Energy balance measurement: When something is not better than nothing

N. V. Dhurandhar, D. Schoeller, A. W. Brown, S. B. Heymsfield, D. Thomas, T. I A Sørensen, J. R. Speakman, M. Jeansonne, D. B. Allison*

*Corresponding author for this work

Research output: Contribution to journalArticle

247 Citations (Scopus)

Abstract

Energy intake (EI) and physical activity energy expenditure (PAEE) are key modifiable determinants of energy balance, traditionally assessed by self-report despite its repeated demonstration of considerable inaccuracies. We argue here that it is time to move from the common view that self-reports of EI and PAEE are imperfect, but nevertheless deserving of use, to a view commensurate with the evidence that self-reports of EI and PAEE are so poor that they are wholly unacceptable for scientific research on EI and PAEE. While new strategies for objectively determining energy balance are in their infancy, it is unacceptable to use decidedly inaccurate instruments, which may misguide health-care policies, future research and clinical judgment. The scientific and medical communities should discontinue reliance on self-reported EI and PAEE. Researchers and sponsors should develop objective measures of energy balance.

Original languageEnglish
Pages (from-to)1109-1113
Number of pages5
JournalInternational Journal of Obesity
Volume39
Issue number7
Early online date13 Nov 2014
DOIs
Publication statusPublished - 9 Jul 2015

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Keywords

  • Epidemiology
  • Nutrition
  • Obesity

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Endocrinology, Diabetes and Metabolism

Cite this

Dhurandhar, N. V., Schoeller, D., Brown, A. W., Heymsfield, S. B., Thomas, D., Sørensen, T. I. A., ... Allison, D. B. (2015). Energy balance measurement: When something is not better than nothing. International Journal of Obesity, 39(7), 1109-1113. https://doi.org/10.1038/ijo.2014.199