title: Evaluation of a portable device to measure daily energy expenditure in free-living adults.
abstract: BACKGROUND
  Increasing daily energy expenditure (EE) plays an important role in the prevention or treatment of several lifestyle-related diseases; however, its measurement remains problematic.
  
  
  OBJECTIVE
  The objective was to evaluate a portable armband device for measuring daily and physical activity EE compared with doubly labeled water (DLW) in free-living individuals.
  
  
  METHODS
  Daily EE and physical activity EE were measured in 45 subjects over a 10-d period simultaneously with 2 techniques: a portable armband and DLW. Resting metabolic rate was measured by indirect calorimetry, and the thermic effect of a meal was estimated (10% of daily EE). Physical activity EE was obtained by subtracting the values for resting metabolic rate and thermic effect of a meal measured with DLW from those measured with the armband. Body composition was measured with dual-energy X-ray absorptiometry. Concordance between measures was evaluated by intraclass correlation, SEE, regression analysis, and Bland-Altman plots.
  
  
  RESULTS
  Mean estimated daily EE measured with the armband was 117 kcal/d lower (2375 +/- 366 kcal/d) than that measured with DLW (2492 +/- 444 kcal/d; P < 0.01). Despite this group difference, individual comparisons between the armband and DLW were close, as evidenced by an intraclass correlation of 0.81 (P < 0.01).
  
  
  CONCLUSIONS
  The portable armband shows reasonable concordance with DLW for measuring daily EE in free-living adults. The armband may therefore be useful to estimate daily EE.
authors.affiliation: Metabolic Dysfunction Laboratory, Nutrition Department, University of Montreal, Montreal, Canada.
authors.forename: Maxime
authors.initials: M
authors.lastname: St-Onge
authors.forename: Diane
authors.initials: D
authors.lastname: Mignault
authors.forename: David B
authors.initials: DB
authors.lastname: Allison
authors.forename: Rémi
authors.initials: R
authors.lastname: Rabasa-Lhoret
mesh_terms: D000328:Adult; D000368:Aged; D001481:Basal Metabolism; D015992:Body Mass Index; D002153:Calorimetry, Indirect / Q000295:instrumentation / Q000379:methods*; D004734:Energy Metabolism / Q000502:physiology*; D004867:Equipment Design; D006801:Humans; D008875:Middle Aged