title: Errors in MET estimates of physical activities using 3.5 ml x kg(-1) x min(-1) as the baseline oxygen consumption.
abstract: OBJECTIVE
  To compare intensity misclassification and activity MET values using measured RMR (measMET) compared with 3.5 ml x kg(-1) x min(-1) (standMET) and corrected METs [corrMET = mean standMET x (3.5 / Harris-Benedict RMR)] in subgroups.
  
  
  METHODS
  RMR was measured for 252 subjects following a 4-hr fast and before completion of 11 activities. VO2 was measured during activity using indirect calorimetry (n = 2555 activities). Subjects were classified by BMI category (normal-weight or overweight/obese), sex, age (decade 20, 30, 40, or 50 y), and fitness quintiles (low to high). Activities were classified into low, moderate, and vigorous intensity categories.
  
  
  RESULTS
  The (mean +/- SD) measMET was 6.1 +/- 2.64 METs. StandMET [mean (95% CI)] was (0.51(0.42, 0.59) METs) less than measMET. CorrMET was not statistically different from measMET (-0.02 (-0.11, 0.06) METs). 12.2% of the activities were misclassified using standMETs compared with an 8.6% misclassification rate for METs based on predicted RMR (P < .0001). StandMET differences and misclassification rates were highest for low fit, overweight, and older individuals while there were no differences when corrMETs were used.
  
  
  CONCLUSIONS
  Using 3.5 ml x kg(-1) x min(-1) to calculate activity METs causes higher misclassification of activities and inaccurate point estimates of METs than a corrected baseline which considers individual height, weight, and age. These errors disproportionally impact subgroups of the population with the lowest activity levels.
authors.affiliation: Dept of Kinesiology, University of Massachusetts, Amherst, MA, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Kozey
authors.forename: Kate
authors.initials: K
authors.lastname: Lyden
authors.forename: John
authors.initials: J
authors.lastname: Staudenmayer
authors.forename: Patty
authors.initials: P
authors.lastname: Freedson
mesh_terms: D000328:Adult; D015992:Body Mass Index; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010101:Oxygen Consumption / Q000502:physiology*; D010809:Physical Fitness / Q000502:physiology*; D012016:Reference Values; D055815:Young Adult