scholarly journals Doubly labelled water assessment of energy expenditure: principle, practice, and promise

2017 ◽  
Vol 117 (7) ◽  
pp. 1277-1285 ◽  
Author(s):  
Klaas R. Westerterp

AbstractThe doubly labelled water method for the assessment of energy expenditure was first published in 1955, application in humans started in 1982, and it has become the gold standard for human energy requirement under daily living conditions. The method involves enriching the body water of a subject with heavy hydrogen (2H) and heavy oxygen (18O), and then determining the difference in washout kinetics between both isotopes, being a function of carbon dioxide production. In practice, subjects get a measured amount of doubly labelled water (2H 2 18 O) to increase background enrichment of body water for 18O of 2000 ppm with at least 180 ppm and background enrichment of body water for 2H of 150 ppm with 120 ppm. Subsequently, the difference between the apparent turnover rates of the hydrogen and oxygen of body water is assessed from blood-, saliva-, or urine samples, collected at the start and end of the observation interval of 1–3 weeks. Samples are analyzed for 18O and 2H with isotope ratio mass spectrometry. The doubly labelled water method is the indicated method to measure energy expenditure in any environment, especially with regard to activity energy expenditure, without interference with the behavior of the subjects. Applications include the assessment of energy requirement from total energy expenditure, validation of dietary assessment methods and validation of physical activity assessment methods with doubly labelled water measured energy expenditure as reference, and studies on body mass regulation with energy expenditure as a determinant of energy balance.

1958 ◽  
Vol 195 (3) ◽  
pp. 721-725 ◽  
Author(s):  
Ruth McClintock ◽  
Nathan Lifson

The fractional turnover rates of the hydrogen and oxygen of the body water of mice were measured in three ways: a) by material intake, b) by material output and c) isotopically. Discrepancies occurred between the intake and output turnover rates which could be explained at least in large part by body weight changes. The isotopic turnover rates were lower than those calculated from material output. This finding is discussed in relationship to the diarrhea which the animals developed on the milk diet employed and to the circumstance that opportunity was present for isotope re-entry from excreta. The difference between the turnover rates of the oxygen and hydrogen of the body water was practically the same whether obtained isotopically or calculated from the material balance data. This probably explains the observation that the D2O18 method for calculating the total CO2 output of the mice from the difference between the isotope turnover rates gave valid results in animals in which the absolute values for the isotopic turnover rates were presumably in error.


2000 ◽  
Vol 78 (8) ◽  
pp. 631-635
Author(s):  
Crystal H Kaczkowski ◽  
Peter JH Jones ◽  
Jian Ying Feng ◽  
Henry S Bayley

Accurate estimations of energy requirements at the population level are crucial because of disease processes associated with energy imbalance. The present objective was to compare energy expenditure with existing Recommended Nutrient Intakes for Canadians (RNIC) and determine whether the RNIC provides a true index of energy requirement in middle-aged and elderly Canadian women. A second objective was to compare energy expenditure and the RNIC to Food and Agriculture Organization, World Health Organization, United Nations University (FAO/WHO/UNU) predictions. Seventy-six women were recruited for the study (67.3 ± 11.5 y, 63 ± 11.7 kg, BMI 24.8 ± 4.4 kg·m-2). The two-point doubly-labelled water (DLW) method was used over 13 days to assess energy expenditure while subjects carried out their routine activities. Subjects were stratified to enable age specific requirements for middle-aged and elderly women. At weight maintenance, energy needs were underestimated using the RNIC (7.1 ± 1.6 MJ·d-1, 1698 ± 391 kcal·d-1) compared to total energy expenditure (10.0 ± 3.2 MJ·d-1, 2395 ± 746 kcal·d-1) as determined by DLW as a whole and for each age group. The RNIC recommendations were lower than the FAO/WHO/UNU estimations even for light activity. Results indicate that mean energy expenditure was 29% greater than the RNIC recommendations created using formulas based on age and weight, whereas the FAO/WHO/ UNU estimations closely approximated energy expenditure based on heavy activity in women 49-79 y and light activity in women over 80 y old. These data suggest a systematic underestimation of Canadian energy recommendations for women.Key words: energy expenditure, doubly-labelled water, energy intake, dietary assessment, humans.


