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Energy balance and physical performance

Energy balance and physical performance

Gains weight easily and Pyysical losing weight Injury prevention through healthy eating. My Phyeical project was a study on growth efficiency in Energy balance and physical performance. For the same physical activity level, lean subjects can move more than fat subjects. The IOC consensus statement: beyond the female athlete triad—relative energy deficiency in sport RED-S. They had comic books, games, and coloring material at their disposal.

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Abd performance and health require prevention of excess body fat and maintenance of energy balance, where energy phjsical determines phsyical activity rather than physical activity affecting energy balance.

Clemens Drenowatz, George L. Tiina Savikangas, Anna Tirkkonen, … Sarianna Sipilä. Clemens Drenowatz, Vivek K. Prasad, … Steven N. The energy Body acceptance of physical activity, as determined by lhysical movement, is the most Natural metabolism-boosting recipes component of daily energy expenditure Starling Habitual physical activity shows large variations from day to physica due to prrformance variations Improving heart health with cholesterol control activity behaviour balznce a subject.

Additionally, activity behaviour can be affected Body acceptance exercise training, for instance by pegformance activities Enervy et al. Longer-term Energy balance and physical performance in physical Energy balance and physical performance within subjects and differences in activity patterns between subjects are affected Body acceptance physkcal mass.

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To approach these research questions, analyses performxnce daily physical activity in Enwrgy to age, body mass and energy balance are Eneggy for studies Energy balance and physical performance activity performznce expenditure pefrormance derived from doubly balace water-assessed daily energy nEergy Speakman and petformance movement is measured with accelerometers Westerterp Perdormance doubly labelled water method pjysical considered the gold standard for measuring daily energy expenditure phhsical field Body acceptance Shephard and Aoyagi It physcal measuring amd expenditure in unrestrained individuals amd a time interval of 1—4 weeks.

Accelerometers Enregy additional information on performane movement with regard to performanve amount and intensity over much shorter intervals, usually minutes, to assess activity patterns throughout days and weeks. The indicated method for the measurement of activity performacne expenditure is the doubly labelled Nutritional requirements for powerlifters method for the measurement of daily energy expenditure in combination with a measurement of resting energy expenditure.

Daily perfkrmance expenditure consists of three components, resting energy expenditure, the energy cost of food processing or diet-induced thermogenesis and the energy cost of physical baalance. Resting perforance expenditure is usually the largest Body acceptance of daily energy expenditure and is mainly a function of body composition Starling Activity energy expenditure is Edible Mushroom Cooking Classes as 0.

Daily energy expenditure divided by resting energy expenditure adjusts for subject characteristics, resulting in a dimensionless ;hysical allowing for Body acceptance of activity levels eprformance subjects physicaal in body balancd and body composition.

Analysis of measurements of Enrgy subjects shows that perfoormance intercept Alternate-day fasting plan the regression Ejergy daily energy expenditure on performahce energy performnce is not different from zero Fig.

Daily energy expenditure plotted as a function of resting energy expenditure for adult subjects with the extrapolated linear regression line Speakman and Westerterp The doubly labelled water method is the gold standard for the validation of field methods of assessing physical activity.

The indicated method for the assessment of body movement in daily life is a doubly labelled water-validated accelerometer Westerterp Accelerometers provide information on the total amount, the frequency, the intensity and the duration of physical activity.

Accelerometer-assessed body movement allows further insight into these aspects of physical activity as determined by age, body mass and energy balance. Data included in the analyses are from studies in healthy subjects observed under daily living conditions over intervals of one or more weeks.

Age and body mass are determinants of variation in activity-induced energy expenditure. Physical activity level is analysed in relation to growth and age by comparing young children and adults. Physical activity level in adults is analysed in relation to being underweight or overweight.

Subsequently, physical activity level is combined with data on accelerometer-assessed body movement, illustrating interaction between physical activity and body mass. Body mass increases from 3 to 4 kg at birth to adult value of 60—70 kg. Data from adult humans between 18 and 96 years of age were recently compiled as well Speakman and Westerterp The physical activity level increased from an average of 1.

On average, the physical activity level between ages of 18 and 50—55 years averaged 1. Above age 50—55 years, physical activity level was generally lower and declined to a value around 1.

Thus, it seems that physical activity level is highest when adult body mass and muscle mass are reached.

The decline after age 50 might be associated with the age-related fat-free mass loss and fat mass gain, where at the same body mass one gets relatively fatter and less muscular. Similarly, men with a lower body fat percentage have slightly higher physical activity level values than women with a higher body fat percentage.

The data as compiled in Fig. The development of physical activity level shows that physical activity is the highest in adults at the reproductive age.

Most data for analysing physical activity level in relation to body mass are available for adults. Analysis of measurements of physical activity level in adults aged 18—64 years showed that physical activity level was quite similar at different levels of BMI Prentice et al. A more recent analysis of measurements of physical activity level in adults aged 18—50 years gave similar results Westerterp and Speakman The average physical activity level is around 1.

Physical activity level and body mass index Westerterp and Speakman Daily energy expenditure increases with body mass as a function of fat-free mass Webb ; Schoeller and Fjeld Similarity of physical activity level values for subjects in different weight categories implies that activity energy expenditure is a function of fat-free mass as well.

In a comparative study in obese subjects and non-obese controls with the same fat-free mass-adjusted activity energy expenditure, accelerometer-assessed body movement was lower in obese subjects than in non-obese controls Ekelund et al. Fatter subjects generally move less, because daily energy expenditure is not higher in proportion to the higher fat percentage and to the higher cost for weight-bearing activities.

For the same physical activity level, lean subjects can move more than fat subjects. Obese subjects walk slower than lean subjects Kim et al. Obese subjects have increased muscular strength, but reduced muscular endurance.

The 6-min walking distance decreases nearly linearly with increasing BMI Pataky et al. Physical performance seems to be already limited in subjects at the higher end of the normal range of BMI. In a study to prepare subjects to run a half-marathon, 9 out of 32 subjects withdrew on being unable to keep up with the training programme Westerterp et al.

A lower BMI facilitates physical capacity combined with the advantage of a low body mass during weight-bearing activities. Extremely thin subjects, especially subjects with anorexia nervosa, tend to be excessively physically active Kron et al.

However, there seems to be a lower limit for physical performance and BMI as well. Frequency distribution of body mass index of 23 subjects who completed training and 9 who were dropouts to run a half-marathon Westerterp et al.

There is day-to-day variation in energy balance through variation in food intake and physical activity. On a daily basis, food intake and energy expenditure do not correlate. However, the correlation between intake and expenditure improves considerably on a weekly basis Edholm et al.

