Energy expenditure compared to physical activity measured by accelerometry and self-report in adolescents: a validation study.

<h4>Background</h4>Physical inactivity is responsible for 5.3 million deaths annually worldwide. To measure physical activity energy expenditure, the doubly labeled water (DLW) method is the gold standard. However, questionnaires and accelerometry are more widely used. We compared physic...

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Main Authors: Pedro C Hallal, Felipe F Reichert, Valerie L Clark, Kelly L Cordeira, Ana M B Menezes, Simon Eaton, Ulf Ekelund, Jonathan C Wells
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0077036
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author Pedro C Hallal
Felipe F Reichert
Valerie L Clark
Kelly L Cordeira
Ana M B Menezes
Simon Eaton
Ulf Ekelund
Jonathan C Wells
author_facet Pedro C Hallal
Felipe F Reichert
Valerie L Clark
Kelly L Cordeira
Ana M B Menezes
Simon Eaton
Ulf Ekelund
Jonathan C Wells
author_sort Pedro C Hallal
collection DOAJ
description <h4>Background</h4>Physical inactivity is responsible for 5.3 million deaths annually worldwide. To measure physical activity energy expenditure, the doubly labeled water (DLW) method is the gold standard. However, questionnaires and accelerometry are more widely used. We compared physical activity measured by accelerometer and questionnaire against total (TEE) and physical activity energy expenditure (PAEE) estimated by DLW.<h4>Methods</h4>TEE, PAEE (TEE minus resting energy expenditure) and body composition were measured using the DLW technique in 25 adolescents (16 girls) aged 13 years living in Pelotas, Brazil. Physical activity was assessed using the Actigraph accelerometer and by self-report. Physical activity data from accelerometry and self-report were tested against energy expenditure data derived from the DLW method. Further, tests were done to assess the ability of moderate-to-vigorous intensity physical activity (MVPA) to predict variability in TEE and to what extent adjustment for fat and fat-free mass predicted the variability in TEE.<h4>Results</h4>TEE varied from 1,265 to 4,143 kcal/day. It was positively correlated with physical activity (counts) estimated by accelerometry (rho = 0.57; p = 0.003) and with minutes per week of physical activity by questionnaire (rho = 0.41; p = 0.04). An increase of 10 minutes per day in moderate-to-vigorous intensity physical activity (MVPA) relates to an increase in TEE of 141 kcal/day. PAEE was positively correlated with accelerometry (rho = 0.64; p = 0.007), but not with minutes per week of physical activity estimated by questionnaire (rho = 0.30; p = 0.15). Physical activity by accelerometry explained 31% of the vssariability in TEE. By incorporating fat and fat-free mass in the model, we were able to explain 58% of the variability in TEE.<h4>Conclusion</h4>Objectively measured physical activity significantly contributes to the explained variance in both TEE and PAEE in Brazilian youth. Independently, body composition also explains variance in TEE, and should ideally be taken into account when using accelerometry to predict energy expenditure values.
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spelling doaj-art-da414b531f1f46efa787e3e21d0faad92025-08-20T03:10:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-01811e7703610.1371/journal.pone.0077036Energy expenditure compared to physical activity measured by accelerometry and self-report in adolescents: a validation study.Pedro C HallalFelipe F ReichertValerie L ClarkKelly L CordeiraAna M B MenezesSimon EatonUlf EkelundJonathan C Wells<h4>Background</h4>Physical inactivity is responsible for 5.3 million deaths annually worldwide. To measure physical activity energy expenditure, the doubly labeled water (DLW) method is the gold standard. However, questionnaires and accelerometry are more widely used. We compared physical activity measured by accelerometer and questionnaire against total (TEE) and physical activity energy expenditure (PAEE) estimated by DLW.<h4>Methods</h4>TEE, PAEE (TEE minus resting energy expenditure) and body composition were measured using the DLW technique in 25 adolescents (16 girls) aged 13 years living in Pelotas, Brazil. Physical activity was assessed using the Actigraph accelerometer and by self-report. Physical activity data from accelerometry and self-report were tested against energy expenditure data derived from the DLW method. Further, tests were done to assess the ability of moderate-to-vigorous intensity physical activity (MVPA) to predict variability in TEE and to what extent adjustment for fat and fat-free mass predicted the variability in TEE.<h4>Results</h4>TEE varied from 1,265 to 4,143 kcal/day. It was positively correlated with physical activity (counts) estimated by accelerometry (rho = 0.57; p = 0.003) and with minutes per week of physical activity by questionnaire (rho = 0.41; p = 0.04). An increase of 10 minutes per day in moderate-to-vigorous intensity physical activity (MVPA) relates to an increase in TEE of 141 kcal/day. PAEE was positively correlated with accelerometry (rho = 0.64; p = 0.007), but not with minutes per week of physical activity estimated by questionnaire (rho = 0.30; p = 0.15). Physical activity by accelerometry explained 31% of the vssariability in TEE. By incorporating fat and fat-free mass in the model, we were able to explain 58% of the variability in TEE.<h4>Conclusion</h4>Objectively measured physical activity significantly contributes to the explained variance in both TEE and PAEE in Brazilian youth. Independently, body composition also explains variance in TEE, and should ideally be taken into account when using accelerometry to predict energy expenditure values.https://doi.org/10.1371/journal.pone.0077036
spellingShingle Pedro C Hallal
Felipe F Reichert
Valerie L Clark
Kelly L Cordeira
Ana M B Menezes
Simon Eaton
Ulf Ekelund
Jonathan C Wells
Energy expenditure compared to physical activity measured by accelerometry and self-report in adolescents: a validation study.
PLoS ONE
title Energy expenditure compared to physical activity measured by accelerometry and self-report in adolescents: a validation study.
title_full Energy expenditure compared to physical activity measured by accelerometry and self-report in adolescents: a validation study.
title_fullStr Energy expenditure compared to physical activity measured by accelerometry and self-report in adolescents: a validation study.
title_full_unstemmed Energy expenditure compared to physical activity measured by accelerometry and self-report in adolescents: a validation study.
title_short Energy expenditure compared to physical activity measured by accelerometry and self-report in adolescents: a validation study.
title_sort energy expenditure compared to physical activity measured by accelerometry and self report in adolescents a validation study
url https://doi.org/10.1371/journal.pone.0077036
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