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Energy requirements of adults

Published online by Cambridge University Press:  02 January 2007

Prakash Shetty
Prakash Shetty*
Affiliation:
Public Health Nutrition Unit, Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, 49–51 Bedford Square, London, WC1B 3DP, UK
*
*Corresponding author: Email [email protected]
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Abstract

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Objectives

To describe issues related to energy requirements of free living adults and discuss the importance of basal metabolic rate (BMR) and their relationships to total energy expenditure (TEE ) and physical activity level (PAL, derived as TEE/BMR) and to determine the influence of body weight, height, age and sex.

Design

Based on a review of the literature, this paper examines the variability in BMR due to methodology, ethnicity, migration and adaptation (both metabolic and behavioural) due to changes in nutritional status. Collates and compiles data on measurements of TEE in free living healthy adults, to arrive at limits and to compare TEE of populations with different life-styles.

Results and Conclusions

The constancy of BMR and its validity as a reliable predictor of TEE in adults as well as the validity of PAL as an index of TEE adjusted for BMR and thus its use to categorise the physical activity pattern and lifestyle of an individual was confirmed. The limits of human daily energy expenditure at around 1.2×BMR and 4.5×BMR based on measurements made in free living adults have been reported in the literature. A large and robust database now exists of energy expenditure measurements obtained by the doubly labelled water method in the scientific literature and the data shows that, in general, levels of energy expenditure are similar to the recommendations for energy requirements adopted by FAO/WHO/UNU (1985). The review also confirms that metabolic adaptation to energy restriction is not an important factor that needs to be considered when recommending energy requirements for adults in developing countries.

Keywords

Basal metabolic ratePhysical activity levelTotal energy expenditureSleeping metabolic ratesDoubly labelled water technique
Type
Research Article
Information
Public Health Nutrition , Volume 8 , Issue 7a , October 2005 , pp. 994 - 1009
Copyright
Copyright © The Author 2005

