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Samantha Stephens, Tim Takken, Dale W. Esliger, Eleanor Pullenayegum, Joseph Beyene, Mark Tremblay, Jane Schneiderman, Doug Biggar, Pat Longmuir, Brian McCrindle, Audrey Abad, Dan Ignas, Janjaap Van Der Net and Brian Feldman

The purpose of this study was to assess the criterion validity of existing accelerometer-based energy expenditure (EE) prediction equations among children with chronic conditions, and to develop new prediction equations. Children with congenital heart disease (CHD), cystic fibrosis (CF), dermatomyositis (JDM), juvenile arthritis (JA), inherited muscle disease (IMD), and hemophilia (HE) completed 7 tasks while EE was measured using indirect calorimetry with counts determined by accelerometer. Agreement between predicted EE and measured EE was assessed. Disease-specific equations and cut points were developed and cross-validated. In total, 196 subjects participated. One participant dropped out before testing due to time constraints, while 15 CHD, 32 CF, 31 JDM, 31 JA, 30 IMD, 28 HE, and 29 healthy controls completed the study. Agreement between predicted and measured EE varied across disease group and ranged from (ICC) .13–.46. Disease-specific prediction equations exhibited a range of results (ICC .62–.88) (SE 0.45–0.78). In conclusion, poor agreement was demonstrated using current prediction equations in children with chronic conditions. Disease-specific equations and cut points were developed.

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Sarah Kozey, Kate Lyden, John Staudenmayer and Patty Freedson


To compare intensity misclassification and activity MET values using measured RMR (measMET) compared with 3.5 ml·kg−1·min−1 (standMET) and corrected METs [corrMET = mean standMET × (3.5 ÷ Harris-Benedict RMR)] in subgroups.


RMR was measured for 252 subjects following a 4-hr fast and before completion of 11 activities. VO2 was measured during activity using indirect calorimetry (n = 2555 activities). Subjects were classified by BMI category (normal-weight or overweight/obese), sex, age (decade 20, 30, 40, or 50 y), and fitness quintiles (low to high). Activities were classified into low, moderate, and vigorous intensity categories.


The (mean ± SD) measMET was 6.1 ± 2.64 METs. StandMET [mean (95% CI)] was (0.51(0.42, 0.59) METs) less than measMET. CorrMET was not statistically different from measMET (−0.02 (−0.11, 0.06) METs). 12.2% of the activities were misclassified using standMETs compared with an 8.6% misclassification rate for METs based on predicted RMR (P < .0001). StandMET differences and misclassification rates were highest for low fit, overweight, and older individuals while there were no differences when corrMETs were used.


Using 3.5 ml·kg−1·min−1 to calculate activity METs causes higher misclassification of activities and inaccurate point estimates of METs than a corrected baseline which considers individual height, weight, and age. These errors disproportionally impact subgroups of the population with the lowest activity levels.

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John M. Schuna Jr., Daniel S. Hsia, Catrine Tudor-Locke and Neil M. Johannsen

Background: Active workstations offer the potential for augmenting energy expenditure (EE) in sedentary occupations. However, comparisons of EE during pedal and treadmill desk usage at self-selected intensities are lacking. Methods: A sample of 16 adult participants (8 men and 8 women; 33.9 [7.1] y, 22.5 [2.7] kg/m2) employed in sedentary occupations had their EE measured using indirect calorimetry during 4 conditions: (1) seated rest, (2) seated typing in a traditional office chair, (3) self-paced pedaling on a pedal desk while typing, and (4) self-paced walking on a treadmill desk while typing. Results: For men and women, self-paced pedal and treadmill desk typing significantly increased EE above seated typing (pedal desk: +1.20 to 1.28 kcal/min and treadmill desk: +1.43 to 1.93 kcal/min, P < .001). In men, treadmill desk typing (3.46 [0.19] kcal/min) elicited a significantly higher mean EE than pedal desk typing (2.73 [0.21] kcal/min, P < .001). No significant difference in EE was observed between treadmill desk typing (2.68 [0.19] kcal/min) and pedal desk typing among women (2.52 [0.21] kcal/min). Conclusions: Self-paced treadmill desk usage elicited significantly higher EE than self-paced pedal desk usage in men but not in women. Both pedal and treadmill desk usage at self-selected intensities elicited approximate 2-fold increases in EE above what would typically be expected during traditional seated office work.

