Deciphering the constrained total energy expenditure model in humans by associating accelerometer-measured physical activity from wrist and hip

Sci Rep. 2021 Jun 10;11(1):12302. doi: 10.1038/s41598-021-91750-x.

Abstract

The constrained total energy expenditure (TEE) model posits that progressive increases in physical activity (PA) lead to increases in TEE; but after certain PA threshold, TEE plateaus. Then, a compensatory reduction in the expenditure of non-essential activities constrains the TEE. We hypothesized that high PA levels as locomotion associate with a compensatory attenuation in arm movements. We included 209 adults (64% females, mean [SD] age 32.1 [15.0] years) and 105 children (40% females, age 10.0 [1.1] years). Subjects wore, simultaneously, one accelerometer in the non-dominant wrist and another in the hip for ≥ 4 days. We analyzed the association between wrist-measured (arm movements plus locomotion) and hip-measured PA (locomotion). We also analyzed how the capacity to dissociate arm movements from locomotion influences total PA. In adults, the association between wrist-measured and hip-measured PA was better described by a quadratic than a linear model (Quadratic-R2 = 0.54 vs. Linear-R2 = 0.52; P = 0.003). Above the 80th percentile of hip-measured PA, wrist-measured PA plateaued. In children, there was no evidence that a quadratic model fitted the association between wrist-measured and hip-measured PA better than a linear model (R2 = 0.58 in both models, P = 0.25). In adults and children, those with the highest capacity to dissociate arm movements from locomotion-i.e. higher arm movements for a given locomotion-reached the highest total PA. We conclude that, in adults, elevated locomotion associates with a compensatory reduction in arm movements (probably non-essential fidgeting) that partially explains the constrained TEE model. Subjects with the lowest arm compensation reach the highest total PA.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accelerometry
  • Adolescent
  • Adult
  • Body Weight
  • Child
  • Endocrine System / physiology*
  • Energy Metabolism / physiology*
  • Exercise / physiology*
  • Female
  • Hip / physiology
  • Homeostasis / genetics
  • Humans
  • Male
  • Metabolic Diseases / epidemiology
  • Metabolic Diseases / metabolism
  • Metabolic Diseases / pathology
  • Obesity / epidemiology
  • Obesity / metabolism*
  • Obesity / pathology
  • Wrist / physiology
  • Young Adult