References

1FAO/WHO/UNU Expert Consultation. Energy and protein requirements. WHO Technical Report Series 724: 1–206. Geneva: World Health Organization, 1985.Google Scholar
2Segal, KR. Comparison of indirect calorimetric measurements of resting energy expenditure with a ventilated hood, face mask and mouthpiece. American Journal of Clinical Nutrition 1987; 45: 1420–3.CrossRefGoogle ScholarPubMed
3Soares, MJ, Sheela, ML, Kurpad, AV, Kulkarni, RN, Shetty, PS. The influence of different methods on basal metabolic rate measurements in humans. Human Nutrition: Clinical Nutrition 1989; 50: 731–6.Google Scholar
4Clark, HD, Hoffer, LF. Reappraisal of the resting metabolic rate of normal young men. American Journal of Clinical Nutrition 1991; 53: 21–6.Google Scholar
5Shetty, PS, Soares, MJ, Sheela, ML. Basal metabolic rates of South Indian males. Rome: Report to FAO, 1986.Google Scholar
6Garlick, PJ, McNurlan, MA, McHardy, KC, Calder, AG, Milne, E, Fearns, LM, Broom, J. Rates of nutrient utilisation in man measures by combined respiratory gas analysis and stable isotope labelling: effect of food intake. Human Nutrition: Clinical Nutrition 1987; 41C 177–91.Google Scholar
7Brockway, JM. Derivation of formulae used to calculate energy expenditure in man. Human Nutrition: Clinical Nutrition 1987; 41C 463–72.Google Scholar
8Weir, JB. New method for calculating metabolic rate with special reference to protein metabolism. Journal of Physiology 1949; 109: 1–9.CrossRefGoogle ScholarPubMed
9Consolazio, CF, Johnson, RE, Pecora, E. Physiological methods of metabolic functions in man. New York: McGraw Hill, 1963, 313–7.Google Scholar
10Brouwer, E,. Report of subcommittee on constants and factors. In: KL, Blaxter, ed. Third Symposium on energy metabolism, European Association for Animal Production. No. II. London Academic Press, 1965: 441–3.Google Scholar
11Passmore, R, Eastwood, MA. In: Davidson and Passmore: Human nutrition and dietetics, 8th ed. Edinburgh: Churchill Livingstone, 1986, 18–9.Google Scholar
12McLean, JA. Heat production or oxygen consumption?. In: Van Es, AJH, ed. Human energy metabolism. Euro-nut report no. 5. Netherlands: Wageningen, 1984, 187–9.Google Scholar
13Westerterp, KR. Alterations in energy balance with exercise. American Journal of Clinical Nutrition 1998; 68: S970–S4.CrossRefGoogle ScholarPubMed
14Schulz, LO, Nyomba, BL, Alger, S, Anderson, TE, Ravussin, E. Effect of endurance training on sedentary energy expenditure measured in a respiratory chamber. American Journal of Physiology 1991; 260E 257–61.Google Scholar
15Sjodin, AM, Forslund, AH, Westerterp, KR, Anderson, AB, Forslund, JM, Hambraeus, LM. The influence of physical activity on BMR. Medical Science in Sports and Exercise 1996; 28: 85–91.Google Scholar
16Meijer, GA, Westertrep, KR, Seyts, GH, Janssen, GM, Saris, WH, Ten Hoor, F. Body composition and sleeping metabolic rate in response to a 5-month endurance-training programme in adults. European Journal of Applied Physiology and Occupational Physiology 1991; 62: 18–21.Google Scholar
17Broeder, CE, Burrhus, KA, Svanevik, LS, Wilmore, JH. The effects of either high intensity resistance or endurance training on resting metabolic rate. American Journal of Clinical Nutrition 1992; 55: 802–10.Google Scholar
18Westerterp, KR, Meijer, GA, Schoffelen, P, Janssen, EM. Body mass, body composition and sleeping metabolic rate before, during and after endurance training. European Journal of Applied Physiology and Occupational Physiology 1994; 69: 203–8.CrossRefGoogle ScholarPubMed
19Wilmore, JH, Stanforth, PR, Hudspeth, LA, Gagnon, J, Daw, EW, Leon, AS, Rao, DC, Skinner, JS, Bouchard, C. Alterations in resting metabolic rate as a consequence of 20 weeks of endurance training: the HERITAGE Family Study. American Journal of Clinical Nutrition 1998; 68: 66–71.CrossRefGoogle Scholar
20Westerterp, KR, Goran, MI. Relationship between physical activity related energy expenditure and body composition: a gender difference. International Journal of Obesity and Related Metabolic Disorders 1997; 21: 184–8.Google Scholar