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Jennie A. Gilbert and James E. Misner

This study examined the metabolic response to a 763-kcal mixed meal at rest and during 30 min of exercise at 50% maximal oxygen consumption (VO2max) in 8 aerobically trained (AT), 8 resistance trained (RT), and 8 untrained (UT) subjects. Oxygen consumption (VO,) was measured minute by minute during 30 min of exercise by indirect calorimetry on 2 nonconsecutive days (postabsorptive exercise, PA; and postprandial exercise, PP). Total VO, consumed and total caloric expenditure during the PA and PP conditions were similar for the three groups, indicating that prior food intake did not affect energy expenditure during exercise. Consequently, TEM during exercise did not differ significantly among the groups. Respiratory exchange ratio (R) differed significantly only during the PA condition, with the AT group exhibiting significantly lower R values compared to the RT group, and significantly lower R values compared to the UT group. These data suggest that the consumption of a meal 30 min prior to exercise does not increase TEM during exercise in AT, RT, and UT subjects.

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Jung-Min Lee, Pedro F. Saint-Maurice, Youngwon Kim, Glenn A. Gaesser and Gregory Welk


The assessment of physical activity (PA) and energy expenditure (EE) in youth is complicated by inherent variability in growth and maturation during childhood and adolescence. This study provides descriptive summaries of the EE of a diverse range of activities in children ages 7 to 13.


A sample of 105 7- to 13-year-old children (boys: 57%, girls: 43%, and Age: 9.9 ± 1.9) performed a series of 12 activities from a pool of 24 activities while being monitored with an indirect calorimetry system.


Across physical activities, averages of VO2 ml·kg·min-1, VO2 L·min-1, EE, and METs ranged from 3.3 to 53.7 ml·kg·min-1, from 0.15 to 3.2 L·min-1, from 0.7 to 15.9 kcal·min-1, 1.5 MET to 7.8 MET, respectively.


The energy costs of the activities varied by age, sex, and BMI status reinforcing the need to consider adjustments when examining the relative intensity of PA in youth.

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Kathryn H. Myburgh, Claire Berman, Illana Novick, Timothy D. Noakes and Estelle V. Lambert

We studied 21 ballet dancers aged 19.4 ± 1.4 years, hypothesizing that undernu-trition was a major factor in menstrual irregularity in this population. Menstrual history was determined by questionnaire. Eight dancers had always been regular (R). Thirteen subjects had a history of menstrual irregularity (HI). Of these, 2 were currently regularly menstruating, 3 had short cycles, 6 were oligomenorrheic, and 2 were amenorrheic. Subjects completed a weighed dietary record and an Eating Attitudes Test (EAT). The following physiological parameters were measured: body composition by anthropometry, resting metabolic rate (RMR) by open-circuit indirect calorimetry, and serum thyroid hormone concentrations by radioimmunoassay. R subjects had significantly higher RMR than HI subjects. Also, HI subjects had lower RMR than predicted by fat-free mass, compared to the R subjects. Neitherreported energy intake nor serum thyroid hormone concentrations were different between R and HI subjects. EAT scores varied and were not different between groups. We concluded that in ballet dancers, low RMR is more strongly associated with menstrual irregularity than is currentreported energy intake or serum thyroid hormone concentrations.

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Sofiya Alhassan, Kate Lyden, Cheryl Howe, Sarah Kozey Keadle, Ogechi Nwaokelemeh and Patty S. Freedson

This study examined the validity of commonly used regression equations for the Actigraph and Actical accelerometers in predicting energy expenditure (EE) in children and adolescents. Sixty healthy (8–16 yrs) participants completed four treadmill (TM) and five self-paced activities of daily living (ADL). Four Actigraph (AG) and three Actical (AC) regression equations were used to estimate EE. Bias (±95% CI) and root mean squared errors were used to assess the validity of the regression equations compared with indirect calorimetry. For children, the Freedson (AG) model accurately predicted EE for all activities combined and the Treuth (AG) model accurately predicted EE for TM activities. For adolescents, the Freedson model accurately predicted EE for TM activities and the Treuth model accurately predicted EE for all activities and for TM activities. No other equation accurately estimated EE. The percent agreement for the AG and AC equations were better for light and vigorous compared with moderate intensity activities. The Trost (AG) equation most accurately classified all activity intensity categories. Overall, equations yield inconsistent point estimates of EE.

