Journal List > Korean J Nutr > v.45(6) > 1043957

Kim and Kim: Physical activity level, total daily energy expenditure, and estimated energy expenditure in normal weight and overweight or obese children and adolescents

Abstract

The purposes of this study were to assess the physical activity level (PAL) and the total daily energy expenditure (TEE) as well as to evaluate the validity of prediction equation for the estimated energy requirement (EER) in normal weight and overweight or obese children and adolescents. The subjects comprised of 100 healthy Korean students aged between 7-18. The anthropometric data was collected. PAL was calculated from the physical activity diary by the 24-hour recall method, and the resting metabolic rate (RMR) was measured by an open-circuit indirect calorimetry using a ventilated hood system. Daily energy expenditure was PAL multiplied by RMR. EER was calculated by using the prediction equation published in KDRIs. There was no significant difference in the means of age and height between the 46 obese subjects and 54 nonobese subjects. The weight and BMI of the obese group (60.2 kg, 25.3 kg/m2) were significantly higher than those of the nonobese group (42.4 kg, 18.4 kg/m2). However, PAL was not significantly different between the two groups (nonobese 1.45, obese 1.46). TEE of the obese group (2,212 kcal/day) was significantly higher than that of the nonobese group (1,774 kcal/day). EER (individual PA) and EER (light PA) were significantly higher than TEE (p < 0,001); however, EER (sedentary PA) was not significantly different with TEE in the two groups. These results showed that the levels of physical activity were the same as the sedentary activity both in the nonobese and obese Korean students; moreover, the predictive equation for EER published in KDRI overestimated the TEE of Korean children and adolescents. Therefore, in further research, a new predictive equation for EER should be developed for Korean children and adolescents through the doubly labeled water method.

Figures and Tables

Fig. 1
Bland-Altman plots for estimated energy requirement (EER) and measured total daily energy expenditure (TEE) in normal weight (○) and overweight or obese (●) children and adolescents.
kjn-45-511-g001
Table 1
Physical activity categories according to the level of intensity
kjn-45-511-i001

1) Physical activity ratio expressed as multiples of basal metabolic rate (BMR)

Table 2
Distribution of the subjects
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1) n (%)

Table 3
Anthropometric measurements of the subjects
kjn-45-511-i003

1) Mean ± SD (Range) 2) Measured by Inbody 720

**: p < 0.01, ***: p < 0.001 significantly different between normal weight group and overweight or obese group by independent t-test

Table 4
The time spent on each activity by the physical activity categories [Unit: min (%)]
kjn-45-511-i004

1) Mean ± SD (%)

*: p < 0.05 significantly different between normal weight group and overweight or obese group by independent t-test

††: p < 0.01, †††: p < 0.001 significantly different between elementary school and middle-high school by independent t-test

Table 5
Physical activity level (PAL)2) among the subjects
kjn-45-511-i005

1) Mean ± SD 2) PAL expressed as a multiples of 24-hour BMR

All values are not significantly different between normal weight group and overweight or obese group by independent t-test

Table 6
Correlation between the time spent by 18 activity types and physical activity level (PAL) after controlling for gender and age
kjn-45-511-i006

1) Pearson's correlation coefficient (r)

*: p < 0.05, **: p < 0.01, ***: p < 0.001 significantly correlated by partial correlation adjusted for gender and age

Table 7
The comparison of daily energy expenditure (TEE) and estimated energy requirement (EER) for the normal weight and overweight or obese children and adolescents (Unit: kcal/day)
kjn-45-511-i007

1) Mean ± SD 2) Resting metabolic rate (RMR) measured by using an indirect calorimetry 3) Total energy expenditure (TEE) calculated as follows: (REE measured × PAL) 4) Estimated energy requirement (EER) calculated by the equations that published in dietary reference intakes for Koreans 5) EER calculated by using a Sedentary PA (boys 1.0, girls 1.0) 6) EER calculated by using a Light PA (boys 1.13, girls 1.16) 7) EER calculated by using a Moderate PA (boys 1.26, girls 1.31) 8) EER calculated by using a Vigorous PA (boys 1.42, girls 1.56)

*: p < 0.05, **: p < 0.01, ***: p < 0.001 significantly different between TEE and EER by paired t-test

: p < 0.05, ††: p < 0.01, †††: p < 0.001 significantly different between normal weight group and overweight or obese group by independent t-test

Notes

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (2010-0004472).