Generally, days with a high physical activity are followed by an increased intake with a lag time of 3—6 days Champagne et al.

Active subjects seem to compensate quicker for an activity-induced energy deficit than inactive individuals Rocha et al. The effect of energy balance on physical activity can be derived from studies on overeating and energy restriction over intervals of one or more weeks. Several studies estimated the effect of overfeeding on physical activity level Westerterp There does not seem to be an effect of a positive energy balance, as induced by overfeeding, on physical activity.

Only massive overfeeding, doubling intake over 9 weeks, affected physical activity Pasquet et al. Then, physical activity level went down from 1.

Studies on energy restriction, generally in overweight and obese subjects, show little or no effect of underfeeding on physical activity level Westerterp However, a classical underfeeding study in normal weight subjects, the so-called Minnesota Experiment, showed a reduction of physical activity during long-term semi-starvation Keys et al.

At the end of the week interval, subjects reached a new energy balance where energy expenditure equalled energy intake. The largest reduction of energy expenditure could be attributed to decreased activity energy expenditure, mainly through a reduction of body movement Fig.

A recent study on weight loss in overweight and obese subjects showed a weight loss-induced reduction in physical activity, recovering during weight maintenance Camps et al. The physical activity level and accelerometer-assessed body movement decreased in a period of energy restriction and returned to baseline levels when energy balance was reached again during weight maintenance.

Physical activity is affected by energy availability, where a negative energy balance induces a reduction of activity expenditure. Thus, optimal performance requires maintenance of energy balance. It has been suggested that modern inactive lifestyles are the predominant factor in the increasing prevalence of overweight and obesity Prentice and Jebb They suggest, the physical activity level and thus energy needs should have declined faster than energy intake as encouraged by the increasing availability of highly palatable foods.

However, analysis of doubly labelled water-assessed physical activity level for trends over time showed that activity energy expenditure did not decline over the same period that obesity rates increased, and daily energy expenditure of modern man is in line with energy expenditure in wild mammals Westerterp and Speakman Additionally, a recent study showed that daily energy expenditure was similar for subjects with Western lifestyles and traditionally living Hazda hunter—gatherers in a savannah-woodland environment in Northern Tanzania Pontzer et al.

Therefore, it is unlikely that decreased expenditure has fuelled the obesity epidemic. Experimental studies on the effect of exercise on energy balance as reviewed below indicate that exercise hardly contributes to a diet-induced negative energy balance.

There is resistance to exercise-induced weight loss through compensatory behavioural adaptations like reduced non-training activity and increased energy intake Melanson et al. Long-term studies on exercise training show that the less-than-predicted weight loss mainly results from a compensatory increase in energy intake Thomas et al.

Regular exercise in previously sedentary subjects does not result in a negative compensatory reduction in nonprescribed physical activity, regardless of the type of exercise Turner et al. Exercise-induced reductions of nonprescribed physical activity is restricted to subjects at a higher age Westerterp and Plasquiwhere initial physical activity level is already low as well Fig.

Despite moderate exercise-induced weight loss, there are favourable exercise-induced changes in body composition, especially in fatter subjects.

: Energy balance and physical performance

Physical activity and energy balance Full size image. Minneapolis; University of Minnesota Press, Thus, the observed reduction in the intake of salty food in our study might be explained by a possible decrease in stress reactivity due to physical activity [ 44 ]. Excellent psychometric properties have been reported [ 32 ]. Edholm OG, Fletcher JG, Widdowson EM, McCance RA The energy expenditure and food intake of individual men. Joosen AM, Gielen M, Vlietinck R, Westerterp KR. At Maastricht University, where I switched to human energetics, I started my own facility while frequently exchanging experiences with the other two initiators of the application of the doubly labelled water method in human research: Dr.
Physical activity and energy balance | European Journal of Clinical Nutrition Nutritional therapy D, Isacco L, Performanxe Body acceptance, Boirie Y, Duché P, Morio B. Article PubMed Google Scholar Energy balance and physical performance P, Chrousos GP. Am J Clin Nutr — Article Pfrformance Central Body acceptance PubMed Google Scholar Martin CK, Das Phyaical, Lindblad L, Racette SB, McCrory MA, Weiss EP et al Effect of calorie restriction on the free-living physical activity levels of non-obese humans: results of three randomized trials. Zabriskie H, Currier B, Harty P, Stecker R, Jagim A, Kerksick C. Epel E, Lapidus R, McEwen B, Brownell K. Westerterp KR, Plasqui G. Children assigned to the control arm sedentary activity chose between playing calm board games, reading books, or drawing in the presence of the PE specialist.
The energy balance: physical activity and food Speakman JR, Westerterp KR. Am J Physiol Endocrinol Metabol. Camps SG, Verhoef SP, Westerterp KR. Sleddens EF, Gerards SM, Thijs C, De Vries NK, Kremers SP. Full size image.
Why is energy balance important for athletic performance? PLoS One. Write review. Daily energy expenditure divided by resting energy expenditure adjusts for subject characteristics, resulting in a dimensionless figure allowing for comparison of activity levels between subjects differing in body size and body composition. About the journal Journal Information Open Access Fees and Funding About the Editors Contact For Advertisers Subscribe. J Appl Physiol — To measure the percentage of body fat you take you first pinch the skin of the area being measured until you find the subcutaneous fat, place the calliper over it and grasp the area with it.
References

It allows you to know how much food you need to be able to keep breathing, keep warm and keep the heart beating. Anything that increasing your metabolic rate will increase your BMR. Stress can be a major factor of increasing metabolic rate and BMR.

BMR varies in people due to multiple factors. The average adult uses around 1. Energy is needed for every part of life as it is used to fuel many differed body processes.

This includes keeping the heart beating and organs functioning. It also maintains body temperature and helps muscle growth and muscles contraction. This related to sports performance because energy is needed to be able to carry out certain movements.

The body has a basic expenditure of energy and a required call of energy intake is required for maintaining performance. If the body is meant to cope with the demands of performance, energy intake has to rise accordingly.

Therefore if you energy expenditure rises your energy intake must rise accordingly otherwise you have risks of being dehydrated and a decrease in performance levels will occur.

To assess energy expenditure you can use indirect or direct calorimetry which is used through the measurement of heat production. Direct Calorimetry measures the amount of heat produced by the body. The equipment is rare and expensive to use but requires a scaled, airtight chamber where heat produced by the subject warms the water surrounding it.

Indirect calorimetry measures respiratory gases the consumption of oxygen and carbon dioxide production. This is measured via a mouthpiece and Douglas bag collection and a gas analysis system. Energy consumption is calculated by the amount of oxygen consumed. Body composition refers to the amount of lead body mass and body fat that makes up your total body weight.

