Candidates must demonstrate a sophisticated understanding of the principle of energy balance: the equilibrium between energy intake (kilocalories/kilojoules) and energy expenditure. Mastery of this topic requires detailed knowledge of Basal Metabolic Rate (BMR) and Physical Activity Level (PAL), alongside the physiological consequences of positive and negative energy states. Responses must link energy requirements to specific life stages, distinguishing clearly between the metabolic needs of infants, adolescents, adults, and the elderly. High-level responses will evaluate the correlation between sustained positive energy balance and diet-related pathologies, specifically obesity, Type 2 diabetes, and cardiovascular disease.
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