Nutrients ◽  
2019 ◽  
Vol 12 (1) ◽  
pp. 109
Author(s):  
Laura Trijsburg ◽  
Anouk Geelen ◽  
Paul J.M. Hulshof ◽  
Pieter van’t Veer ◽  
Hendriek C. Boshuizen ◽  
...  

It is suggested that nutrient densities are less affected by measurement errors than absolute intake estimates of dietary exposure. We compared the validity of absolute intakes and densities of protein (kJ from protein/total energy (kJ)), potassium, and sodium (potassium or sodium (in mg)/total energy (kJ)) assessed by different dietary assessment methods. For 69 Dutch subjects, two duplicate portions (DPs), five to fifteen 24-h dietary recalls (24 hRs, telephone-based and web-based) and two food frequency questionnaires (FFQs) were collected and compared to duplicate urinary biomarkers and one or two doubly labelled water measurements. Multivariate measurement error models were used to estimate validity coefficients (VCs) and attenuation factors (AFs). This research showed that group bias diminished for protein and sodium densities assessed by all methods as compared to the respective absolute intakes, but not for those of potassium. However, the VCs and AFs for the nutrient densities did not improve compared to absolute intakes for all four methods; except for the AF of sodium density (0.71) or the FFQ which was better than that of the absolute sodium intake (0.51). Thus, using nutrient densities rather than absolute intakes does not necessarily improve the performance of the DP, FFQ, or 24 hR.


2015 ◽  
Vol 115 (1) ◽  
pp. 160-167 ◽  
Author(s):  
Claire Pettitt ◽  
Jindong Liu ◽  
Richard M. Kwasnicki ◽  
Guang-Zhong Yang ◽  
Thomas Preston ◽  
...  

AbstractA major limitation in nutritional science is the lack of understanding of the nutritional intake of free-living people. There is an inverse relationship between accuracy of reporting of energy intake by all current nutritional methodologies and body weight. In this pilot study we aim to explore whether using a novel lightweight, wearable micro-camera improves the accuracy of dietary intake assessment. Doubly labelled water (DLW) was used to estimate energy expenditure and intake over a 14-d period, over which time participants (n 6) completed a food diary and wore a micro-camera on 2 of the days. Comparisons were made between the estimated energy intake from the reported food diary alone and together with the images from the micro-camera recordings. There was an average daily deficit of 3912 kJ using food diaries to estimate energy intake compared with estimated energy expenditure from DLW (P=0·0118), representing an under-reporting rate of 34 %. Analysis of food diaries alone showed a significant deficit in estimated daily energy intake compared with estimated intake from food diary analysis with images from the micro-camera recordings (405 kJ). Use of the micro-camera images in conjunction with food diaries improves the accuracy of dietary assessment and provides valuable information on macronutrient intake and eating rate. There is a need to develop this recording technique to remove user and assessor bias.


