title: The growing Canadian energy gap: more the can than the couch?
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Human Nutritional Sciences, University of Manitoba, Winnipeg, Manitoba, Canada, R3T 2N2. slater@cc.umanitoba.ca
authors.forename: Joyce
authors.initials: J
authors.lastname: Slater
authors.forename: Christopher G
authors.initials: CG
authors.lastname: Green
authors.forename: Gustaaf
authors.initials: G
authors.lastname: Sevenhuysen
authors.forename: Barry
authors.initials: B
authors.lastname: Edginton
authors.forename: John
authors.initials: J
authors.lastname: O'Neil
authors.forename: Michael
authors.initials: M
authors.lastname: Heasman
mesh_terms: D000328:Adult; D015992:Body Mass Index; D002170:Canada / Q000453:epidemiology; D004032:Diet / Q000592:standards*; D002149:Energy Intake; D004734:Energy Metabolism; D015444:Exercise; D005523:Food Supply / Q000592:standards / Q000706:statistics & numerical data; D006306:Health Surveys; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology / Q000209:etiology*; D015995:Prevalence; D055815:Young Adult