Validity of reported energy intake in obese and nonobese adolescents
Abstract
Daily metabolizable energy intake (ME) and total daily energy expenditure (TEE) were measured in 28 nonobese and 27 obese adolescents over a 2-wk period. Reported ME was significantly (p less than 0.001) lower than measured TEE in both the nonobese and the obese groups (2193 +/- 618 vs 2755 +/- 600 kcal/d and 1935 +/- 722 vs 3390 +/- 612 kcal/d, respectively). Reported ME as a percentage of TEE was significantly lower in the obese than the nonobese group (58.7 +/- 23.6% vs 80.6 +/- 18.7%, respectively). When reported ME was adjusted to account for changes in body energy stores, reported ME still remained significantly lower than TEE in both groups. ME was highly reproducible over the 2-wk period. Intraclass correlation coefficients among days for subjects with complete 14-d diaries were 0.87 and 0.89 for nonobese and obese groups, respectively. In both groups, interindividual variability in ME was significantly greater than intraindividual variability. Our data suggest that reported ME in nonobese and obese adolescents is not representative of TEE or energy requirements.
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The proportion of the weekend weight increase attributable to higher dietary intake versus lower physical activity cannot be determined with certainty, because self-reported dietary intake accuracy varies between individuals and accelerometers may not detect small day-to-day differences in physical activity.
“First, we cannot determine with certainty what proportion of the weekend weight increase was attributable to higher dietary intake or lower physical activity relative to weekdays, as the accuracy of self-reported dietary intake is variable between individuals (14-16), and the accelerometers may not be sensitive enough to detect small day-to-day differences in physical activity (17,18).”
From Influence of Weekend Lifestyle Patterns on Body Weight (2008) · cites this paper as [16]
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- Authors
- Bandini, L., Schoeller, D., Cyr, H., & Dietz, W.
- Affiliations
- Massachusetts Institute of Technology (US)
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 1990-09
- Volume
- 52
- Issue
- 3
- Pages
- 421-425
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W1767727681
- Cited by
- 637
- References
- 22
- Citations by year
- 2026: 2 · 2024: 2 · 2023: 2 · 2022: 7 · 2021: 5 · 2020: 8 · 2019: 7 · 2018: 8 · 2017: 7 · 2016: 10 · 2015: 11 · 2014: 18 · 2013: 22 · 2012: 19
- FWCI
- 14.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k04hd000644-05, 5r01hd017696-03)
- National Center for Research Resources (CRC RR00088)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD-17696, HD00644)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- energy intake, energy expenditure, adolescents, obesity, energy intake underreporting, energy requirements
- MeSH terms
- Adolescent, Body Water, Energy Intake, Energy Metabolism, Feeding Behavior, Female, Humans, Male, Obesity, Sex Factors, Reproducibility of Results, Weight Gain, Weight Loss
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