Rangifer ◽  
2000 ◽  
Vol 20 (2-3) ◽  
pp. 59 ◽  
Author(s):  
Paul Haggarty

When natural diets meet an animal's requirement for energy, other essential nutrients will usually be supplied in amounts at least sufficient for survival. Knowledge of the energy requirements of free ranging species under typical conditions are important in assessing both their nutritional needs and their ecological impact. The doubly labelled water (DLW) method is currently the most promising objective field methodology for estimating free living energy expenditure but expenditure is only equal to the energy requirement when an animal is in energy balance. Reproduction and seasonal cycles of fat deposition and utilization represent significant components of the energy budget of arctic ungulates but the information gained in the course of a typical DLW study may be used to estimate processes such as milk output and fat storage and mobilization in order to predict requirements from expenditure. The DLW method has been exhaustively validated under highly controlled conditions and the introduction of innovations such as faecal sampling for the estimation of body water isotopic enrichment, the availability of appropriate correction factors and stoichiometrics for known sources of error, and iterative calculation of unknown parameters, have produced a methodology suitable for use in truly free ranging species. The few studies carried out so far in arctic ungulates indicate that previous predictions have generally underestimated the true level of expenditure, that there is considerable between animal variation in the level of expenditure and that this is largely determined by physical activity. The disadvantages of the DLW methodology are that it remains expensive and the isotope analysis is technically demanding. Furthermore, although DLW can provide an accurate value for free living energy expenditure, it is often important to have information on the individual components of expenditure, for example the relative contribution of physical activity and thermoregulatory thermogenesis, in order to interpret the values for overall expenditure. For these reasons the most valuable use of the DLW method in the field may be to validate factorial models and other approaches so that they may be used with confidence. Additional important information on the energy exchanges of free ranging animals may be obtained from other stable isotope methodologies. In addition to the use of the isotopes 2H and lsO in the DLW method, natural variations in the abundance of "C and 15N in the arctic environment may be exploited to study diet selection in truly free living arctic ungulates.


1968 ◽  
Vol 19 (1) ◽  
pp. 129
Author(s):  
PH Springell

Twenty-four steers, comprising British (Hereford and Hereford x Shorthorn), Zebu (Africander), and Zebu cross (British x Brahman or Africander) breeds, were either maintained on pasture, or yarded and fed on diets of a low and a high nutritional value. Tritiated water was injected into the animals on five occasions at intervals of 3 months. The body water content and the water turnover rate were calculated, and some of the sources of variation defined. Observed differences in the water content are attributable to nutritional factors rather than to breed differences. The mean body water content ranged from 615 to 809 ml/kg fasting body weight, where the higher values were associated with a poor diet. The mean half-life of tritiated water was lower in summer (as low as 58 hr) than in winter (up to 128 hr) in grazing and well-fed yarded steers. On a poor diet, however, the half-life in yarded cattle remained high and almost constant throughout the year, dropping to below 100 hr on only a single occasion. Occasionally the half-life was breed dependent, but generally no significant differences between breeds could be found. While mean turnover rates of up to 7.1 ml kg-1 hr-1 were found in better-fed cattle in summer, the value in poorly fed animals was almost constant throughout the year at about 3.3 ml kg-1 hr-1. There was, however, a winter minimum in the well-fed yarded and grazing groups. The turnover rate was also influenced by breed only to a limited extent. The results are interpreted in the light of their possible significance in the adaptation to a tropical environment, and in relation to their value in predicting the body composition.


2016 ◽  
Vol 20 (4) ◽  
pp. 598-607 ◽  
Author(s):  
Laura Trijsburg ◽  
Anouk Geelen ◽  
Peter CH Hollman ◽  
Paul JM Hulshof ◽  
Edith JM Feskens ◽  
...  

AbstractObjectiveAs misreporting, mostly under-reporting, of dietary intake is a generally known problem in nutritional research, we aimed to analyse the association between selected determinants and the extent of misreporting by the duplicate portion method (DP), 24 h recall (24hR) and FFQ by linear regression analysis using the biomarker values as unbiased estimates.DesignFor each individual, two DP, two 24hR, two FFQ and two 24 h urinary biomarkers were collected within 1·5 years. Also, for sixty-nine individuals one or two doubly labelled water measurements were obtained. The associations of basic determinants (BMI, gender, age and level of education) with misreporting of energy, protein and K intake of the DP, 24hR and FFQ were evaluated using linear regression analysis. Additionally, associations between other determinants, such as physical activity and smoking habits, and misreporting were investigated.SettingThe Netherlands.SubjectsOne hundred and ninety-seven individuals aged 20–70 years.ResultsHigher BMI was associated with under-reporting of dietary intake assessed by the different dietary assessment methods for energy, protein and K, except for K by DP. Men tended to under-report protein by the DP, FFQ and 24hR, and persons of older age under-reported K but only by the 24hR and FFQ. When adjusted for the basic determinants, the other determinants did not show a consistent association with misreporting of energy or nutrients and by the different dietary assessment methods.ConclusionsAs BMI was the only consistent determinant of misreporting, we conclude that BMI should always be taken into account when assessing and correcting dietary intake.


