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Non-exercise activity thermogenesis

Published online by Cambridge University Press:  05 March 2007

James A. Levine*
Affiliation:
Endocrine Research Unit, Mayo Clinic, Rochester, MN 55905, USA
*
Corresponding author: Professor James A. Levine, fax +1 507 255 4828, Levine.james@mayo.edu
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Abstract

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Non-exercise activity thermogenesis (NEAT) is the energy expended that is not from sleeping, eating or sports-like exercise. It ranges from the energy expended walking to work, typing, performing yard work, undertaking agricultural tasks and fidgeting. NEAT can be measured by one of two approaches. The first approach is to measure or estimate total NEAT. Here, total daily energy expenditure is measured and from it is subtracted BMR + thermic effect of food. The second is the factoral approach whereby the components of NEAT are quantified and total NEAT calculated by summing these components. The amount of NEAT that human subjects perform represents the product of the amount and types of physical activities and the thermogenic cost of each activity. The factors that affect the NEAT of a human subject are readily divisible into biological factors, such as weight, gender and body composition, and environmental factors, such as occupation or dwelling within a ‘concrete jungle’. The combined impact of these factors explains the substantial variance in human NEAT. The variability in NEAT might be viewed as random but human data contradict this perception. It appears that changes in NEAT subtly accompany experimentally-induced changes in energy balance and are important in the physiology of weight change. NEAT and sedentariness may thus be important in obesity. It then becomes intriguing to dissect mechanistic studies that delineate how NEAT is regulated by neural, peripheral and humoral factors. NEAT may be a carefully-regulated ‘tank’ of physical activity that is crucial for weight control.

Type
Meeting Report
Copyright
Copyright © The Nutrition Society 2003

References

Ainsworth, BE, Haskell, WL, Leon, AS, Jacobs, DR Jr, Montoye, HJ, Sallis, JF & Paffenbarger, RS Jr (1993) Compendium of physicial activities: classification of energy costs of human physical activities. Medicine and Science in Sports and Exercise 25, 7180.CrossRefGoogle Scholar
Ainsworth, BE, Haskell, WL, Whitt, MC, Irwin, ML, Swartz, AM, Strath, J O'Brien, WL Bassett, DR Jr, Schmitz, KH, Emplaincourt, PO, Jacobs, DR Jr & Leon, AS (2000) Compendium of physical activities: an update of activity codes and MET intensities. Medicine and Science in Sports and Exercise 32, S498S504.CrossRefGoogle ScholarPubMed
Alessio, DA, Kavle, EC, Mozzoli, MA, Smalley, KJ, Polansky, M, Kendrick, ZV, Owen, LR, Bushman, MC, Boden, G & Owen, OE (1988) Thermic effect of food in lean and obese men. Journal of Clinical Investigation 81, 17811789.CrossRefGoogle ScholarPubMed
Bassett, DR Jr, Ainsworth, BE, Swartz, AM, Strath, SJ, O'Brien, WL & King, GA (2000) Validity of four motion sensors in measuring moderate intensity physical activity. Medicine and Science in Sports and Exercise 32, S471S480.CrossRefGoogle ScholarPubMed
Bijnen, FC, Feskens, EJ, Caspersen, CJ, Mosterd, WL & Kromhout, D (1998) Age, period, and cohort effects on physical activity among elderly men during 10 years of follow-up: the Zutphen Elderly Study. Journal of Gerontology 53, M235M241.Google ScholarPubMed
