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Prediction of daily energy expenditure during a feeding trial using measurements of resting energy expenditure, fat-free mass, or Harris-Benedict equations^1,2,3

¹ From the Department of Pediatrics, University of Texas Medical Branch (CLK and FU) and the Shriners Hospital for Children (CLK), Galveston, TX.

Background:During feeding trials, it is useful to predict daily energy expenditure (DEE) to estimate energy requirements and to assess subject compliance.

Objective:We examined predictors of DEE during a feeding trial conducted in a clinical research center.

Design:During a 28-d period, all food consumed by 26 healthy, nonobese, young adults was provided by the investigators. Energy intake was adjusted to maintain constant body weight. Before and after this period, fat-free mass (FFM) and fat mass were assessed by using dual-energy X-ray absorptiometry, and DEE was estimated from the change (after – before) in body energy (BE) and in observed energy intake (EI): DEE = EI – BE. We examined the relation of DEE to pretrial resting energy expenditure (REE), FFM, REE derived from the average of REE and calculated from FFM [REE = (21.2 x FFM) + 415], and an estimate of DEE based on the Harris-Benedict equation (HB estimate) (DEE = 1.6 REE).

Results:DEE correlated (P < 0.001) with FFM (r = 0.78), REE (r = 0.73), average REE (r = 0.82), and the HB estimate (r = 0.81). In a multiple regression model containing all these variables, R² was 0.70. The mean (±SEM) ratios of DEE to REE, to average REE, and to the HB estimate were 1.86 ± 0.06, 1.79 ± 0.04, and 1.02 ± 0.02, respectively.

Conclusions:Although a slightly improved prediction of DEE is possible with multiple measurements, each of these measurements suggests that DEE equals 1.60–1.86 x REE. The findings are similar to those of previous studies that describe the relation of REE to DEE measured directly.

Key Words: Daily energy expenditure • resting energy expenditure • energy balance • dual-energy X-ray absorptiometry • feeding trials

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