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The growing Canadian energy gap: more the can than the couch?

  • Joyce Slater (a1), Christopher G Green (a2), Gustaaf Sevenhuysen (a1), Barry Edginton (a3), John O’Neil (a4) and Michael Heasman (a5)
  • DOI:
  • Published online: 17 June 2009

The present study describes the trajectory of the energy gap (energy imbalance) in the Canadian population from 1976 to 2003, its temporal relationship to adult obesity, and estimates the relative contribution of energy availability and expenditure to the energy gap. It also assesses which foods contributed the most to changes in available energy over the study period.


Annual estimates of the energy gap were derived by subtracting population-adjusted per capita daily estimated energy requirements (derived from Dietary Reference Intakes) from per capita daily estimated energy available (obtained from food balance sheets). Food balance sheets were used to assess which foods contributed to changes in energy availability. Adult obesity rates were derived from six national surveys. The relationship to the energy gap was assessed through regression analysis.


Between 1976 and 2003, per capita daily estimated energy availability increased by 18 % (1744 kJ), and increased energy availability was the major driver of the increased energy gap. Salad oils, wheat flour, soft drinks and shortening accounted for the majority of the net increase in energy availability. Adult obesity was significantly correlated with the energy gap over the study period.


The widening energy gap is being driven primarily by increased energy availability. The food commodities driving the widening energy gap are major ingredients in many energy-dense convenience foods, which are being consumed with increasing frequency in Canada. Policies to address population obesity must have a strong nutritional focus with the objective of decreasing energy consumption at the population level.

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5.JC Peters , HR Wyatt , WT Donahoo & JO Hill (2002) From instinct to intellect: the challenge of maintaining healthy weight in the modern world. Obes Rev 3, 6974.

6.K Steinbeck (2002) Obesity: the science behind the management. Intern Med J 32, 237241.

8.WJ Brown , L Williams , JH Ford , K Ball & AJ Dobson (2005) Identifying the energy gap: magnitude and determinants of 5-year weight gain in midage women. Obes Res 13, 14311441.

9.YC Wang , SL Gortmaker , AM Sobol & KM Kuntz (2006) Estimating the energy gap among US children: a counterfactual approach. Pediatrics 118, e1721e1733.

10.S Bleich , D Cutler , C Murray & A Adams (2008) Why is the developed world obese? Annu Rev Public Health 29, 273295.

11.JO Hill , HR Wyatt , GW Reed & JC Peters (2003) Obesity and the environment: where do we go from here? Science 299, 853855.

13.MI Goran (2000) Energy metabolism and obesity. Med Clin North Am 84, 347362.

20.L Serra-Majem , D MacLean , L Ribas , D Brule , W Sekula , R Prattala , R Garcia-Closas , A Yngve , M Lalonde & A Petrasovits (2003) Comparative analysis of nutrition data from national, household, and individual levels: results from a WHO-CINDI collaborative project in Canada, Finland, Poland, and Spain. J Epidemiol Community Health 57, 7480.

21.K Silventoinen , S Sans , H Tolonen , D Monterde , K Kuulasmaa , H Kesteloot & J Tuomilehto (2004) Trends in obesity and energy supply in the WHO MONICA Project. Int J Obes Relat Metab Disord 28, 710718.

29.KR Westerterp & JR Speakman (2008) Physical activity energy expenditure has not declined since the 1980s and matches energy expenditures of wild mammals. Int J Obes (Lond) 32, 12561263.

32.RW Jeffery & LJ Harnack (2007) Evidence implicating eating as a primary driver for the obesity epidemic. Diabetes 56, 26732676.

34.JM Jakicic , BH Marcus , W Lang & C Janney (2008) Effect of exercise on 24-month weight loss maintenance in overweight women. Arch Intern Med 168, 15501559.

38.GC Rampersaud , LB Bailey & GP Kauwell (2003) National survey beverage consumption data for children and adolescents indicate the need to encourage a shift toward more nutritive beverages. J Am Diet Assoc 103, 97100.

39.B Swinburn , G Egger & F Raza (1999) Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med 29, 563570.

41.SA French , M Story & RW Jeffery (2001) Environmental influences on eating and physical activity. Annu Rev Public Health 22, 309335.

47.JG Jaffe (2006) Victual vicissitudes: consumer deskilling and the (gendered) transformation of food systems. Agric Human Values 23, 143162.

53.JM Jakicic , BH Marcus , KI Gallagher , M Napolitano & W Lang (2003) Effect of exercise duration and intensity on weight loss in overweight, sedentary women: a randomized trial. JAMA 290, 13231330.

54.CD Lee , AR Folsom & SN Blair (2003) Physical activity and stroke risk: a meta-analysis. Stroke 34, 24752481.

56.SK Kumanyika , E Obarzanek , N Stettler (2008) Population-based prevention of obesity: the need for comprehensive promotion of healthful eating, physical activity, and energy balance: a scientific statement from American Heart Association Council on Epidemiology and Prevention, Interdisciplinary Committee for Prevention (formerly the expert panel on population and prevention science). Circulation 118, 428464.

57.M Story , KM Kaphingst , R Robinson-O’Brien & K Glanz (2008) Creating healthy food and eating environments: policy and environmental approaches. Annu Rev Public Health 29, 253272.

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Public Health Nutrition
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