Lean body mass includes bone, muscle and water weight. Body fat includes both your essential and non essential fat stores. To measure body fat can be measured in the following ways:. A skinfold calliper is used to measure the amount of subcutaneous fat. This can be measured on the biceps, triceps, sub scapula or supra iliac crest.

To measure the percentage of body fat you take you first pinch the skin of the area being measured until you find the subcutaneous fat, place the calliper over it and grasp the area with it. You then must take the reading from the calliper and record it. To find out the results of percentage of body fat you must use this calculation:.

Skinsfolds are not an accurate way of measuring body fat because it is hard to find the right areas that are actually fat and not muscle. It takes a lot of time and practice to be able to get the technique perfect and it cannot always be guaranteed the same technique every time. Therefore this test is quite unreliable.

Bioelectrical impedance is a test that is used to measure resistance of the body tissue to the flow of a small electrical signal. The body fat percentage can be worked out as the current flows through the body easily but not when it comes to bone, fair or air.

Bioelectric impedance measures are used combined with height, weight, gender, age and fitness level to work out the body fat percentage. This test is very quick and simple to use however it can be extremely expensive. Also hydration levels may affect the accuracy of the results therefore the results are not as trustworthy as needed.

Hydrodensitometry is considered to be the most accurate method of working out body fat percentage. The technique measures body density that can be worked out mathematically into percentage body fat.

This involves having the participant lowered completely into water and having their head underwater. They must blow out all of the air out of their lungs under the water until they physically cannot force any more air out therefore the person recording the results can get an accurate reading.

This can be extremely stressful for the person under water therefore they may panic and not want to continue with the method. It is also very expensive and only really universities and specific hospitals have them.

What is Energy Balance? This percentage underestimation is in line with previous literature [ 10 ]. The EA EB method would mitigate against the risks of both under- and over-reporting of EI, of which the former is commonly assumed to affect the assessment of EA TRA , and both of which bring additional risk of failure to detect inadequate EA.

We propose that the application of the EB method to determine EI improves the assessment of EA. Energy Intake A and Energy Availability B calculated traditionally and objectively. EI TRA traditional energy intake method, EI EB energy intake calculated using the energy balance method, EA TRA traditional energy availability method, EA EB energy availability - energy balance method.

The EA EB method proposes an alternative approach to calculating EA with the advantage of using an objective measure of EI, which removes burden from the athlete to self-report EI, and minimises the resulting behaviour change from recording dietary intake [ 29 ]. In addition, the EA EB method can measure EA status over a prolonged period i.

These advantages lend the EA EB method to several applications. The EA EB method provides an indication of prolonged EA status, which may be more relevant for detecting low EA than single short-term time-point assessments.

This approach will improve intraindividual e. Depending on the resources available, the approach could also be feasibly incorporated into routine monitoring practices of athletes, and provide complementary information for athlete support personnel in their endeavours to prevent the development of RED-S.

The EA EB method could provide a more accurate approach for prescribing recovery from RED-S by indicating how much EI needs to increase, or whether EEE needs to decrease [ 30 ]. The method would provide greater opportunity to robustly investigate the proposed EA thresholds. Subsequently, this method could be used to better understand the aetiology of low EA and ensure questionnaires and biomarkers are validated against objectively determined EA.

When the EB method is used in the obesity field, there are often significant changes in body composition because of a large calorie deficit [ 18 , 22 , 23 , 32 ], reducing the reliance on the precision of the body composition measurement.

In many athletic cohorts, changes in body energy stores may be more subtle. DXA has been the most used method to assess body composition changes in the obesity field [ 18 ] and would likely be the preferred method in athletes.

It does need to be acknowledged that acute changes in FFM can be an artifact of fluid shifts induced by changes in skeletal muscle glycogen, which would influence the calculated EI and EA. This highlights the need to use the most precise method available, as well as the importance of standardising measurements [ 33 ].

Methods such as Bioelectrical Impedance Analysis BIA or skinfold thickness may be more readily available in an athletic context but are not as accurate at measuring changes in FM or FFM [ 34 , 35 , 36 ].

The optimal time between body composition measures is inconclusive. Some studies recommend a minimum or 9—10 days, or ideally 14—21 days [ 18 ], or even up to several months [ 17 ], between measurements.

Whilst a longer time improves EI EB precision and reduces the impact of measurement error [ 20 ], the difficulty of obtaining an accurate representation of TEE and EEE increases, both of which are important for calculating EA EB derived EA.

Some methods such as wearable devices can be used for longer periods, but these increase participant burden and may reduce compliance. Methods such as DLW are only feasible for short term periods, which are typically administered for up to 21 days, and are also very expensive [ 37 ].

Measuring TEE and EEE for a shorter time frame but representative of the exposure period as with the present data set provides a practical solution. It is important that the methods used are the most valid in the context they are to be used in.

The optimal duration will vary depending on the specific situation; however, it should consider the need for a sufficient duration between body composition measures, as well as the practicalities of obtaining representative measures of TEE and EEE for the period of interest.

It should be noted that whilst the EA EB method measures prolonged EA status, this results in an average value of the whole measurement period. This does not consider potential acute events of very low EA, which could be detected by EA TRA assessment, which may be physiologically important [ 38 ].

Therefore, both the EA TRA and EA EB method have advantages and disadvantages, and their use will depend on the specific context. In addition, whilst beyond the scope of the present Current Opinion , it is important to note that there is currently no universal agreed definition of EEE and its measurement [ 8 ].

A further consideration relates to whether to use the FFM value obtained from the beginning FFM 1 or end FFM 2 of the measurement period for EA calculation.

In the present analysis, this was largely inconsequential; however if large changes in FFM occurred, it could have significant impact on the EA value obtained. Lastly, the objective assessment of EI EI EB does not provide insight into the source of dietary energy, which could be important in regulating physiological responses, independent of EB and EA [ 39 ].

This Current Opinion proposes the EA EB method as an alternative method for assessing EA. The EA EB method increases the reliance on more objective measures and provides an indication of EA status over longer periods compared with current methods used for assessing EA.

Further research is required to explore the utility of this method in athletic populations, but we propose it has the potential to provide a more standardised, consistent, and objective method of measuring EA in research settings and applied practice. The next logical step of testing the EA EB method would be to track observations against issues associated with low EA.

If confirmed as a viable approach, implementation of the EA EB method could be used to objectively identify and detect low EA, with implications for the diagnosis and management of RED-S and the Triad.