21Edholm, OG. Energy expenditure and calorie intake in young men. Proceedings of the Nutrition Society 1961; 20: 71–6.CrossRefGoogle ScholarPubMed
22Garby, L, Lammert, O, Nielsen, E. Within subjects, between weeks variation in 24 h energy expenditure for fixed physical activity. Human Nutrition: Clinical Nutrition 1984; 38C 391–4.Google Scholar
23De Boer, JO. Energy requirements of lean and obese women, assessed by indirect calorimetry. PhD Thesis, Agricultural University: Wageningen, Netherlands, 1985.Google Scholar
24Jequier, E, Schutz, Y. The contribution of BMR and physical activity to energy expenditure. In: Cioffi, LA, James, WPT, Van Itallie, TB, eds. Body weight regulatory system: normal and disturbed mechanisms. New York: Raven Press, 1981,89–96.Google Scholar
25Schutz, Y. Terminology, factors and constants in studies on energy metabolism of humans. In: van Es, AJH, ed. Human energy metabolism. EURO-NUT Report No. 5. Netherlands: Wageningen, 1984, 153–68.Google Scholar
26Daly, JM, Heymsfield, SB, Head, CA, Harvey, LP, Nixon, DW, Katzeff, H, Grossman, GD. Human energy requirements: overestimation by widely-used prediction equation. American Journal of Clinical Nutrition 1985; 42: 1170–4.CrossRefGoogle ScholarPubMed
27Dallosso, HM, James, WPT. The effect of fat over-feeding on 24 h energy expenditure. British Journal of Nutrition 1984; 52: 49–64.Google Scholar
28Dallosso, HM, Murgatroyd, PR, James, WPT. Feeding frequency and energy balance in adult males. Human Nutrition: Clinical Nutrition 1982; 36C 25–39.Google ScholarPubMed
29Sukhatme, PV, Margen, S. Auto-regulatory homeostatic nature of energy balance. American Journal of Clinical Nutrition 1982; 35: 355–65.Google Scholar
30Sukhatme, PV, Narain, P. Intra-individual variation in energy requirements and its implication. Indian Journal of Medical Research 1983; 78: 857–65.Google Scholar
31Soares, MJ, Shetty, PS. Intra-individual variations in resting metabolic rates of human subjects. Human Nutrition: Clinical Nutrition 1986; 40C 365–9.Google Scholar
32Webb, P, Abrams, T. Loss of fat stores and reduction in sedentary energy expenditure from undereating. Human Nutrition: Clinical Nutrition 1983; 37C 271–82.Google Scholar
33Webb, P, Annis, JF. Adaptation to overeating in lean and overweight men and women. Human Nutrition: Clinical Nutrition 1983; 37C 117–31.Google Scholar
34Black, AE, Coward, WA, Cole, TJ, Prentice, AM. Human energy expenditure in affluent societies: analysis of 574 doubly-labelled water measurements. European Journal of Clinical Nutrition 1996; 50: 72–92.Google Scholar
35Shetty, PS, Soares, MJ. Variability in basal metabolic rates of man. In: Blaxter, K, MacDonald, I, eds. Comparative nutrition. London: John Libbey, 1988, 141–8.Google Scholar
36Henry, CJK, Hayter, J, Rees, DG. The constancy of basal metabolic rate in free-living male subjects. European Journal of Clinical Nutrition 1989; 43: 727–31.Google Scholar
37Lammert, O, Garby, L, Maron, K, Mork, G, Thein, M, Flindt-Egebak, P, Krogh-Hansen, J. Effect of the preceding days energy intake on the energy cost of rest, arm and leg exercise. Human Nutrition: Clinical Nutrition 1987; 41C: 141–7.Google Scholar
38Soares, MJ, Shetty, PS. Long term stability of metabolic rates in young adult males. Human Nutrition: Clinical Nutrition 1987; 41C 287–90.Google Scholar
39Aub, JC, Du Bois, EF. The basal metabolism of old men. Archives of Internal Medicine 1917; 19: 823–34.Google Scholar
40Robertson, JD, Reid, DD. Standards for basal metabolism of normal people in Britain. Lancet 1952; 1: 940–3.Google Scholar
41Quenouille, MH, Boyne, AW, Fisher, WB, Leitch, I. Statistical studies of recorded energy expenditure of man. Part I. Basal metabolism related to sex, stature, age, climate and race. Commonwealth Bureau of Animal Nutrition Technical Communication No. 17. Aberdeen: Commonwealth Agricultural Bureau, 1951.Google Scholar
42Schofield, WN. Predicting basal metabolic rate, new standards and review of previous work. Human Nutrition: Clinical Nutrition 1985; 39C 5–91.Google Scholar