Blaak, EE, Van Baak, MA, Kemerink, GJ, Pakbiers, MT, Heidendal, GA & Saris, WH (1994) beta-Adrenergic stimulation of skeletal muscle metabolism in relation to weight reduction in obese men. American Journal of Physiology 267, E316E322.Google ScholarPubMed
Black, AE, Coward, WA, Cole, TJ & Prentice, AM (1996) Human energy expenditure in affluent societies: an analysis of 574 doubly-labelled water measurements. European Journal of Clinical Nutrition 50, 7292.Google ScholarPubMed
Blundell, JE & King, NA (1999) Physical activity and regulation of food intake: current evidence. Medicine and Science in Sports and Exercise 31, S573S583.CrossRefGoogle ScholarPubMed
Bouchard, C, Despres, JP & Tremblay, A (1991) Genetics of obesity and human energy metabolism. Proceedings of the Nutrition Society 50, 139147.CrossRefGoogle ScholarPubMed
Bouchard, C, Tremblay, A, Nadeau, A, Despres, JP, Theriault, G, Boulay, MR, Lortie, G, Leblanc, C & Fournier, G (1989) Genetic effect in resting and exercise metabolic rates. Metabolism 38, 364370.CrossRefGoogle ScholarPubMed
Bouten, CV, Verboeket-Van de Venne, WP, Westerterp, KR, Verduin, M & Janssen, JD (1996) Daily physical activity assessment: comparison between movement registration and doubly labeled water. Journal of Applied Physiology 81, 10191026.CrossRefGoogle ScholarPubMed
Bouten, CV, Westerterp, KR, Verduin, M & Janssen, JD (1994) Assessment of energy expenditure for physical activity using a triaxial accelerometer. Medicine and Science in Sports and Exercise 26, 15161523.CrossRefGoogle ScholarPubMed
Bray, GA, Whipp, BJ, Koyal, SN & Wasserman, K (1977) Some respiratory and metabolic effects of exercise in moderately obese men. Metabolism 26, 403412.CrossRefGoogle ScholarPubMed
Burgess, NS (1991) Effect of a very-low-calorie diet on body composition and resting metabolic rate in obese men and women. Journal of the American Dietetic Association 91, 430434.CrossRefGoogle ScholarPubMed
Caspersen, CJ & Merritt, RK (1995) Physical activity trends among 26 states, 1986–1990. Medicine and Science in Sports and Exercise 27, 713720.CrossRefGoogle ScholarPubMed
Cavallo, E, Armellini, F, Zamboni, M, Vicentini, R, Milani, MP & Bosello, O (1990) Resting metabolic rate, body composition and thyroid hormones. Short term effects of very low calorie diet. Hormone and Metabolic Research 22, 632635.CrossRefGoogle ScholarPubMed
Chang, S, Graham, B, Yakubu, F, Lin, D Peters, JC & Hill, JO (1990) Metabolic differences between obesity-prone and besity-resistant rats. American Journal of Physiology 259, R1103R1110.Google ScholarPubMed
Chave, SP, Morris, JN, Moss, S & Semmence, AM (1978) Vigorous exercise in leisure time and the death rate: a study of male civil servants. Journal of Epidemiology and Community Health 32, 239243.CrossRefGoogle ScholarPubMed
Consolazio, CF (1971) Energy expenditure studies in military populations using Kofranyi-Michaelis respirometers. American Journal of Clinical Nutrition 24, 14311437.CrossRefGoogle ScholarPubMed
Coward, WA (1998) Contributions of the doubly labeled water method to studies of energy balance in the Third World. American Journal of Clinical Nutrition 68, 962S969S.CrossRefGoogle ScholarPubMed
Coward, WA, Roberts, SB & Cole, TJ (1988) Theoretical and practical considerations in the doubly-labelled water (2H2(18)O) method for the measurement of carbon dioxide production rate in man. European Journal of Clinical Nutrition 42, 207212.Google Scholar
Crow, MT & Kushmerick, MJ (1982) Chemical energetics of slow-and fast-twitch muscles of the mouse. Journal of General Physiology 79, 147166.CrossRefGoogle ScholarPubMed
