The increases in physical capacities and EE during the onset of puberty indicated clear gender differences, which could be explained mainly by alterations of body composition in boys and girls, and by changes in hormonal status in boys. They also stressed the significant increase in energy requirements of children, especially boys, at an early stage of puberty.

Physical activity is low in obese subjects and can be assessed satisfactorily in both obese and nonobese adolescents by using ARTE EE(2) when DEE and the basal metabolic rate are known.

The DEE of adolescents measured under standardized conditions varied with sex, body composition, and season, but not with stage of puberty. These variables could be predicted accurately from fat-free mass, sex, and season.

Background: Changes in lifestyle and increases in sedentary activities during recent decades have been shown to contribute to the prevalence of overweight in adolescents. Objectives: To determine the inter-individual variability and the day-to-day variations in daily energy expenditure (DEE) and activity pattern, and the energy costs and EE of the various activities of adolescents in free-living conditions. Design: Sixty adolescents (four groups of 14 -16 boys or girls aged 12 -16 y) participated in this cross-sectional study during spring or autumn. Activity patterns and EE were determined during five consecutive days, using both a diary and the heart rate recording method validated by whole-body calorimetry and laboratory tests. Results: Mean DEE increased significantly with age in boys, but not in girls. However, the physical activity level did not vary significantly with sex and age. Mean DEE was significantly higher in spring than in autumn in the 12.6-y-old subjects. It was also 21% higher during the free days than during the schooldays in the active subjects, but 7% lower in the sedentary subjects. The energy cost of 22 activities was determined. Time and energy devoted to moderate and sport activities exhibited great interindividual variability. They were lower in girls than in boys and decreased with age. The increase in EE resulting from moderate and sport activities instead of sedentary activities ranged from 0.2 to 2.7 MJ=day over the week. Conclusion: The great variability in DEE of adolescents resulted mainly from differences in the nature, duration and intensity of physical activities during the free days.

The aim of this study was to evaluate the knowledge, attitudes, and practices regarding rabies in the El Jadida region, Morocco. We conducted a cross-sectional survey using a structured questionnaire among randomly selected residents across 24 study sites. In total, 407 respondents took part in the survey. The majority (367, 92%) were male and had no formal education (270, 66%). Some (118, 29%) believed that rabies does not affect humans. Most respondents (320, 79%) were aware that vaccination could prevent rabies, but nevertheless did not vaccinate their dogs (264, 64.9%) and allowed their dogs to roam freely in search of food. Some (52.8%) would visit traditional healers for treatment in the event of a dog bite incident. Age and educational level were found to be significantly associated with knowledge, attitudes, and practices (p < 0.05). Although respondents demonstrated some level of knowledge about rabies, overall this study reveals critical gaps in their attitudes and practices. These shortcomings may be associated with a low level of education. Therefore, decision-makers need a new approach to control rabies, with a special focus on public awareness and health education, in order to sustain rabies control programs.