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British Journal of Nutrition British Journal of Nutrition

Article contents

Comparison of total and activity energy expenditure estimates from physical activity questionnaires and doubly labelled water: a systematic review and meta-analysis

Published online by Cambridge University Press:  28 July 2020

Mohammad Sharifzadeh Open the ORCID record for Mohammad Sharifzadeh[Opens in a new window] ,
Minoo Bagheri ,
John R. Speakman  and
Kurosh Djafarian
Mohammad Sharifzadeh
Affiliation:
Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran 1416-643931, Iran
Minoo Bagheri
Affiliation:
Department of Medicine, Division of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USA
John R. Speakman
Affiliation:
Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, Beijing, People’s Republic of China Institute of Biological and Environmental Sciences, University of Aberdeen, Aberdeen, Scotland, UK
Kurosh Djafarian*
Affiliation:
Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran 1416-643931, Iran
*
*Corresponding author: Kurosh Djafarian, fax +98 21 88974462, email kdjafarian@tums.ac.ir
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Abstract

Physical activity questionnaires (PAQ) could be suitable tools in free-living people for measures of physical activity, total and activity energy expenditure (TEE and AEE). This meta-analysis was performed to determine valid PAQ for estimating TEE and AEE using doubly labelled water (DLW). We identified data from relevant studies by searching Google Scholar, PubMed and Scopus databases. This revealed thirty-eight studies that had validated PAQ with DLW and reported the mean differences between PAQ and DLW measures of TEE (TEEDLW − TEEPAQ) and AEE (AEEDLW − AEEPAQ). We assessed seventy-eight PAQ consisting of fifty-nine PAQ that assessed TEE and thirty-five PAQ that examined AEE. There was no significant difference between TEEPAQ and TEEDLW with a weighted mean difference of –243·3 and a range of –841·4 to 354·6 kJ/d, and a significant weighted mean difference of AEEDLW – AEE PAQ 414·6 and a range of 78·7–750·5. To determine whether any PAQ was a valid tool for estimating TEE and AEE, we carried out a subgroup analysis by type of PAQ. Only Active-Q, administered in two seasons, and 3-d PA diaries were correlated with TEE by DLW at the population level; however, these two PAQ did not demonstrate an acceptable limit of agreement at individual level. For AEE, no PAQ was correlated with DLW either at the population or at the individual levels. Active-Q and 3-d PA diaries were identified as the only valid PAQ for TEE estimation. Further well-designed studies are needed to verify this result and identify additional valid PAQ.

Keywords

Physical activityTotal energy expenditureActivity energy expenditureDoubly labelled water method
Type
Systematic Review and Meta-Analysis
Information
British Journal of Nutrition , Volume 125 , Issue 9 , 14 May 2021 , pp. 983 - 997
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Copyright
© The Author(s), 2020. Published by Cambridge University Press on behalf of The Nutrition Society

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