Cunningham, JJ (1990) Calculation of energy expenditure from indirect calorimetry: assessment of the Weir equation. Nutrition 6, 222223.Google ScholarPubMed
Dahlstrom, M, Jansson, E, Nordevang, E & Kaijser, L (1990) Discrepancy between estimated energy intake and requirement in female dancers. Clinical Physiology 10, 1125.CrossRefGoogle ScholarPubMed
Daniels, J (1971) Portable respiratory gas collection equipment. Journal of Applied Physiology 31, 164167.CrossRefGoogle ScholarPubMed
Dauncey, MJ (1990) Activity and energy expenditure. Canadian Journal of Physiology and Pharmacology 68, 1727.CrossRefGoogle ScholarPubMed
de Boer, JO, Van Es, AJ, Roovers, LC, Van Raaij, JM & Hautvast, JG (1986) Adaptation of energy metabolism of overweight women to low-energy intake, studied with whole-body calorimeters. American Journal of Clinical Nutrition 44, 585595.CrossRefGoogle ScholarPubMed
de Groot, G, Schreurs, AW & van Ingen Schenau, GJ (1983) A portable lightweight Douglas bag instrument for use during various types of exercise. International Journal of Sports Medicine 4, 132134.CrossRefGoogle ScholarPubMed
Dempsey, JA, Reddan, W, Balke, B & Rankin, J (1966) Work capacity determinants and physiologic cost of weight-supported work in obesity. Journal of Applied Physiology 21, 18151820.CrossRefGoogle ScholarPubMed
Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion (1996) Physical Activity and Health: A Report of the Surgeon General. Atlanta, GA: Centers for Disease Control and Prevention.Google Scholar
Deriaz, O, Fournier, G, Tremblay, A, Despres, JP & Bouchard, C (1992) Lean-body-mass composition and resting energy expenditure before and after long-term overfeeding. American Journal of Clinical Nutrition 56, 840847.CrossRefGoogle ScholarPubMed
Donnelly, JE, Pronk, NP, Jacobsen, DJ, Pronk, SJ & Jakicic, JM (1991) Effects of a very-low-calorie diet and physical-training regimens on body composition and resting metabolic rate in obese females. American Journal of Clinical Nutrition 54, 5661.CrossRefGoogle ScholarPubMed
Douglas, CG (1911) A method for determining the total respiratory exchange in man. Journal of Physiology 42, 1718.Google Scholar
Even, PC & Nicolaidis, S (1993) Adaptive changes in energy expenditure during mild and severe feed restriction in the rat. British Journal of Nutrition 70, 421431.CrossRefGoogle ScholarPubMed
Ferro-Luzzi, A, Scaccini, C, Taffese, S, Aberra, B & Demeke, T (1990) Seasonal energy deficiency in Ethiopian rural women. European Journal of Clinical Nutrition 44, Suppl. 1 718.Google ScholarPubMed
Ford, ES, Merritt, RK, Heath, GW, Powell, KE, Washburn, RA, Kriska, A & Haile, G (1991) Physical activity behaviors in lower and higher socioeconomic status populations. American Journal of Epidemiology 133, 12461256.CrossRefGoogle ScholarPubMed
Ford, LE (1984) Some consequences of body size. American Journal of Physiology 247, H495H507.Google ScholarPubMed
Foster, GD, Wadden, TA, Feurer, ID, Jennings, AS, Stunkard, AJ, Crosby, LO, Ship, J & Mullen, JL (1990) Controlled trial of the metabolic effects of a very-low-calorie diet: short-and long-term effects. American Journal of Clinical Nutrition 51, 167172.CrossRefGoogle ScholarPubMed
Foster, GD, Wadden, TA, Kendrick, ZV, Letizia, KA, Lander, DP & Conill, AM (1995) The energy cost of walking before and after significant weight loss. Medicine and Science in Sports and Exercise 27, 888894.CrossRefGoogle ScholarPubMed
Fricker, J, Rozen, R, Melchior, JC, Apfelbaum, M (1991) Energymetabolism adaptation in obese adults on a very-low-calorie diet American Journal of Clinical Nutrition 53, 826830.CrossRefGoogle ScholarPubMed