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Hermann-J. Engels, John C. Wirth, Sueda Celik and Jodee L. Dorsey

This study assessed the influence of caffeine on metabolic and cardiovascular functions during sustained, light intensity cycling and at rest. Eight healthy, recreationally active adults participated in four randomly assigned, double-blind experimental trials of 60 min upright seated cycle exercise (30% VO2max) or equivalent rest with caffeine (5 mg ⋅ kg−1) or placebo consumed 60 min prior to data collection. Gas exchange was measured by open-circuit spirom-etry indirect calorimetry. Global blood flow was evaluated by thoracic impedance cardiography and arterial blood pressure by auscultation. A repeated measures ANOVA indicated that pretrial caffeine increased oxygen uptake and energy expenditure rate (p < 0.05) but did not change respiratory exchange ratio. Systolic, diastolic, and mean arterial blood pressure were elevated following caffeine intake (p < 0.05). Cardiac output, heart rate, stroke volume, and systemic vascular resistance were not significantly different between caffeine and placebo sessions. For each of the metabolic and hemodynamic variables examined, the effects of caffeine were similar during constant-load, light intensity cycling and at rest. These data illustrate that caffeine's mild thermogenic influence can be mediated without a major shift in substrate oxidation mixture. Caffeine at this dosage level alters cardiovascular dynamics by augmenting arterial blood pressure.

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Akiko Sato, Yoshimitsu Shimoyama, Tomoji Ishikawa and Nobuko Murayama

The purpose of this study was to examine the effect of high-intensity physical activity during training on the biochemical status of thiamin and riboflavin in athletes. Thiamin and riboflavin concentrations in whole blood of a group of 19 athletes (6 men and 13 women) were measured during a low-intensity preparatory period and compared with measurements taken during a high-intensity training period. Additional variables measured included anthropometric characteristics, estimated energy expenditure during swim training, distance covered, resting energy expenditure obtained by indirect calorimetry, estimated energy requirement per day, and dietary intake of energy, thiamin, and riboflavin estimated from 3-day food records. For both male and female subjects, no major changes were observed in anthropometric characteristics or dietary intake, but energy expenditure during swim training per day significantly increased in the intensive-training period (496 ± 0 kcal in the preparation period compared with 995 ± 96 kcal in the intensive-training period for male subjects [p < .001] and 361 ± 27 kcal vs. 819 ± 48 kcal, respectively, for female subjects [p < .001]). Blood thiamin concentration decreased significantly during the intensive-training period compared with the preparation period (41 ± 6 ng/ml decreased to 36 ± 3 ng/ml for male subjects [p = .048], and 38 ± 10 ng/ml decreased to 31 ± 5 ng/ml for female subjects [p = .004]); however, the concentration of riboflavin was unchanged. These results suggest that intense training affects thiamin concentration, but not riboflavin concentration, in the whole blood of college swimmers.

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Claudia Ridel Juzwiak, Ciro Winckler, Daniel Paduan Joaquim, Andressa Silva and Marco Tulio de Mello

To compare basal metabolic rate (BMR) predicted by different equations with measured BMR of the Brazilian paralympic track & field team aiming to verify which of these equations is best suited for use in this group. Method: 19 male and 11 female athletes grouped according to functional classification (vision impairment-VI, limb deficiency-LD, and cerebral palsy-CP) had their BMR measured by indirect calorimetry and compared with values predicted by different equations: Cunningham, Owen, Harris-Benedict, FAO/OMS, Dietary Reference Intakes, and Mifflin. Body composition data were obtained by skinfold measurements. Results were reported as mean and standard deviation and analyzed using the Wilcoxon test and Pearson´s Correlation Coefficient. The Root Mean Squared Prediction Error (RMSPE) was calculated to identify the similarity between the estimated and predicted BMR. Results: Mean measured BMR was 25 ± 4.2, 26 ± 2.4, and 26 ± 2.7 kcal/kg of fat free mass/day for VI, LD, and CP, respectively. Owen´s equation had the best predictive performance in comparison with measured BMR for LD and CP athletes, within 104 and 125 kcal/day, while Mifflin’s equation predicted within 146 kcal/day for VI athletes. Conclusion: for this specific group of athletes the Owen and Mifflin equations provided the best predictions of BMR.