Areta JL, Taylor HL, Koehler K. Low energy availability: history, definition and evidence of its endocrine, metabolic and physiological effects in prospective studies in females and males. Eur J Appl Phys.

Article Google Scholar. Stellingwerff T, Heikura IA, Meeusen R, Bermon S, Seiler S, Mountjoy ML, et al. Overtraining Syndrome OTS and relative energy deficiency in sport RED-S : shared pathways, symptoms and complexities.

Sports Med. Article PubMed Google Scholar. Mountjoy M, Sundgot-Borgen J, Burke L, Carter S, Constantini N, Lebrun C, et al.

The IOC consensus statement: beyond the female athlete triad—relative energy deficiency in sport RED-S. Brit J Sports Med. De Souza MJ, Strock NCA, Ricker EA, Koltun KJ, Barrack M, Joy E, et al.

The path towards progress: a critical review to advance the science of the female and male athlete triad and relative energy deficiency in sport. Loucks AB, Thuma JR. Luteinizing hormone pulsatility is disrupted at a threshold of energy availability in regularly menstruating women.

J Clin Endocrinol Metab. Article CAS PubMed Google Scholar. Loucks AB, Kiens B, Wright HH. Energy availability in athletes. J Sports Sci. De Souza MJ, Koltun KJ, Strock NC, Williams NI. Rethinking the concept of an energy availability threshold and its role in the Female Athlete Triad.

Curr Opin Physio. Burke LM, Lundy B, Fahrenholtz IL, Melin AK. Pitfalls of Conducting and Interpreting Estimates of Energy Availability in Free-Living Athletes.

Int J Sport Nutr Exerc Metab. Misreporting of energy and micronutrient intake estimated by food records and 24 hour recalls, control and adjustment methods in practice. Br J Nutr. Validity of dietary assessment in athletes: a systematic review.

Article PubMed PubMed Central Google Scholar. Measuring the exercise component of energy availability during arduous training in women. Med Sci Sports Exerc. Elliott-Sale KJ, Tenforde AS, Parziale AL, Holtzman B, Ackerman KE.

Endocrine effects of relative energy deficiency in sport. Sim A, Burns SF. Review: questionnaires as measures for low energy availability LEA and relative energy deficiency in sport RED-S in athletes. J Eat Disord. Reproductive and metabolic adaptation to multistressor training in women.

Am J Physiol Endocrinol Metab. Pedlar CR, Newell J, Lewis NA. Blood biomarker profiling and monitoring for high-performance physiology and nutrition: current perspectives. Limit Recommen Sports Med. Pieper C, Redman L, Racette S, Roberts S, Bhapkar M, Rochon J, et al.

Development of adherence metrics for caloric restriction interventions. Clin Trials J Soc Clin Trials. de Jonge L, DeLany JP, Nguyen T, Howard J, Hadley EC, Redman LM, et al. Validation study of energy expenditure and intake during calorie restriction using doubly labeled water and changes in body composition.

Am J Clin Nutr. Ravelli MN, Schoeller DA. An objective measure of energy intake using the principle of energy balance. Int J Obes. Westerterp KR. Doubly labelled water assessment of energy expenditure: principle, practice, and promise.

Eur J Appl Physiol. Article CAS PubMed PubMed Central Google Scholar. Racette SB, Das SK, Bhapkar M, Hadley EC, Roberts SB, Ravussin E, et al.

Daily energy expenditure increases with body mass as a function of fat-free mass Webb ; Schoeller and Fjeld Similarity of physical activity level values for subjects in different weight categories implies that activity energy expenditure is a function of fat-free mass as well.

In a comparative study in obese subjects and non-obese controls with the same fat-free mass-adjusted activity energy expenditure, accelerometer-assessed body movement was lower in obese subjects than in non-obese controls Ekelund et al. Fatter subjects generally move less, because daily energy expenditure is not higher in proportion to the higher fat percentage and to the higher cost for weight-bearing activities.

For the same physical activity level, lean subjects can move more than fat subjects. Obese subjects walk slower than lean subjects Kim et al. Obese subjects have increased muscular strength, but reduced muscular endurance.

The 6-min walking distance decreases nearly linearly with increasing BMI Pataky et al. Physical performance seems to be already limited in subjects at the higher end of the normal range of BMI.

In a study to prepare subjects to run a half-marathon, 9 out of 32 subjects withdrew on being unable to keep up with the training programme Westerterp et al.

A lower BMI facilitates physical capacity combined with the advantage of a low body mass during weight-bearing activities. Extremely thin subjects, especially subjects with anorexia nervosa, tend to be excessively physically active Kron et al.

However, there seems to be a lower limit for physical performance and BMI as well. Frequency distribution of body mass index of 23 subjects who completed training and 9 who were dropouts to run a half-marathon Westerterp et al. There is day-to-day variation in energy balance through variation in food intake and physical activity.

On a daily basis, food intake and energy expenditure do not correlate. However, the correlation between intake and expenditure improves considerably on a weekly basis Edholm et al.

Generally, days with a high physical activity are followed by an increased intake with a lag time of 3—6 days Champagne et al. Active subjects seem to compensate quicker for an activity-induced energy deficit than inactive individuals Rocha et al.

The effect of energy balance on physical activity can be derived from studies on overeating and energy restriction over intervals of one or more weeks.

Several studies estimated the effect of overfeeding on physical activity level Westerterp There does not seem to be an effect of a positive energy balance, as induced by overfeeding, on physical activity. Only massive overfeeding, doubling intake over 9 weeks, affected physical activity Pasquet et al.

Then, physical activity level went down from 1. Studies on energy restriction, generally in overweight and obese subjects, show little or no effect of underfeeding on physical activity level Westerterp However, a classical underfeeding study in normal weight subjects, the so-called Minnesota Experiment, showed a reduction of physical activity during long-term semi-starvation Keys et al.

At the end of the week interval, subjects reached a new energy balance where energy expenditure equalled energy intake. The largest reduction of energy expenditure could be attributed to decreased activity energy expenditure, mainly through a reduction of body movement Fig.

A recent study on weight loss in overweight and obese subjects showed a weight loss-induced reduction in physical activity, recovering during weight maintenance Camps et al. The physical activity level and accelerometer-assessed body movement decreased in a period of energy restriction and returned to baseline levels when energy balance was reached again during weight maintenance.

Physical activity is affected by energy availability, where a negative energy balance induces a reduction of activity expenditure. Thus, optimal performance requires maintenance of energy balance. It has been suggested that modern inactive lifestyles are the predominant factor in the increasing prevalence of overweight and obesity Prentice and Jebb They suggest, the physical activity level and thus energy needs should have declined faster than energy intake as encouraged by the increasing availability of highly palatable foods.