Froidevaux, F, Schutz, Y, Christin, L & Jequier, E (1993) Energy expenditure in obese women before and during weight loss, after refeeding, and in the weight-relapse period. American Journal of Clinical Nutrition 57, 3542.CrossRefGoogle ScholarPubMed
Geissler, CA, Miller, DS & Shah, M (1987) The daily metabolic rate of the post-obese and the lean. American Journal of Clinical Nutrition 45, 914920.CrossRefGoogle ScholarPubMed
Goran, MI, Poehlman, ET, Nair, KS & Danforth, E (1993) Deuterium exchange in humans: effect of gender, body composition and age. Basic Life Sciences 60, 7981.Google ScholarPubMed
Gorzelniak, K, Engeli, S & Sharma, AM (1998) Standardizing the counting of adipocytes in cell culture. Biotechniques 24, 536538.CrossRefGoogle ScholarPubMed
Gretebeck, RJ & Montoye, HJ (1992) Variability of some objective measures of physical activity. Medicine and Science in Sports and Exercise 24, 11671172.CrossRefGoogle ScholarPubMed
Grootaert, C (1998) Child Labor in Cote d'Ivoire, pp. 175. Washington, DC: The World Bank Social Development Department.Google Scholar
Hammer, RL, Barrier, CA, Roundy, ES, Bradford, JM & Fisher, AG (1989) Calorie-restricted low-fat diet and exercise in obese women. American Journal of Clinical Nutrition 49, 7785.CrossRefGoogle ScholarPubMed
Hanson, JS (1973) Exercise responses following production of experimental obesity. Journal of Applied Physiology 35, 587591.CrossRefGoogle ScholarPubMed
Haymes, EM & Byrnes, WC (1993) Walking and running energy expenditure estimated by Caltrac and indirect calorimetry. Medicine and Science in Sports and Exercise 25, 13651369.CrossRefGoogle ScholarPubMed
Henriksson, J (1990) The possible role of skeletal muscle in the adaptation to periods of energy deficiency. European Journal of Clinical Nutrition 44, Suppl. 1, 5564.Google ScholarPubMed
Hill, JO, DiGirolamo, M & Heymsfield, SB (1985) Thermic effect of food after ingested versus tube-delivered meals. American Journal of Physiology 248, E370E374.Google ScholarPubMed
Hill, JO & Peters, JC (1998) Environmental contributions to the obesity epidemic. Science 280, 13711374.CrossRefGoogle Scholar
Holmer, I (1974) Physiology of swimming man .Acta Physiologica Scandinavica 407, Suppl., 155.Google ScholarPubMed
Holmer, I, Lundin, A & Eriksson, BO (1974) Maximum oxygen uptake during swimming and running by elite swimmers. Journal of Applied Physiology 36, 711714.CrossRefGoogle ScholarPubMed
Horton, TJ, Drougas, HJ, Sharp, TA, Martinez, LR, Reed, GW & Hill, JO (1994) Energy balance in endurance-trained female cyclists and untrained controls. Journal of Applied Physiology 76, 19361945.CrossRefGoogle ScholarPubMed
Jakicic, JM, Wing, RR, Butler, BA & Robertson, RJ (1995) Prescribing exercise in multiple short bouts versus one continuous bout: effects on adherence, cardiorespiratory fitness, and weight loss in overweight women. International Journal of Obesity and Related Disorders 19, 893901.Google ScholarPubMed
James, WP, Ferro-Luzzi, A & Waterlow, JC (1988) Definition of chronic energy deficiency in adults. Report of a working party of the International Dietary Energy Consultative Group. European Journal of Clinical Nutrition 42, 969981.Google ScholarPubMed
Jequier, E & Felber, JP (1987) Indirect calorimetry. Baillières Clinical Endocrinology and Metabolism 1, 911935.CrossRefGoogle ScholarPubMed
Jones, PJ & Leitch, CA (1993) Validation of doubly labeled water for measurement of caloric expenditure in collegiate swimmers. Journal of Applied Physiology 74, 29092914.CrossRefGoogle ScholarPubMed