43Henry, CJK, Rees, DG. New prediction equations for the estimation of basal metabolic rate in tropical peoples. European Journal of Clinical Nutrition 1991; 45: 177–85.Google ScholarPubMed
44Piers, LS, Shetty, PS. Basal metabolic rates of Indian women. European Journal of Clinical Nutrition 1993; 47: 586–91.Google Scholar
45Soares, MJ, Francis, DG, Shetty, PS. Predictive equations for basal metabolic rates of Indian males. European Journal of Clinical Nutrition 1993; 47: 389–94.Google ScholarPubMed
46Hayter, JE, Henry, CJK. Basal metabolic rate in human subjects migrating between tropical and temperate regions: a longitudinal study and review of previous work. European Journal of Clinical Nutrition 1993; 47: 724–34.Google Scholar
47Henry, CJK, Piggott, SM, Emery, B. Basal metabolic rate and dietary thermogenesis in Asians living in Britain. Human Nutrition: Clinical Nutrition 1987; 41C 397–402.Google Scholar
48Hayter, JE. The variability of energy expenditure in populations of different geographic origins. PhD Thesis Oxford Brookes University, 1992.Google Scholar
49Valencia, ME, Moya, SY, McNeill, G, Marcus, R. Basal metabolic rate and body fatness of adult men in Northern Mexico. European Journal of Clinical Nutrition 1994; 48: 205–11.Google ScholarPubMed
50Shetty, PS, Henry, CJK, Black, AE, Prentice, AM. Energy requirements of adults: an update on basal metabolic rates (BMRs) and physical activity levels (PAL). European Journal of Clinical Nutrition 1996; 50S 11–23.Google Scholar
51Piers, LS, Diffey, B, Soares, MJ, Frandsen, SL, McCormack, LM, Lutschini, MJ, O'Dea, K. The validity of predicting the basal metabolic rate of young Australian men and women. European Journal of Clinical Nutrition 1997; 51: 333–7.CrossRefGoogle ScholarPubMed
52Soares, MJ, Piers, LS, O'Dea, K, Shetty, PS. No evidence for an ethnic influence on basal metabolism: an examination of data from India and Australia. British Journal of Nutrition 1999; 81: 81–2.Google Scholar
53Nelson, KM, Weinsier, RL, Long, CL, Schutz, Y. Prediction of resting energy expenditure from fat-free mass and fat mass. American Journal of Clinical Nutrition 1992; 56: 848–56.CrossRefGoogle ScholarPubMed
54Weinsier, RL, Shutz, Y, Bracco, D. Re-examination of the relationship of resting metabolic rate to fat-free mass and to the metabolically active components of fat free mass of humans. American Journal of Clinical Nutrition 1992; 55: 1790–4.CrossRefGoogle Scholar
55Schofield, WN, Schofield, C, James, WPT. Basal metabolic rate–review and prediction, together with an annotated bibliography of source material. Human Nutrition: Clinical Nutrition 1985; 39C 5–91.Google Scholar
56Mukerjee, HN, Gupta, PC. The basal metabolism of Indians (Bengalis). Indian Journal of Medical Research 1931; 11: 807–11.Google Scholar
57Krishnan, BT, Vareed, C. Basal metabolism of young college students, men and women in Madras. Indian Journal of Medical Research 1932; 12: 831–58.Google Scholar
58Henry, CJK, Rees, DG. A preliminary analysis of basal metabolic rate and race. In: Blaxter, K, Macdonald, I, eds. Comparitive nutrition. London: John Libbey, 1988, 149–59.Google Scholar
59Liu, HY, Lu, YF, Chen, WJ. Predictive equations for basal metabolic rate in Chinese adults: a cross validation study. Journal of the American Dietetic Association 1995; 95: 1403–8.Google Scholar
60Leung, R, Woo, J, Chan, D, Tang, N. Validation of prediction equations for basal metabolic rate in Chinese subjects. European Journal of Clinical Nutrition 2000; 54: 551–4.Google Scholar
61Rush, EC, Plank, LD, Coward, WA. Energy expenditure of young Polynesian and European women in New Zealand and relations to body composition. American Journal of Clinical Nutrition 1999; 69: 43–8.CrossRefGoogle ScholarPubMed
62Carpenter, WH, Fonong, T, Toth, MJ, Ades, PA, Calles-Escandon, J, Walston, JD, Poehlman, ET. Total daily energy expenditure in free living older African-Americans and caucasians. American Journal of Physiology 1998; 274E: 96–101.Google Scholar
63Sable, AD, Fontvielle, AM, Harper, IT, Ravussin, E. Low levels of physical activity in 5 year old children. Journal of Paediatrics 1997; 131: 423–9.Google Scholar