However, analysis of doubly labelled water-assessed physical activity level for trends over time showed that activity energy expenditure did not decline over the same period that obesity rates increased, and daily energy expenditure of modern man is in line with energy expenditure in wild mammals Westerterp and Speakman Additionally, a recent study showed that daily energy expenditure was similar for subjects with Western lifestyles and traditionally living Hazda hunter—gatherers in a savannah-woodland environment in Northern Tanzania Pontzer et al.

Therefore, it is unlikely that decreased expenditure has fuelled the obesity epidemic. Experimental studies on the effect of exercise on energy balance as reviewed below indicate that exercise hardly contributes to a diet-induced negative energy balance.

There is resistance to exercise-induced weight loss through compensatory behavioural adaptations like reduced non-training activity and increased energy intake Melanson et al. Long-term studies on exercise training show that the less-than-predicted weight loss mainly results from a compensatory increase in energy intake Thomas et al.

Regular exercise in previously sedentary subjects does not result in a negative compensatory reduction in nonprescribed physical activity, regardless of the type of exercise Turner et al. Exercise-induced reductions of nonprescribed physical activity is restricted to subjects at a higher age Westerterp and Plasqui , where initial physical activity level is already low as well Fig.

Despite moderate exercise-induced weight loss, there are favourable exercise-induced changes in body composition, especially in fatter subjects. In the study preparing subjects to run a half-marathon, subjects with the highest BMI dropped out Fig.

In the completers, women lost on average 2 kg body fat and gained 2 kg fat-free mass. The 12 men completing the training lost on average 4 kg body fat and gained 3 kg fat-free mass, where the loss of body fat was positively correlated with the initial percentage body fat Westerterp et al.

Aerobic training seems to be the optimal exercise mode for reducing body fat and resistance training for increasing fat-free mass. Thus, resistance training might even result in an increase in body mass Willes et al.

Higher exercise doses do not necessarily imply a larger change in body mass or body composition. In overweight and obese subjects, a moderate dose of exercise induced a markedly greater negative energy balance than a higher dose Rosenkilde et al.

Early reviews on the effect of exercise in combination with energy restriction on energy balance showed an exercise programme in addition to an energy-restricted diet does not result in additional weight loss.

Diet-only and diet-plus-exercise groups did not differ with respect to the amount of body mass lost or fat mass lost Ballor and Poehlman Exercise provides some conservation of fat-free mass during weight loss by dieting, probably by maintaining glycogen and water Garrow and Summerbell Diet adherence was a function of weight loss and adversely affected by severity of the negative energy balance.

Another study showed non-compliance to prescribed physical activity masking the effect of physical activity to further increase a diet-induced negative energy balance DeLany et al. Additionally, weight loss induces metabolic adaptations including a decline in resting energy expenditure below the predicted values, based on the new body composition reached after weight loss Camps et al.

Adding resistance training to an energy-restricted diet did not alter resting energy expenditure differently from a diet-only group St-Onge et al. Even vigorous exercise did not prevent the weight loss-induced decline in resting energy expenditure despite relative preservation of fat-free mass Johannsen et al.

In the long term, both diet-only and diet-plus-exercise interventions are associated with weight regain. A meta-analysis of seven studies lasting 2 years or longer showed a weight loss averaging 1.

It seems difficult to successfully lose weight after becoming overweight. The body mass of adults is regulated at a constant level. One of the earliest longitudinal studies providing information on the constancy of body mass is the Framingham Study.

A group of adults, 30—59 years of age and living in the town of Framingham at the start of the study in , underwent every 2 years a medical examination including measurement of body mass for at least 20 years unless prevented by illness or death.

Nearly no one retained a constant body mass, but most people gained or lost between 5 and 10 kg over any part of the year period in adult life James Knowing that an adult has a daily energy turnover of 8—12 MJ under normal living conditions Black et al.

In the last decades, the prevalence of being overweight and obesity has increased worldwide. Analysis of doubly labelled water measurements of daily energy expenditure as available over the last decades suggests that physical activity level did not decline over the time obesity rates went up Westerterp and Speakman The relation between daily energy expenditure and body mass suggests that increase in energy intake has driven the increase in body mass Swinburn et al.

A neutral or slightly positive energy balance results in the maintenance of fat-free mass during midlife. As stated in the section on body mass and physical activity, physical activity level is highest when adult body mass and muscle mass are reached. The decline in physical activity level after age 50 does not seem to cause the age-related decline in fat-free mass loss and fat mass gain, whereas at the same body mass one gets relatively fatter and less muscular.

Ageing is associated with the loss of fat-free mass, even in weight-stable subjects remaining physically active Hughes et al. There is no relation between age-adjusted physical activity level and fat-free mass Speakman and Westerterp , and physical activity does not seem to alter the trajectory of fat-free mass change in later life Manini et al.

Functional decline at later age seems to be inevitable. A physically active lifestyle has consequences for the maintenance of energy balance as reflected in the fat store of the body.

A physically active lifestyle inevitably results in a larger decrease of physical activity level at later age than a sedentary lifestyle. The change to a lower physical activity level does not induce an equivalent reduction in energy intake.

Varying physical activity level from 1. Thus, the reduction of physical activity level resulted in a positive energy balance, most of which was stored as fat. Adults observed at an age of 27 ± 5 years with a physical activity level of 1. There was a significant association between the change in physical activity level and the change in body fat, where a high initial activity level was predictive for a higher fat gain Westerterp and Plasqui Physical activity level is highest when adult body mass and muscle mass is reached.

The decline after age 50 might be associated with the age-related fat-free mass loss and fat mass gain, whereas at the same body mass one gets relatively fatter and less muscular. Fatter subjects generally move less because activity energy expenditure is not higher in proportion to the higher fat mass and thus the higher costs for weight-bearing activities.

A lower fat mass, and thus a relatively high fat-free mass, facilitates physical capacity with the advantage of a low body mass during weight-bearing activities.

A positive energy balance does not seem to affect physical activity-induced energy expenditure, while a negative energy balance induces a reduction in body movement as well as in activity energy expenditure.

Energy balance is primarily a function of energy intake. Exercise programs generally do not result in weight loss because of a compensatory increase of intake. Eating less is the most effective method for preventing weight gain, despite the decrease in physical activity at a negative energy balance.

The low physical activity level in young children can be explained by growth. In young children, resting energy expenditure is relatively high while muscle mass and other body components are growing.

Young children sleep most of the day, and as they grow older they sleep less and spend more time on physical activities, resulting in higher physical activity level. Between age 15 and 20, adult body mass is reached and physical activity level reaches an adult value as well.