1994 ◽  
Vol 42 (1) ◽  
pp. 29 ◽  
Author(s):  
SD Bradshaw ◽  
KD Morris ◽  
CR Dickman ◽  
PC Withers ◽  
D Murphy

Barrow Island, which lies about 90 km north of Onslow off the arid Western Australian Pilbara coast, experienced its driest year on record in 1990 with a total of only 122.4 mm of rain. Golden bandicoots captured in November 1990 evidenced poor condition and mean body mass was a low 242.6 +/- 10.9 g with-a total body water content (TBW) of 76.3 +/- 1.4%. Despite this substantial loss of body water and solids, the animals maintained water and electrolyte balance during the period of turnover [water influx 79.5 +/- 6.9 v. efflux 83.3 +/- 5-7 mL (kg0.82 day)-1 and sodium influx 4.9 +/- 0.7 v. efflux 5.3 +/- 0.7 mmol (kg day)-1]. By April 1991, although only a further 37.4 mm of rain had been recorded on Barrow Island, the condition of the bandicoots had improved markedly, as a result of exploitation of insect resources, and their mean body mass had increased to 306.5 +/- 22.6 g and TBW decreased to 62.5 +/- 1.4% (both P < 0.001), the latter reflecting enhanced fat stores. This general improvement in condition of the bandicoots was in marked contrast to that of other herbivorous marsupials on the island. Rates of water and sodium turnover of the golden bandicoots were, however, not significantly different from those measured in the previous November, Field Metabolic Rates (FMRs), measured with doubly labelled water ((HHO))-H-3-O-18, were extremely low, averaging only 0.45 +/- 0.26 mL CO2 (g h)-1, which is very close to laboratory estimates of 0.35 +/- 0.09 mL O2(g h)-1 for the basal metabolic rate of this species. A major cyclone struck Barrow Island on 3 March 1992, with 162 mm of rain falling in 24 h, and turnover measurements in May of that year revealed a substantial increase in rates of water flux. Mean body mass further increased to 332.6 +/- 8.5 g and TBW averaged 61.8 +/- 1.1%. Water turnover rates were significantly elevated when compared with April of the previous year with an influx of 112.5 +/- 7.3 and an efflux of 119.0 +/- 7.6 mL (kg0.82 day)-1 respectively (both P = 0.001). Rates of sodium turnover, however, were only slightly lower at 3.6 +/- 0.5 and 4.1 +/- 0.5 mmol (kg day)-1 for influx and efflux respectively (P = 0.056 for influx only), suggesting a slight decrease in the average sodium content of the diet. The volume of water required to maintain hygric balance was estimated by regression analysis at 26.7 mL day-1 [=88.3 mL (kg0.82 day)-1] in November 1990, and 33-9 mL day-1 [=85.2 mL (kg0.82 day)-1] in May 1992, following rain. The FMR of eight bandicoots was very significantly elevated to 1.39 +/- 0.23 mL CO2 (g h)-1 after rain, which is substantially higher than even the FMR of 0.91 +/- 0.07 mL CO2(g h)-1, or 644 kJ day-1, reported for the closely related southern brown bandicoot (Isoodon obesulus) studied in the region of Perth by Nagy et al. (1991). Turnover rates of water and sodium for two rodent species, the Barrow Island mouse (Pseudomys nanus) and the rock rat (Zyzomys argurus), were very similar to those recorded for golden bandicoots in the dry period, but FMRs were a little higher at 0.80 +/- 0.26 and 0.59 +/- 0-36 mL CO2(g h)-l respectively. The FMR of Barrow Island mice increased very significantly to a mean of 2.73 +/- 0.50 mL CO2(g h)-l after rain, but rock rats were not caught at this time. The data document the impressive ability of these mammals to avail themselves of extremely limited resources and maintain physiological homoiostasis under conditions of extreme aridity.