Kaprio, J, Koskenvuo, M & Sarna, S (1981) Cigarette smoking, use of alcohol, and leisure-time physical activity among same-sexed adult male twins. Progress in Clinical and Biological Research 69C, 3746.Google Scholar
Katzel, LI, Bleecker, ER, Colman, EG, Rogus, EM, Sorkin, JD & Goldberg, AP (1995) Effects of weight loss vs aerobic exercise training on risk factors for coronary disease in healthy, obese, middle-aged and older men. A randomized controlled trial. Journal of the American Medical Association 274, 19151921.CrossRefGoogle ScholarPubMed
Katzmarzyk, PT, Craig, CL & Bouchard, C (2001) Original article underweight, overweight and obesity: relationships with mortality in the 13-year follow-up of the Canada Fitness Survey. Journal of Clinical Epidemiology 54, 916920.CrossRefGoogle ScholarPubMed
Keim, NL, Barbieri, TF, Van Loan, MD & Anderson, BL, (1990) Energy expenditure and physical performance in overweight women: response to training with and without caloric restriction. Metabolism 39, 651658.CrossRefGoogle ScholarPubMed
Keys, A, Brozek, J, Henschel, A, Mickelson, O & Taylor, HL (1950) The Biology of Human Starvation. Minneapolis, MN: University of Minnesota Press.CrossRefGoogle Scholar
Kinabo, JL & Durnin, JV (1990) Thermic effect of food in man: effect of meal composition, and energy content. British Journal of Nutrition 64, 3744.CrossRefGoogle ScholarPubMed
Kotz, CM, Teske, JA, Levine, JA & Wang, C (2002) Feeding and activity induced by orexin A in the lateral hypothalamus in rats. Regulatory Peptides 104, 2732.CrossRefGoogle ScholarPubMed
Kurpad, AV, Borgonha, S & Shetty, PS (1997) Measurement of total energy expenditure by the doubly labelled water technique in free living Indians in Bangalore city. Indian Journal of Medical Research 105, 212219.Google ScholarPubMed
Leibel, RL, Rosenbaum, M & Hirsch, J (1995) Changes in energy expenditure resulting from altered body weight. New England Journal of Medicine 332, 621628.CrossRefGoogle ScholarPubMed
Levine, J, Melanson, EL, Westerterp, KR & Hill, JO (2001 a) Measurement of the components of nonexercise activity thermogenesis. American Journal of Physiology 281, E670E675.Google ScholarPubMed
Levine, JA, Baukol, PA & Pavlidis, Y (1999 a) The energy expended chewing gum. New England Journal of Medicine 341, 2100.CrossRefGoogle ScholarPubMed
Levine, JA, Baukol, PA & Westerterp, KR (2001 b) Validation of the Tracmor triaxial accelerometer system for walking. Medicine and Science in Sports and Exercise 33, 15931597.CrossRefGoogle ScholarPubMed
Levine, JA, Eberhardt, NL & Jensen, MD (1999 b) Role of nonexercise activity thermogenesis in resistance to fat gain in humans. Science 283, 212214.CrossRefGoogle ScholarPubMed
Levine, JA, Schleusner, SJ & Jensen, MD (2000) Energy expenditure of nonexercise activity. American Journal of Clinical Nutrition 72, 14511454.CrossRefGoogle ScholarPubMed
Levine, JA, Weisell, R, Chevassus, S, Martinez, CD & Burlingame, B (2002) Looking at child labor. Science 296, 10251026.CrossRefGoogle ScholarPubMed
Levine, JA, Weisell, R, Chevassus, S, Martinez, CD, Burlingame, B & Coward, WA (2001 c) The work burden of women. Science 294, 812.CrossRefGoogle ScholarPubMed
Leyton, GB (1946) Effects of slow starvation. Lancet ii, 7379.CrossRefGoogle Scholar
Livingstone, B (2000) Epidemiology of childhood obesity in Europe. European Journal of Pediatrics 159, Suppl. 1, S14S34.CrossRefGoogle ScholarPubMed