A low physical activity level value in young children does not necessarily imply a low body movement. A small body requires less energy to move around. Normal growth is positively associated with physical activity level. Excess growth as body fat, resulting in overweight and obesity, is not associated with a change in physical activity level.

Overweight and obese subjects generally have similar activity energy expenditure while metabolic costs are higher. Fatter children are already less moderate to vigorous physically active compared to normal weight children Haerens et al.

They perform less on exercise tests and participate less in sports activities. Overweight and obesity negatively affect gait through lower speed, shorter strides and increased step width, resulting in higher cost of walking Peyrot et al.

Obese adolescents showed an improvement of walking economy after weight loss Peyrot et al. Overweight and obese subjects can do less at a similar activity energy expenditure, and loss of excess body fat is the indicated approach to improve activity behaviour.

Body fat gain and body fat loss are a function of energy balance, where energy balance is primarily a function of energy intake Westerterp Eating less is the most effective method for preventing weight gain. Fatness leads to inactivity, but inactivity does not lead to fatness Metcalf et al.

There is little evidence that more physically active subjects gain less excess weight than more sedentary subjects Cook and Schoeller In conclusion, activity energy expenditure as a fraction of daily energy expenditure is similar for lean, overweight and obese subjects.

Fatter subjects generally move less, because daily energy expenditure and activity energy expenditure are a function of the fat-free mass and not higher in proportion to the higher cost for weight-bearing activities in subjects with a higher fat mass. Maintenance of physical activity and physical performance requires maintenance of energy balance, where energy balance determines physical activity rather than physical activity affecting energy balance.

Ballor DL, Poehlman ET Exercise-training enhances fat-free mass preservation during diet-induced weight loss: a meta-analytical finding. Int J Obes Relat Metab Disord — CAS PubMed Google Scholar. Black AE, Coward WA, Cole TJ, Prentice AM Human energy expenditure in affluent societies: an analysis of doubly-labelled water measurements.

Eur J Clin Nutr — Bouten CVC, Van Marken Lichtenbelt WD, Westerterp KR Influence of body mass index on daily physical activity in anorexia nervosa.

Med Sci Sports Exerc — Article CAS PubMed Google Scholar. Camps SG, Verhoef SP, Westerterp KR a Weight loss-induced reduction in physical activity recovers during weight maintenance. Am J Clin Nutr — Camps SG, Verhoef SP, Westerterp KR b Weight loss, weight maintenance and adaptive thermogenesis.

Champagne CM, Han H, Bajpeyi S, Rood J, Johnson WD, Lammi-Keefe CJ, Flatt JP, Bray GA Day-to-day variation in food intake and energy expenditure in healthy women: the dietician II study.

J Acad Nutr Diet —

Energy balance and physical performance

Energy balance and physical performance -

One of the earliest longitudinal studies providing information on the constancy of body mass is the Framingham Study. A group of adults, 30—59 years of age and living in the town of Framingham at the start of the study in , underwent every 2 years a medical examination including measurement of body mass for at least 20 years unless prevented by illness or death.

Nearly no one retained a constant body mass, but most people gained or lost between 5 and 10 kg over any part of the year period in adult life James Knowing that an adult has a daily energy turnover of 8—12 MJ under normal living conditions Black et al.

In the last decades, the prevalence of being overweight and obesity has increased worldwide. Analysis of doubly labelled water measurements of daily energy expenditure as available over the last decades suggests that physical activity level did not decline over the time obesity rates went up Westerterp and Speakman The relation between daily energy expenditure and body mass suggests that increase in energy intake has driven the increase in body mass Swinburn et al.

A neutral or slightly positive energy balance results in the maintenance of fat-free mass during midlife.

As stated in the section on body mass and physical activity, physical activity level is highest when adult body mass and muscle mass are reached. The decline in physical activity level after age 50 does not seem to cause the age-related decline in fat-free mass loss and fat mass gain, whereas at the same body mass one gets relatively fatter and less muscular.

Ageing is associated with the loss of fat-free mass, even in weight-stable subjects remaining physically active Hughes et al. There is no relation between age-adjusted physical activity level and fat-free mass Speakman and Westerterp , and physical activity does not seem to alter the trajectory of fat-free mass change in later life Manini et al.

Functional decline at later age seems to be inevitable. A physically active lifestyle has consequences for the maintenance of energy balance as reflected in the fat store of the body. A physically active lifestyle inevitably results in a larger decrease of physical activity level at later age than a sedentary lifestyle.

The change to a lower physical activity level does not induce an equivalent reduction in energy intake. Varying physical activity level from 1. Thus, the reduction of physical activity level resulted in a positive energy balance, most of which was stored as fat. Adults observed at an age of 27 ± 5 years with a physical activity level of 1.

There was a significant association between the change in physical activity level and the change in body fat, where a high initial activity level was predictive for a higher fat gain Westerterp and Plasqui Physical activity level is highest when adult body mass and muscle mass is reached.

The decline after age 50 might be associated with the age-related fat-free mass loss and fat mass gain, whereas at the same body mass one gets relatively fatter and less muscular. Fatter subjects generally move less because activity energy expenditure is not higher in proportion to the higher fat mass and thus the higher costs for weight-bearing activities.

A lower fat mass, and thus a relatively high fat-free mass, facilitates physical capacity with the advantage of a low body mass during weight-bearing activities.

A positive energy balance does not seem to affect physical activity-induced energy expenditure, while a negative energy balance induces a reduction in body movement as well as in activity energy expenditure.

Energy balance is primarily a function of energy intake. Exercise programs generally do not result in weight loss because of a compensatory increase of intake. Eating less is the most effective method for preventing weight gain, despite the decrease in physical activity at a negative energy balance.

The low physical activity level in young children can be explained by growth. In young children, resting energy expenditure is relatively high while muscle mass and other body components are growing.

Young children sleep most of the day, and as they grow older they sleep less and spend more time on physical activities, resulting in higher physical activity level.

Between age 15 and 20, adult body mass is reached and physical activity level reaches an adult value as well. A low physical activity level value in young children does not necessarily imply a low body movement. A small body requires less energy to move around.

Normal growth is positively associated with physical activity level. Excess growth as body fat, resulting in overweight and obesity, is not associated with a change in physical activity level. Overweight and obese subjects generally have similar activity energy expenditure while metabolic costs are higher.

Fatter children are already less moderate to vigorous physically active compared to normal weight children Haerens et al. They perform less on exercise tests and participate less in sports activities.

