） zinc intake from the representative Chinese diet was 10.6 ± 1.5 mg/d. The phytic acid-to-zinc molar ratio in the diet was 6.4. The absorption rate of 67Zn was 27.9% ±9.2%. The RNI of zinc, which were calculated by the absorption rate in elderly men and women, were 10.4 and 9.2 mg/d, respectively. Conclusion This study got the dietary Zn absorption in a Chinese elderly population. We found that Zn absorption was higher in elderly men than in elderly women. The current RNI in elderly female is lower than our finding, which indicates that more attention is needed regarding elderly females＇ zinc status and health.

Chronic Food Antigen-specific IgG-mediated Hypersensitivity Reaction as A Risk Factor for Adolescent Depressive Disorder

Major depressive disorder (MDD) is the most common nonfatal disease burden world-wide. Systemic chronic low-grade inflammation has been reported to be associated with MDD pro-gression by affecting monoaminergic and glutamatergic neurotransmission. However,whether various proinflammatory cytokines are abnormally elevated before the first episode of depression is still largely unclear. Here,we evaluated 184 adolescent patients who were experiencing their first episode of depressive disorder,and the same number of healthy individuals was included as con-trols. We tested the serum levels of high-sensitivity C-reactive protein (hs-CRP),tumor necrosis factor-α(TNF-α),IgE,14 different types of food antigen-specific IgG,histamine,homocysteine,S100 calcium-binding protein B,and diamine oxidase. We were not able to find any significant dif-ferences in the serum levels of hs-CRP or TNF-αbetween the two groups. However,the histamine level of the patients (12.35μM) was significantly higher than that of the controls (9.73μM,P<0.001,Mann–Whitney U test). Moreover,significantly higher serum food antigen-specific IgG positive rates were also found in the patient group. Furthermore,over 80% of patients exhibited prolonged food intolerance with elevated levels of serum histamine,leading to hyperpermeability of the blood–brain barrier,which has previously been implicated in the pathogen-esis of MDD. Hence,prolonged high levels of serum histamine could be a risk factor for depressive disorders,and antihistamine release might represent a novel therapeutic strategy for depression treatment.