64Sun, M, Gower, BA, Nagy, TR, Trowbridge, CA, Dezenberg, C, Goran, MI. Total, resting and activity related energy expenditures are similar in Caucasian and African-American children. American Journal of Physiology 1998; 274E: 232–7.Google Scholar
65Wong, WW, Butte, NF, Ellis, KJ, Hergenroeder, AC, Hill, RB, Stuff, JE, Smith, EO. Pubertal African-American girls expend less energy at rest and during physical activity than Caucasian girls. Journal of Endocrinology and Metabolism 1999; 84: 906–11.Google Scholar
66Case, KO, Brahler, CJ, Heiss, C. Resting energy expenditures in Asian women measured by indirect calorimetry are lower than expenditures calculated from prediction equations. Journal of the American Dietetic Association 1997; 97: 1288–92.Google Scholar
67Durin, JVGA, Edholm, OG, Miller, DS, Waterlow, JC. How much food does man require? Nature 1973; 242: 418.CrossRefGoogle Scholar
68Edmundson, W. Adaptation to undernutrition: how much food does man need? Social Science and Medicine 1980; 14D: 19–126.Google Scholar
69Norgan, NG. Adaptation of energy metabolism to level of energy intake. In: Parizkova, J, ed. Energy expenditure under field conditions. Prague: Charles University, 1983, 56–64.Google Scholar
70Widdowson, EM. Nutritional individuality. Proceedings of the Nutrition Society 1962; 21: 121–8.CrossRefGoogle ScholarPubMed
71Durnin, JVGA. Energy balance in man with particular reference to low energy intakes. Bibliotheca Nutritio et Dietata 1979; 27: 1–10.Google Scholar
72Edmundson, W. Individual variations in basal metabolic rate and mechanical work efficiency in East Java. Ecology of Food and Nutrition 1979; 8: 189–95.Google Scholar
73Benedict, FG, Miles, WR, Roth, P, Smith, HM. Human vitality and efficiency under prolonged restricted diet. Carnegie Institute of Washington, DC: Carnegie Institute of Washington Publication No. 280, 1919.Google Scholar
74Keys, A, Brozeck, J, Henschel, A, Mickelson, O, Taylor, HL. The biology of human starvation. Minneapolis: University of Minneapolis Press. 1950.Google Scholar
75Grande, F. Man under caloric deficiency. In: Handbook of Physiology, Adaptation to the Environment. American Physiological Society, Washington, 1964: 911–37.Google Scholar
76Apfelbaum, M. Adaptation to changes in caloric intake. Progress in Food and Nutrition Science 1978; 2: 543–59.Google ScholarPubMed
77Sims, EAH. Experimental obesity, dietary induced thermogenesis and their clinical implications. Clinics in Endocrinology and Metabolism 1976; 5: 377–95.CrossRefGoogle ScholarPubMed
78Norgan, NG, Durnin, JVGA. The effect of weeks of overfeeding on the body weight, body composition, and energy metabolism of young men. American Journal of Clinical Nutrition 1980; 33: 978–88.CrossRefGoogle ScholarPubMed
79Ferro-Luzzi, A. Range of variation in energy expenditure and scope of regulation. In: Taylor, TG, Jenkins, NK, eds. Proceedings of XIII international congress of nutrition. London: John Libbey, 1985, 393–9.Google Scholar
80Soares, MJ, Shetty, PS. Basal metabolic rates and metabolic efficiency in chronic undernutrition. European Journal of Clinical Nutrition 1991; 45: 363–73.Google Scholar
81McNeill, G, Rivers, JPW, Payne, PR, deBritto, JJ, Abel, R. Basal metabolic rate of Indian men: no evidence of metabolic adaptation to a low plan of nutrition. Human Nutrition: Clinical Nutrition 1987; 41C: 473–84.Google Scholar
82Srikantia, SG. Nutritional adaptation in man. Proceedings of the Nutritional Society of India 1985; 31: 1–16.Google Scholar
83Shetty, PS. Chronic undernutrition and metabolic adaptation. Proceedings of the Nutrition Society 1993; 52: 267–84.CrossRefGoogle ScholarPubMed
84Immink, MDC. Economic effects of chronic energy deficiency. In: Schurch, B, Scrimshaw, NS, eds. Chronic energy deficiency: consequences and related issues. Switzerland: IDECG, 1987; 153–74.Google Scholar
85Rutishauser, IH, Whitehead, RG. Energy intake and expenditure in 1–3 year old Ugandan children living in a rural environment. British Journal of Nutrition 1972; 28: 145–52.Google Scholar