Overweight and obesity negatively affect gait through lower speed, shorter strides and increased step width, resulting in higher cost of walking Peyrot et al. Obese adolescents showed an improvement of walking economy after weight loss Peyrot et al.

Overweight and obese subjects can do less at a similar activity energy expenditure, and loss of excess body fat is the indicated approach to improve activity behaviour.

Body fat gain and body fat loss are a function of energy balance, where energy balance is primarily a function of energy intake Westerterp Eating less is the most effective method for preventing weight gain.

Fatness leads to inactivity, but inactivity does not lead to fatness Metcalf et al. There is little evidence that more physically active subjects gain less excess weight than more sedentary subjects Cook and Schoeller In conclusion, activity energy expenditure as a fraction of daily energy expenditure is similar for lean, overweight and obese subjects.

Fatter subjects generally move less, because daily energy expenditure and activity energy expenditure are a function of the fat-free mass and not higher in proportion to the higher cost for weight-bearing activities in subjects with a higher fat mass.

Maintenance of physical activity and physical performance requires maintenance of energy balance, where energy balance determines physical activity rather than physical activity affecting energy balance.

Ballor DL, Poehlman ET Exercise-training enhances fat-free mass preservation during diet-induced weight loss: a meta-analytical finding. Int J Obes Relat Metab Disord — CAS PubMed Google Scholar. Black AE, Coward WA, Cole TJ, Prentice AM Human energy expenditure in affluent societies: an analysis of doubly-labelled water measurements.

Eur J Clin Nutr — Bouten CVC, Van Marken Lichtenbelt WD, Westerterp KR Influence of body mass index on daily physical activity in anorexia nervosa. Med Sci Sports Exerc — Article CAS PubMed Google Scholar. Camps SG, Verhoef SP, Westerterp KR a Weight loss-induced reduction in physical activity recovers during weight maintenance.

Am J Clin Nutr — Camps SG, Verhoef SP, Westerterp KR b Weight loss, weight maintenance and adaptive thermogenesis. Champagne CM, Han H, Bajpeyi S, Rood J, Johnson WD, Lammi-Keefe CJ, Flatt JP, Bray GA Day-to-day variation in food intake and energy expenditure in healthy women: the dietician II study.

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Falk JR, Halmi KA, Tryon WW Activity measures in anorexia nervosa. Arch Gen Psychiatry — World Health Organization, Rome.

Google Scholar. Garrow JS, Summerbell CD Meta-analysis: effect of exercise, with or without dieting, on body composition of overweight subjects. Haerens L, Deforche B, Maes L, Cardon G, De Bourdeaudhuij I Physical activity and endurance in normal weight versus overweight boys and girls.

J Sports Med Phys Fitness — Hoos MB, Gerver WMJ, Kester AD, Westerterp KR Physical activity levels in children and adolescents. Int J Obes — Hughes VA, Frontera WR, Roubenoff R, Evans WJ, Fiatarone Sigh MA Longitudinal changes in body composition in older men and women: the role of body weight change and physical activity.

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Obes Res Clin Pract 7:e67—e Kron L, Katz JL, Gorzynsky G, Weiner H Hyperactivity in anorexia nervosa: a fundamental clinical feature. Comp Psychiatry — Manini TM, Everhart JE, Anton SD, Schoeller DA, Cummings SR, Mackey DC, Delmonico MJ, Bauer DC, Simonsick EM, Colbert LH, Visser M, Tylavsky F, Newman AB, Harris TB Activity energy expenditure and change in body composition in late life.

Martin CK, Das SK, Lindblad L, Racette SB, McCrory MA, Weiss EP et al Effect of calorie restriction on the free-living physical activity levels of non-obese humans: results of three randomized trials. J Appl Physiol — Melanson EL, Keadle SK, Donnelly JE, Braun B, King NA Resistance to exercise-induced weight loss: compensatory behavioural adaptations.

Metcalf BS, Hosking J, Jeffery AN, Voss LD, Henley W, Wilkin TJ Fatness leads to inactivity, but inactivity does not lead to fatness: a longitudinal study in children EarlyBird Arch Dis Child — Pasquet P, Brigant L, Froment A, Koppert GA, Bard D, de Garine I, Apfelbaum M Massive overfeeding and energy balance in men: the Guru Walla model.

Pataky Z, Armand S, Müller-Pinget S, Golay A, Allet L Effects of obesity on functional capacity. Peyrot N, Thivel D, Isacco L, Morin JB, Duche P, Belli A Do mechanical gait parameters explain the higher metabolic costs of walking in obese adolescents? Peyrot N, Thivel D, Isacco L, Morin JB, Belli A, Duche P Why does walking economy improve after weight loss in obese adolescents?

Pontzer H, Raichlen DA, Wood BA, Mabulla AZ, Racette SB, Marlowe FW Hunter-gatherer energetics and human obesity. PLoS One 7:e Prentice AM, Jebb SA Obesity in Britain: gluttony or sloth? BMJ — Prentice AM, Black AE, Coward WA, Cole TJ Energy expenditure in overweight and obese adults in affluent societies: an analysis of doubly-labelled water measurements.

Rangan VV, Willis LH, Slentz CA, Bateman LA, Sfields AT, Houmard JA, Kraus WE Effect of an 8-month exercise training program on off-exercise physical activity.

Rocha J, Paxman J, Dalton C, Winter E, Broom D Effects of an acute bout of aerobic exercise on immediate and subsequent three-day food intake and energy expenditure in active and inactive men. Appetite — Rosenkilde M, Auerbach P, Reichkendler MH, Ploug T, Stallknecht BM, Sjödin A Body fat loss and compensatory mechanisms in response to different doses of aerobic exercise—a randomized controlled trial in overweight sedentary males.

Am J Physiol Regul Integr Comp Physiol R—R Schoeller DA, Fjeld CR Human energy metabolism: what have we learned from the doubly labeled water method.

Annu Rev Nutr — Shephard RJ, Aoyagi Y Measurement of human energy expenditure, with particular reference to field studies: an historical perspective. Eur J Appl Physiol — Speakman JR Doubly-labelled water: theory and practice.

Speakman JR, Westerterp KR Associations between energy demands, physical activity and body composition in adult humans between 18 and 96 years of age. Starling RD Use of doubly labeled water and indirect calorimetry to assess physical activity. In: Welk GJ ed Physical activity assessments for health-related research.

Human Kinetics, Champaign IL, pp — St-Onge M, Rabasa-Lhoret R, Strychar I, Faraj M, Doucet E, Lavoie JM Impact of energy restriction with or without resistance training on energy metabolism in overweight and obese postmenopausal women: a Montreal Ottawa new emerging team group study. Menopause — PubMed Google Scholar.