Livingstone, MB, Strain, JJ, Prentice, AM, Coward, WA, Nevin, GB, Barker, ME, Hickey, RJ, McKenna, PG & Whitehead, RG (1991) Potential contribution of leisure activity to the energy expenditure patterns of sedentary populations. British Journal of Nutrition 65, 145155.CrossRefGoogle Scholar
Lum, L, Saville, A & Venkataraman, ST (1998) Accuracy of physiologic deadspace measurement in intubated pediatric patients using a metabolic monitor: comparison with the Douglas bag method. Critical Care Medicine 26, 760764.CrossRefGoogle ScholarPubMed
McLaughlin, JE, King, GA, Howley, ET, Bassett, DR Jr & Ainsworth, BE (2001) Validation of the COSMEDK4 b2 portable metabolic system. International Journal of Sports Medicine 22, 280284.CrossRefGoogle ScholarPubMed
Maloiy, GM, Heglund, NC, Prager, LM, Cavagna, GA & Taylor, CR (1986) Energetic cost of carrying loads: have African women discovered an economic way? Nature 319, 668669.CrossRefGoogle ScholarPubMed
Marr, JW & Heady, JA (1986) Within-and between-person variation in dietary surveys: number of days needed to classify individuals. Human Nutrition Applied Nutrition 40, 347364.Google ScholarPubMed
Mathieson, RA, Walberg, JL, Gwazdauskas, FC, Hinkle, DE & Gregg, JM (1986) The effect of varying carbohydrate content of a verylow-caloric diet on resting metabolic rate and thyroid hormones. Metabolism 35, 394398.CrossRefGoogle ScholarPubMed
Mayer, J (1966) Physical activity and anthropometric measurements of obese adolescents. Federation Proceedings 25, 1114.Google ScholarPubMed
Melanson, EL Jr & Freedson, PS (1995) Validity of the Computer Science and Applications, Inc (CSA) activity monitor. Medicine and Science in Sports and Exercise 27, 934940.CrossRefGoogle Scholar
Mulligan, K & Butterfield, GE (1990) Discrepancies between energy intake and expenditure in physically active women. British Journal of Nutrition 64, 2336.CrossRefGoogle ScholarPubMed
Pacy, PJ, Webster, J & Garrow, JS (1986) Exercise and obesity. Sports Medicine 3, 89113.CrossRefGoogle ScholarPubMed
Pambianco, G, Wing, RR & Robertson, R (1990) Accuracy and reliability of the Caltrac accelerometer for estimating energy expenditure. Medicine and Science in Sports and Exercise 22, 858862.CrossRefGoogle ScholarPubMed
Passmore, R (1956) Daily energy expenditure in man. American Journal of Clinical Nutrition 4, 692708.Google Scholar
Pastore, G, Branca, F, Demissie, T & Ferro-Luzzi, A (1993) Seasonal energy stress in an Ethiopian rural community: an analysis of the impact at the household level. European Journal of Clinical Nutrition 47, 851862.Google Scholar
Perusse, L, Tremblay, A, Leblanc, C & Bouchard, C (1989) Genetic and environmental influences on level of habitual physical activity and exercise participation. American Journal of Epidemiology 129, 10121022.CrossRefGoogle ScholarPubMed
Poole, DC & Henson, LC (1988) Effect of acute caloric restriction on work efficiency. American Journal of Clinical Nutrition 47, 1518.CrossRefGoogle ScholarPubMed
Pratt, M, Macera, CA & Blanton, C (1999) Levels of physical activity and inactivity in children and adults in the United States: current evidence and research issues. Medicine and Science in Sports and Exercise 31, S526S533.CrossRefGoogle ScholarPubMed
Ravussin, E (1995) Low resting metabolic rate as a risk factor for weight gain: role of the sympathetic nervous system. International Journal of Obesity and Related Metabolic Disorders 19, S8S9.Google ScholarPubMed
Ravussin, E, Lillioja, S, Anderson, TE, Christin, L & Bogardus, C, (1986) Determinants of 24-hour energy expenditure in man. Methods and results using a respiratory chamber. Journal of Clinical Investigation 78, 15681578.CrossRefGoogle ScholarPubMed