86Gorsky, RD, Calloway, DH. Activity pattern changes with decrease in food energy intakes. Human Biology 1983; 55: 577–86.Google Scholar
87Torun, B, Flores, R, Vitteri, FE, Immink, MDC, Diaz, E. Energy supplementation and work performance: Summary of INCAP studies. Proceedings of XIV International Congress of Nutrition. Seoul: Seoul Korean Nutrition Societ, 1989; 306–9.Google Scholar
88Ferro-Luzzi, A, Sette, S, Franklin, M, James, WPT. A simplified approach to assessing adult chronic energy deficiency. European Journal of Clinical Nutrition 1992; 46: 173–86.Google Scholar
89Shetty, PS, James, WPT. Body mass index: a measure of chronic energy deficiency in adults. FAO food and nutrition Paper No. 56. Rome: FAO, 1994, 1–57.Google Scholar
90Vitteri, FE, Torun, B. Energy intake and physical work in Guatemalan farmers. Bolitin de la Oficina Samtaria Panamericana (Spanish) 1975; 78: 58–74.Google Scholar
91Whitehead, RG, Rowland, MG, Hutton, M, Prentice, AM, Muller, E, Paul, A. Factors influencing lactation performance in rural Gambian mothers. Lancet 1978; 2: 178–81.Google Scholar
92Norgan, NG, Ferro-Luzzi, A. Human adaptation to energy undernutrition. In: Fregly, MJ, Blatteis, CM, eds. Handbook of physiology: Section 4. Environmental physiology Volume II. New York: Oxford University Press for the American Physiological Society, 1996, 1391–409.Google Scholar
93Shetty, PS. Adaptation to low energy intakes: the responses and limits to low intakes in infants, children and adults. European Journal Clinical Nutrition 1999; 53S 14–33.Google Scholar
94Lifson, M, McClintock, R. Theory of use of turnover rates of body water for measuring energy and maternal balance. Journal of Theoretical Biology 1966; 12: 46–74.Google Scholar
95Schoeller, DA. Measurement of energy expenditure in free-living humans by using doubly labelled water. Journal of Nutrition 1988; 118: 1278–89.Google Scholar
96Schoeller, DA, van Santen, E. Measurement of energy expenditure in humans by doubly labelled water method. American Journal of Physiology 1982; 53: 955–9.Google Scholar
97Schoeller, DA. Recent advances from application of doubly labelled water to measure human energy expenditure. Journal of Nutrition 1999; 129: 1765–8.Google Scholar
98Coward, WA. Contributions of the doubly labelled water method to studies of energy balance in the Third World. American Journal of Clinical Nutrition 1998; 68: S962–9.CrossRefGoogle ScholarPubMed
99Kurpad, AV, Borgonha, S, Shetty, PS. Measurement of total energy expenditure by the doubly labelled water technique in free living Indians in Bangalore city. Indian Journal of Medical Research 1997; 105: 212–9.Google Scholar
100Borgonha, S, Shetty, PS, Kurpad, AV. Total energy expenditure and physical activity level in chronically energy deficient Indian males measured by the doubly labelled water technique. Indian Journal of Medical Research 2000; 111: 138–46.Google Scholar
101Karvonen, MJ, Pekkarinen, M, Metsala, P, Rautenen, Y. Diet and serum cholesterol of lumberjacks. British Journal of Nutrition 1961; 15: 157–63.CrossRefGoogle ScholarPubMed
102Singh, J, Prentice, AM, Diaz, E, Coward, WA, Ashford, J, Sawyer, M, Whitehead, RG. Energy expenditure of Gambian women during peak agricultural activity measured by the doubly-labelled water method. British Journal of Nutrition 1989; 62: 315–29.CrossRefGoogle ScholarPubMed
103Carpenter, WH, Poehlman, ET, O'Connell, M, Goran, MI. Influence of body composition and resting metabolic rate on variation in total energy expenditure: a meta-analysis. American Journal of Clinical Nutrition 1995; 61: 4–10.Google Scholar
104Goldberg, GR, Black, AE, Jebb, SA, Cole, TJ, Murgatroyd, PR, Coward, WA, Prentice, AM. Critical evaluation of energy intake data using fundamental principles of energy physiology. Derivation of cut-off values to identify under-recording. European Journal of Clinical Nutrition 1991; 45: 569–81.Google Scholar
105Edholm, OG. Energy expenditure and food intake. In: Apfelbaum, M, ed. Energy balance in man. Paris: Masson, 1973; 51–60.Google Scholar