2003 ◽  
Vol 90 (6) ◽  
pp. 1133-1139 ◽  
Author(s):  
Elaine C. Rush ◽  
Lindsay D. Plank ◽  
Peter S. W. Davies ◽  
Patsy Watson ◽  
Clare R. Wall

Body fatness and the components of energy expenditure in children aged 5–14 years were investigated. In a group of seventy-nine healthy children (thirty-nine female, forty male), mean age 10·0 (sd 2·8) years, comprising twenty-seven Maori, twenty-six Pacific Island and twenty-six European, total energy expenditure (TEE) was determined over 10 d using the doubly-labelled water method. Resting metabolic rate (RMR) was measured by indirect calorimetry and physical activity level (PAL) was calculated as TEE:RMR. Fat-free mass (FFM), and hence fat mass, was derived from the 18O-dilution space using appropriate values for FFM hydration in children. Qualitative information on physical activity patterns was obtained by questionnaire. Maori and Pacific children had a higher BMI than European children (P<0·003), but % body fat was similar for the three ethnic groups. The % body fat increased with age for girls (r 0·42, P=0·008), but not for boys. Ethnicity was not a significant predictor of RMR adjusted for FFM and fat mass. TEE and PAL, adjusted for body weight and age, were higher in Maori than European children (P<0·02), with Pacific children having intermediate values. PAL was inversely correlated with % body fat in boys (r −0·43, P=0·006), but was not significantly associated in girls. The % body fat was not correlated with reported time spent inactive or outdoors. Ethnic-related differences in total and activity-related energy expenditure that might account for higher obesity rates in Maori and Pacific children were not seen. Low levels of physical activity were associated with increased body fat in boys but not in girls.


Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2124
Author(s):  
Alice E. Disher ◽  
Kelly L. Stewart ◽  
Aaron J. E. Bach ◽  
Ian B. Stewart

Body water turnover is a marker of hydration status for measuring total fluid gains and losses over a 24-h period. It can be particularly useful in predicting (and hence, managing) fluid loss in individuals to prevent potential physical, physiological and cognitive declines associated with hypohydration. There is currently limited research investigating the interrelationship of fluid balance, dietary intake and activity level when considering body water turnover. Therefore, this study investigates whether dietary composition and energy expenditure influences body water turnover. In our methodology, thirty-eight males (19 sedentary and 19 physically active) had their total body water and water turnover measured via the isotopic tracer deuterium oxide. Simultaneous tracking of dietary intake (food and fluid) is carried out via dietary recall, and energy expenditure is estimated via accelerometery. Our results show that active participants display a higher energy expenditure, water intake, carbohydrate intake and fibre intake; however, there is no difference in sodium or alcohol intake between the two groups. Relative water turnover in the active group is significantly greater than the sedentary group (Mean Difference (MD) [95% CI] = 17.55 g·kg−1·day−1 [10.90, 24.19]; p = < 0.001; g[95% CI] = 1.70 [0.98, 2.48]). A penalised linear regression provides evidence that the fibre intake (p = 0.033), water intake (p = 0.008), and activity level (p = 0.063) predict participants’ relative body water turnover (R2= 0.585). In conclusion, water turnover is faster in individuals undertaking regular exercise than in their sedentary counterparts, and is, in part, explained by the intake of water from fluid and high-moisture content foods. The nutrient analysis of the participant diets indicates that increased dietary fibre intake is also positively associated with water turnover rates. The water loss between groups also contributes to the differences observed in water turnover; this is partly related to differences in sweat output during increased energy expenditure from physical activity.


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