Reed, GW & Hill, JO (1996) Measuring the thermic effect of food. American Journal of Clinical Nutrition 63, 164169.CrossRefGoogle ScholarPubMed
Rietjens, GJ, Kuipers, H, Kester, AD & Keizer, HA (2001) Validation of a computerized metabolic measurement system (Oxycon-Pro) during low and high intensity exercise. International Journal of Sports Medicine 22, 291294.CrossRefGoogle ScholarPubMed
Schoeller, DA (2001) The importance of clinical research: the role of thermogenesis in human obesity. American Journal of Clinical Nutrition 73, 511516.CrossRefGoogle ScholarPubMed
Schoeller, DA & Taylor, PB (1987) Precision of the doubly labelled water method using the two-point calculation. Human Nutrition Clinical Nutrition 41, 215223.Google ScholarPubMed
Schulz, LO, Alger, S, Harper, I, Wilmore, JH & Ravussin, E (1992) Energy expenditure of elite female runners measured by respiratory chamber and doubly labeled water. Journal of Applied Physiology 72, 2328.CrossRefGoogle ScholarPubMed
Schutz, Y, Ravussin, E, Diethelm, R & Jequier, E (1982) Spontaneous physical activity measured by radar in obese and control subject studied in a respiration chamber. International Journal of Obesity 6, 2328.Google Scholar
Sharp, TA, Reed, GW, Sun, M, Abumrad, NN & Hill, JO (1992) Relationship between aerobic fitness level and daily energy expenditure in weight-stable humans American Journal of Physiology 263, E121E128.Google ScholarPubMed
Shetty, PS, Henry, CJ, Black, AE & Prentice, AM (1996) Energy requirements of adults: an update on basal metabolic rates (BMRs) and physical activity levels (PALs). European Journal of Clinical Nutrition 50, Suppl. 1, S11S23.Google ScholarPubMed
Singh, J, Prentice, AM, Diaz, E, Coward, WA, Ashford, J, Sawyer, M & Whitehead, RG (1989) Energy expenditure of Gambian women during peak agricultural activity measured by the doublylabelled water method. British Journal of Nutrition 62, 315329.CrossRefGoogle ScholarPubMed
Smith, GD, Shipley, MJ, Batty, GD, Morris, JN & Marmot, M (2000) Physical activity and cause-specific mortality in the Whitehall study. Public Health 114, 308315.CrossRefGoogle Scholar
Sujatha, T, Shatrugna, V, Venkataramana, Y & Begum, N (2000) Energy expenditure on household, childcare and occupational activities of women from urban poor households. British Journal of Nutrition 83, 497503.CrossRefGoogle ScholarPubMed
Sun, M, Reed, GW & Hill, JO (1994) Modification of a whole room indirect calorimeter for measurement of rapid changes in energy expenditure. Journal of Applied Physiology 76, 26862691.CrossRefGoogle ScholarPubMed
Thomas, CD, Peters, JC, Reed, GW, Abumrad, NN, Sun, M & Hill, JO (1992) Nutrient balance and energy expenditure during ad libitum feeding of high-fat and high-carbohydrate diets in humans. American Journal of Clinical Nutrition 55, 934942.CrossRefGoogle ScholarPubMed
Thompson, JK, Jarvie, GJ, Lahey, BB & Cureton, KJ (1982) Exercise and obesity: etiology, physiology, and intervention. Psychological Bulletin 91, 5579.CrossRefGoogle ScholarPubMed
United Nations University (1989) Research Methods in Nutritional Anthropology. Tokyo, Japan: United Nations University.Google Scholar
Van Aggel-Leijssen, DP, Saris, WH, Wagenmakers, AJ, Senden, JM & Van Baak, MA (2002) Effect of exercise training at different intensities on fat metabolism of obese men. Journal of Applied Physiology 92, 13001309.CrossRefGoogle ScholarPubMed
