Energy Expenditure

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ENERGY

EXPENDITURE
SANJANA VENKATARAMAN
I YEAR MPT (OBG)
ENERGY EXPENDITURE
• Refers to the total calories required to complete a given task
• Usually estimated from the amount of oxygen consumed during activity
• TOTAL DAILY ENERGY EXPENDITURE (TDEE)
• TDEE estimates how many calories the body burns daily by accounting for
three major contributing factors:
- Basal Metabolic Rate (BMR)
- Activity level
- Thermic effect of food metabolism
• Overall energy expenditure = RMR + TEF + EEA

Basal or Resting metabolic rate (BMR/ RMR)


Thermic effect of food (TEE)
Energy Expenditure of activity (EEA)
BASAL OR RESTING RATE

• Amount of energy per minute the body uses to maintain a quiet resting state
• This is approximately 1 Cal per minute
• Over the course of the day (and night), a person will expend a substantial amount
of calories just to maintain the body (1440 minutes in a day x 1 Cal/min = 1440
Cal per day)
• Approximately 60% to 75% of the energy used every day is needed to maintain
the essential body functions that sustain life. These functions include nervous
system activity, breathing, heart function, thermoregulation, and hormone activity
BMR and RMR measurements are taken under different conditions:
BMR measurements are typically taken in a darkened room upon waking after
8hours of sleep and 12 hours of fasting (to ensure that the digestive system is
inactive),with the subject resting in a reclining position

RMR measurements are typically taken under less restricted conditions than BMR,
and do not require the subject to spend the night sleeping in the test facility prior to
measurement. As a result, RMR has become the more popular measure, and BMR is
not often measured anymore
THERMIC EFFECT OF FOOD

• TEF is the energy required to process the food we eat.


• Approximately 10% of the calories in a meal are used to digest, metabolize,
and store the food just eaten
• Energy expenditure is directly related to the size of the meal and the food
composition (i.e., the amount of protein, fat, and carbohydrate)
• Energy is also used for storing carbohydrates and fat as energy in body tissue
ENERGY EXPENDITURE OF
ACTIVITY
• Amount of energy needed to fuel body movement as it occurs in activities of daily
living, including exercise
• Muscle tissue consumes approximately 20% of this energy at rest, but during
vigorous exercise, the rate of energy consumption by muscle tissue may go up 50
times or more
• Physical activity can have dramatic impact on a person’s daily energy expenditure.
During heavy physical exertion(vigorous activity), the muscles may burn as many
as 1200 Cal per hour in a very fit individual. An unfit person may only be able to
expend 200 Cal per hour. Involuntary movements such as fidgeting and posture
control (called NEAT: non-exercise activity of thermogenesis) also contribute to
EEA
TDEE FORMULA
THE HARRIS BENEDICT EQUATION =
• For women
BMR = 655.1 + (9.563 * weight in kg) + (1.850 * height in cm) - (4.676 * age)
• For men
BMR = 66.5 + (13.75 * weight in kg) + (5.003 * height in cm) - (6.75 * age)
ENERGY EXPENDITURE AT REST

• BASAL METABOLIC RATE: BMR is rate of energy expenditure fasted, rested


and supine conditions in thermoneutral environment
• RESTING METABOLIC RATE: Rate of energy expenditure when at rest but not
basal (>BMR)
• Influence of Body Size
• Differences in body size usually expressed in terms of body surface area (BSA)
• From 20-40, average values BMR are 38 kcal/m2 per hour for men and 36 kcal/m2
for women
• Lower BMR in women can be attributed to woman’s larger percent body fat &
smaller muscle mass
ESTIMATE RESTING DAILY ENERGY EXPENDITURE

• Estimate kcal expenditure during rest by multiplying one’s surface area from
nomogram by appropriate kcal expenditure/m² per hour by 24 hrs
• Also possible to use Harris Bennedict formula
• Estimated values w/i ± 5% measured values
ENERGY EXPENDITURE IN PHYSICAL
ACTIVITY
EXPRESSION OF ENERGY EXPENDITURE
• Total (gross) – Resting energy expenditure (REE) = Net energy cost of the
activity per sec
• Recovery energy included in Total = exercise energy + recovery energy
• Utilization of 1 liter of O2 generates about 5 kcal of energy
• Net O2 cost of exercise = exercise VO2 + recovery VO2 – (resting VO2 x time)
• Energy expended during weight-bearing activities increases proportional to body
mass.
• There is little relationship between body mass and energy expended during non-
weight bearing activities
• Average daily Total Energy
Expenditure estimated to be 2900
- 3000 kCal for males, and 2200
kCal for females 15-50 year of
adult
• Great variability exists because
of one’s physical activity,
average person spends __% day
sedentary
CLASSIFICATION OF WORK
FACTORS:
• Duration (min)
• Intensity (VO2 & kCal)
• METs - a measure of activity,
intensity & represents an average
person’s resting metabolism or VO2
• 1 MET = 3.5 ml kgֿ ¹minֿ ¹
• Intensity of work often related to
heart rate because of linear
relationship to oxygen uptake

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