Am J Clin Nutr 2007;85:742–9.
Evaluation of a portable device to measure daily energy expenditure in free-living adults1–3
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.
Design: 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.
Publication: Am J Clin Nutr 2007;85:742–9.