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Physical activity and human energy expenditure
Klaas R Westerterp1, Guy Plasqui
1Department of Human Biology, Maastricht University, Maastricht, The Netherlands. K.Westerterp@HB.Unimaas.NL
Current Opinion in Clinical Nutrition and Metabolic Care
|November 10, 2004
Summary
Measuring physical activity using doubly labelled water and accelerometry reveals that moderate-intensity activities are key determinants of the physical activity level in adults.
Area of Science:
- Exercise Physiology
- Human Movement Science
- Biomedical Measurement
Background:
- Accurate measurement of physical activity in daily life is crucial for understanding health and energy expenditure.
- Doubly labelled water (DLW) is the gold standard for validating field-based physical activity assessment methods.
- Accelerometry offers objective and precise measurement of activity patterns, including frequency, duration, and intensity.
Purpose of the Study:
- To review methods for measuring physical activity in daily life, focusing on DLW and accelerometry.
- To illustrate the applications of DLW and accelerometry in assessing physical activity limits and energy expenditure.
- To examine the role of activity intensity in determining the overall physical activity level.
Main Methods:
- Review of literature on doubly labelled water method for energy expenditure measurement.
- Review of literature on accelerometry for assessing physical activity patterns.
- Analysis of data on physical activity index and its determinants.
Main Results:
- The upper limit of the physical activity index is confirmed to be 2.5.
- Exercise training combined with energy restriction or in elderly subjects did not increase the physical activity index.
- In children, low and high-intensity activities determine the physical activity index, while in adults, moderate-intensity activities are the primary determinant.
Conclusions:
- In adults, the physical activity level is primarily determined by the distribution of low and moderate-intensity activities.
- High-intensity activities have a limited impact on daily energy expenditure.
- Increasing activity energy expenditure does not necessarily require high-intensity activities.