Measurements of energy expenditure using isotope-labelled water (2H2(18)O) during an Arctic expedition

Estimates of energy expenditure using both isotope-labelled (2H2(18)O) water and dietary intake/body composition changes were made during an attempt by two men (MS and RF) to walk to the North Pole. The isotope-labelled water technique gave mean estimates of daily energy expenditure for the 48-day expedition of 28.05 MJ (MS) and 32.38 MJ (RF), which compared with estimates of 25.66 MJ (MS) and 24.86 MJ (RF) from the intake/body composition measurements. Fluid retention and peripheral oedema probably caused a considerable underestimate of the losses in body energy stores when applying the energy balance method, whereas in the isotope method, uncertainty in the measurements of isotopic background led to minimum errors of -4.9% to +4.0% of the means for MS and -12.7% to +8.2% for RF (95% confidence limits).