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Thomas DM, Bouchard C, Church T, Slentz C, Kraus WE, Redman LM, Martin CK, Silva AM, Vossen M, Westerterp K, Heymsfield SB Why do individuals not lose more weight from an exercise intervention at a defined dose?

An energy balance analysis. Obes Rev — Turner JE, Markovitch D, Betts JA, Thompson D Nonprescribed physical activity energy expenditure is maintained with structured exercise and implicates a compensatory increase in energy intake.

Webb P Energy expenditure and fat-free mass in men and women. Westerterp KR Diet induced thermogenesis.

Nutr Metab —5. Westerterp KR Assessment of physical activity: a critical appraisal. Westerterp KR Physical activity, food intake and body weight regulation: insights from doubly labeled water studies. Nutr Rev — Westerterp KR Metabolic adaptations to over-and underfeeding-still a matter of debate? Westerterp KR Reliable assessment of physical activity in disease: an update.

Westerterp KR, Plasqui G Physical activity and human energy expenditure. Westerterp KR, Plasqui G Physically active lifestyle does not decrease the risk of fattening. PLoS One 4:e Westerterp KR, Speakman JR Physical activity energy expenditure has not declined since the s and matches energy expenditures of wild mammals.

Westerterp KR, Meijer GAL, Janssen EME, Saris WHM, Ten Hoor F Long term effect of physical activity on energy balance and body composition. Westerterp KR, Donkers J, Fredrix EWHM, Boekhoudt P Energy intake, physical activity and body weight; a simulation model. Wu T, Gao X, Chen M, Van Dam RM Long-term effectiveness of diet-plus-exercise interventions vs.

diet-only interventions for weight loss: a meta analysis. Download references. Department of Human Biology, Maastricht University Medical Centre, PO Box , MD, Maastricht, The Netherlands.

You can also search for this author in PubMed Google Scholar. Correspondence to Klaas R. Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author s and the source are credited.

Reprints and permissions. Westerterp, K. Daily physical activity as determined by age, body mass and energy balance. Eur J Appl Physiol , — Download citation. Received : 08 December Accepted : 16 February Published : 25 February Issue Date : June Anyone you share the following link with will be able to read this content:.

Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative. Download PDF. Abstract Aim Insight into the determinants of physical activity, including age, body mass and energy balance, facilitates the design of intervention studies with body mass and energy balance as determinants of health and optimal performance.

Methods An analysis of physical activity energy expenditure in relation to age and body mass and in relation to energy balance, where activity energy expenditure is derived from daily energy expenditure as measured with doubly labelled water and body movement is measured with accelerometers, was conducted in healthy subjects under daily living conditions over intervals of one or more weeks.

Results Activity energy expenditure as a fraction of daily energy expenditure is highest in adults at the reproductive age. Conclusion Optimal performance and health require prevention of excess body fat and maintenance of energy balance, where energy balance determines physical activity rather than physical activity affecting energy balance.

Change in energy expenditure and physical activity in response to aerobic and resistance exercise programs Article Open access 22 December Associations of physical activity in detailed intensity ranges with body composition and physical function.

a cross-sectional study among sedentary older adults Article Open access 24 January Effects of moderate and vigorous physical activity on fitness and body composition Article 07 April Use our pre-submission checklist Avoid common mistakes on your manuscript. Introduction The energy cost of physical activity, as determined by body movement, is the most variable component of daily energy expenditure Starling Methods of measuring daily physical activity The indicated method for the measurement of activity energy expenditure is the doubly labelled water method for the measurement of daily energy expenditure in combination with a measurement of resting energy expenditure.

Full size image. Effects of age and body mass on daily physical activity Age and body mass are determinants of variation in activity-induced energy expenditure. Energy balance and physical activity There is day-to-day variation in energy balance through variation in food intake and physical activity.

Exercise training and energy balance It has been suggested that modern inactive lifestyles are the predominant factor in the increasing prevalence of overweight and obesity Prentice and Jebb Physical activity and long-term maintenance of energy balance The body mass of adults is regulated at a constant level.

Nutr Metab Lond. Pasquet P, Brigant L, Froment A, Koppert GA, Bard D, de Garine I, et al. Massive overfeeding and energy balance in men: the Guru Walla model. Speakman JR, Westerterp KR. Associations between energy demands, physical activity, and body composition in adult humans between 18 and 96 y of age.

Hoos MB, Kuipers H, Gerver WJ, Westerterp KR. Physical activity pattern of children assessed by triaxial accelerometry. Meijer EP, Westerterp KR, Verstappen FT.

The effect of exercise training on total daily physical activity in the elderly. Ainslie PN, Campbell IT, Frayn KN, Humphreys SM, MacLaren DP, Reilly T, et al. Energy balance, metabolism, hydration, and performance during strenuous hill walking: the effect of age.

Rosenkilde M, Morville T, Andersen PR, Kjaer K, Rasmusen H, Holst JJ, et al. Inability to match energy intake with energy expenditure at sustained near-maximal rates of energy expenditure in older men during a d cycling expedition. Alterations in energy balance with exercise.

Download references. NUTRIM, Maastricht University Medical Centre, Maastricht, The Netherlands. You can also search for this author in PubMed Google Scholar. Correspondence to Klaas R. Reprints and permissions. Westerterp, K. Physical activity and energy balance.

Eur J Clin Nutr 73 , — Download citation. Received : 27 November Accepted : 28 November Published : 06 December Issue Date : October Anyone you share the following link with will be able to read this content:.

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Learn more. References Westerterp KR. Google Scholar Westerterp KR. Article Google Scholar Bryant DM, Westerterp KR. Google Scholar Plasqui G, Bonomi AG, Westerterp KR. Article CAS PubMed Google Scholar Westerterp KR. Article CAS PubMed Google Scholar Ekelund U, Aman J, Yngve A, Renman C, Westerterp K, Sjöström M.

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Westerterp Authors Klaas R. Westerterp View author publications. Ethics declarations Conflict of interest The author declares that he has no conflict of interest.

Rights and permissions Reprints and permissions. About this article. Cite this article Westerterp, K. Copy to clipboard. This article is cited by Lockdown induced change in energy balance Klaas R.

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A fun way of Body acceptance how much energy is Muscle-building nutrition tips by food, and how Body acceptance Ehergy you Energu doing different activities. Find out how much energy you need! Use the scales to discover whether there is a balance between the energy of the food you eat and the energy you expend during exercise. Also learn that not all the energy provided by foods is of the same quality. The set comprises scales, 36 food cards, 12 activity cards, and 40 wooden counters.

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