A 7-day activity diary for assessment of daily energy expenditure validated by the doubly labelled water method in adolescents.
OBJECTIVE
To validate the use of an activity diary and predicted BMR for assessment of daily total energy expenditure (TEE) and physical activity level (PAL = TEE/BMR) in adolescents.


METHODS
TEE and PAL estimated from activity diary records kept for seven days and BMR predicted from age, gender and body weight were compared with the results of doubly labelled water (DLW) measurements and indirect calorimetry performed during the same time period.


METHODS
The Unit of paediatric Physiology of the Department of Clinical Physiology, University Hospital, Uppsala, Sweden.


METHODS
Fifty randomly selected 15 y old adolescents (25 boys and 25 girls).


RESULTS
The mean difference between TEE estimated in all adolescents by the activity diary and by DLW methods was 1.2%. The limits of agreement (mean difference 2 s.d.) were -3.47 and 3.77 MD/d, equivalent to a coefficient of variation of 15%. The mean difference between PAL assessed by activity diary records and by DLW measurements was 0.001, and the limits of agreement between the two methods were 0.54.


CONCLUSIONS
The results imply that the activity diary method provides a close estimate of TEE and PAL in population groups.
Bratteby
L E
LE
Department of Clinical Physiology, University Hospital, Uppsala, Sweden.
Sandhagen
B
B
Fan
H
H
Samuelson
G
G
D000203:Activities of Daily Living; D000293:Adolescent; D001481:Basal Metabolism; D002153:Calorimetry, Indirect; D003903:Deuterium; D004734:Energy Metabolism; D005260:Female; D006801:Humans; D008297:Male; D010103:Oxygen Isotopes; D005082:Physical Exertion; D012680:Sensitivity and Specificity; D013548:Sweden; D014867:Water
D010103:Oxygen Isotopes; D014867:Water; D003903:Deuterium