Villagra, F, Cooke, CB & McDonagh, MJ (1993) Metabolic cost and efficiency in two forms of squatting exercise in children and adults. European Journal of Applied Physiology and Occupational Physiology 67, 549553.CrossRefGoogle ScholarPubMed
Wadden, TA, Foster, GD, Letizia, KA & Mullen, JL (1990) Long-term effects of dieting on resting metabolic rate in obese outpatients. Journal of the American Medical Association 264, 707711.CrossRefGoogle ScholarPubMed
Weetman, AP (2000) Graves' disease New England Journal of Medicine 343, 12361248.CrossRefGoogle ScholarPubMed
Weigle, DS & Brunzell, JD (1990 a) Assessment f energy expenditure in ambulatory reduced-obese subjects by the techniques of weight stabilization and exogenous weight replacement. International Journal of Obesity 14, Suppl. 1, 6977.Google Scholar
Weigle, DS & Brunzell, JD (1990 b) Assessment of energy expenditure in ambulatory reduced-obese subjects by the techniques of weight stabilization and exogenous weight replacement. Discussion. International Journal of Obesity 14, Suppl. 1, 7781.Google Scholar
Weinsier, RL, Nelson, KM, Hensrud, DD, Darnell, BE, Hunter, GR & Schutz, Y (1995) Metabolic predictors of obesity. Contribution of Physical activity, energy expenditure, obesity 679 resting energy expenditure, thermic effect of food, and fuel utilization to four-year weight gain of post-obese and neverobese women. Journal of Clinical Investigation 95, 980985.CrossRefGoogle Scholar
Weir, JB (1949) New methods for calculating metabolic rate with special reference to protein metabolism. Nutrition 6, 213221.Google Scholar
Wendt, IR & Gibbs, CL (1973) Energy production of rat extensor digitorum longus muscle. American Journal of Physiology 224, 10811086.CrossRefGoogle ScholarPubMed
Westerterp, KR (2001) Pattern and intensity of physical activity. Nature 410, 539.CrossRefGoogle ScholarPubMed
Westerterp, KR & Bouten, CV (1997) Physical activity assessment: comparison between movement registration and doubly labeled water method. Zeitschrift für Ernahrungswissenschaft 36, 263267.CrossRefGoogle ScholarPubMed
Whipp, BJ, Bray, GA & Koyal, SN (1973) Exercise energetics in normal man following acute weight gain. American Journal of Clinical Nutrition 26, 12841286.CrossRefGoogle ScholarPubMed
Williams, G, Harrold, JA & Cutler, DJ (2000) The hypothalamus and the regulation of energy homeostasis: lifting the lid on a black box. Proceedings of the Nutrition Society 59, 385396.CrossRefGoogle ScholarPubMed
Yeager, KK, Macera, CA, Eaker, E & Merritt, RK (1991) Time trends in leisure-time physical activity: another perspective. Epidemiology 2, 313316.Google ScholarPubMed
Yoshida, T, Nagata, A, Muro, M, Takeuchi, N & Suda, Y (1981) The validity of anaerobic threshold determination by a Douglas bag method compared with arterial blood lactate concentration. European Journal of Applied Physiology and Occupational Physiology 46, 423430.CrossRefGoogle ScholarPubMed
Yusuf, HR, Croft, JB, Giles, WH, Anda, RF, Casper, ML, Caspersen, CJ & Jones, DA (1996) Leisure-time physical activity among older adults United States, 1990. Archives of Internal Medicine 156, 13211326.CrossRefGoogle ScholarPubMed
Zurlo, F, Lillioja, S, Esposito-Del Puente, A, Nyomba, BL, Raz, I, Saad, MF, Swinburn, BA, Knowler, WC, Bogardus, C & Ravussin, E (1990) Low ratio of fat to carbohydrate oxidation as predictor of weight gain: study of 24-h RQ. American Journal of Physiology 259, E650E657.Google ScholarPubMed
Zurlo, F, Nemeth, PM, Choksi, RM, Sesodia, S & Ravussin, E (1994) Whole-body energy metabolism and skeletal muscle biochemical characteristics. Metabolism 43, 481486.CrossRefGoogle ScholarPubMed