References

1. Oh K, Jang MJ, Lee NY, Moon JS, Lee CG, Yoo MH, Kim YT. Prevalence and trends in obesity among Korean children and adolescents in 1997 and 2005. Korean J Pediatr. 2008. 51(9):950–955.
crossref
2. Ministry of Health and Welfare. Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1). 2011.
3. Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity: public-health crisis, common sense cure. Lancet. 2002. 360(9331):473–482.
crossref
4. Choi TI, Rhee HJ, Ko KM, Yoo SM, Kim KN, Lee SY, Kang JH. The prevalence of obesity and obesity-related metabolic complications in Korean adolescents. J Korean Acad Fam Med. 2006. 27(3):175–181.
5. Barlow SE. Expert Committee. Pediatrics. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007. 120:Suppl 4. S164–S192.
6. Seo JW. Obesity in children and adolescents. Korean J Pediatr. 2009. 52(12):1311–1320.
crossref
7. Lee HM, Kim EK. Assessment of daily steps, physical activity and activity coefficient of the elementary school children in the rural area. Korean J Community Nutr. 2007. 12(3):361–371.
8. Baek S. The effect of physical activity on children's obesity. Korean J Obes. 2008. 17(2):55–64.
9. Owen OE, Kavle E, Owen RS, Polansky M, Caprio S, Mozzoli MA, Kendrick ZV, Bushman MC, Boden G. A reappraisal of caloric requirements in healthy women. Am J Clin Nutr. 1986. 44(1):1–19.
crossref
10. An YD. A study on physical activity for one week in elementary school boys. J Korea Sport Res. 2007. 18(2):545–556.
11. Kim YS, Kong SA, Lee O, Kim JW, Kim SS, Park IH. The relation between physical activity and fitness in children. Exerc Sci. 2008. 17(4):495–504.
crossref
12. Woo UH. Comparison and analysis of physical activity steps per day according to the level of BMI in high school male students. Korean J Growth Dev. 2008. 16(2):103–110.
13. Kang HS, Hong HR, Park JK. Comparison of obesity indices, metabolic risk factors, physical activity between boys and girls. Korean J Phys Educ. 2010. 49(6):581–589.
14. Koo JC, Park MH. The correlation between body composition and basic physical strength of high school students by bioelectrical impedance analysis. J Learn Cent Curric Instr. 2010. 10(2):35–48.
15. Jung JU, Hwang YS, Oh SI. Analysis of elementary school students' physical activity based on existence of playground and physical education. J Korean Soc Study Phys Educ. 2010. 15(1):301–310.
16. Energy and protein requirements. Report of a joint FAO/WHO/UNU Expert Consultation. World Health Organ Tech Rep Ser. 1985. 724:1–206.
17. The Korean Nutrition Society. Dietary reference intakes for Koreans. 2010. 1st revision. Seoul:
18. Kim JH, Kim EK. Assessment of physical activity, activity coefficient of preschool children and actual condition of daycare center outdoor play. Korean J Community Nutr. 2009. 14(6):777–788.
19. Kim EK, Kim EK, Song JM, Choi HJ, Lee GH. Assessment of activity coefficient, resting energy expenditure and daily energy expenditure in elementary school children. J Korean Diet Assoc. 2006. 12(1):44–54.
20. Oh SI, Jang JH, Hur S. Assessment of after-school obesity control program through on life habits and physical activity in obese elementary school children. Korean J Exerc Nutr. 2008. 12(1):1–6.
21. Kim MJ, Na HJ, Kim Y. The analysis of activity energy, total energy, and estimated energy expenditures in 5th and 6th grade primary school students. Korean J Community Nutr. 2011. 16(2):195–205.
crossref
22. Kim Y, Na HJ. The estimation of the daily energy expenditure of Korean adolescents. Korean J Community Nutr. 2003. 8(3):270–279.
23. Kim EK, Kim GS, Park JS. Comparison of activity factor, predicted resting metabolic rate, and intakes of energy and nutrients between athletic and non-athletic high school students. J Korean Diet Assoc. 2009. 15(1):52–68.
24. Choi HJ, Song JM, Kim EK. Assessment of daily steps, activity coefficient, body composition, resting energy expenditure and daily energy expenditure in female university students. J Korean Diet Assoc. 2005. 11(2):159–169.
25. Park JA, Kim KJ, Yoon JS. A comparison of energy intake and energy expenditure in normal-weight and over-weight Korean adults. Korean J Community Nutr. 2004. 9(3):285–291.
26. Korea Centers for Disease Control and Prevention. The Korean Pediatric Society. The Committee for the Development of Growth Standard for Korean Children and Adolescents. 2007 Korean children and adolescents growth charts. 2007. cited 2012 Jun 15. Available from: http://www.cdc.go.kr.
27. Ministry of Health, Labour and Welfare. Japanese dietary allowance. 1985. 5th revision. Tokyo:
28. Ministry of Health and Welfare. A study to determine the recommended dietary allowance of energy and to develop practical dietary education program for Korean adults. 2002. Seoul:
29. Compher C, Frankenfield D, Keim N, Roth-Yousey L. Evidence Analysis Working Group. Best practice methods to apply to measurement of resting metabolic rate in adults: a systematic review. J Am Diet Assoc. 2006. 106(6):881–903.
crossref
30. Weir JB. New methods for calculating metabolic rate with special reference to protein metabolism. J Physiol. 1949. 109(1-2):1–9.
crossref
31. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986. 1(8476):307–310.
crossref
32. Baik I, Shin C. Association of daily sleep duration with obesity, macronutrient intake, and physical activity. Korean J Community Nutr. 2011. 16(3):315–323.
crossref
33. Rey-López JP, Vicente-Rodríguez G, Biosca M, Moreno LA. Sedentary behaviour and obesity development in children and adolescents. Nutr Metab Cardiovasc Dis. 2008. 18(3):242–251.
crossref
34. Mifflin MD, St Jeor ST, Hill LA, Scott BJ, Daugherty SA, Koh YO. A new predictive equation for resting energy expenditure in healthy individuals. Am J Clin Nutr. 1990. 51(2):241–247.
crossref
35. Institute of Medicine of the National Academies. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. 2002. Washington D.C: The National Academies Press;107–264.
36. Wang X, You T, Lenchik L, Nicklas BJ. Resting energy expenditure changes with weight loss: racial differences. Obesity (Silver Spring). 2010. 18(1):86–91.
crossref
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