Do we compensate for the calories burned through exercise? Original paper

After adjusting for age, sex, fat mass, and fat-free mass, for every 100 calories burned through exercise, people burned 28 fewer calories through their basal metabolic rate.

This Study Summary was published on October 3, 2021.

Background

Total daily energy expenditure (TDEE) includes four components: basal metabolic rate (BMR), thermic effect of food (TEF), nonexercise activity thermogenesis (NEAT), and exercise energy expenditure (EEE). While many people assume that an increase in EEE leads to an equal increase in TDEE, we tend to adapt to the metabolic demands of physical activity through reductions in both BMR and NEAT (as well as by eating more).[1][2][3] However, the extent of this “energy compensation” is unclear.

The study

Data on energy expenditure were collected from 1,754 people in the International Atomic Energy Agency doubly labeled water database,[4] which assessed TDEE via doubly labeled water and BMR via direct calorimetry. Additionally, activity energy expenditure (AEE, which combines NEAT and EEE) was determined via the following equation:

AEE = 0.9 × TDEE − BMR

(This “0.9 × TDEE” represents TDEE after accounting for TEF, which is assumed to account for ≈10% of TDEE.)

The authors used mathematical models to assess the relationship between TDEE and BMR and between AEE and BMR, after accounting for age, sex, fat mass, and fat-free mass.

The results

Unsurprisingly, TDEE and BMR were highly correlated: as BMR increased, so did TDEE. However, AEE and BMR were negatively correlated: as AEE increased, BMR decreased. Specifically, for every 100 calories burned through AEE, BMR decreased by 28 calories.

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People with a higher percentage of body fat exhibited a greater degree of energy compensation — people at the 10th BMI percentile compensated for 27.7% of AEE, whereas people at the 90th BMI percentile compensated for 49.2% of AEE. To explain this, the authors proposed two hypotheses:

  • Some individuals might be predisposed to obesity due to an inherent tendency to compensate for calories expended through exercise.
  • Some individuals might exhibit a greater degree of energy compensation following increases in fat mass, creating a positive feedback loop.

Note

While exercise might have a smaller effect on TDEE than predicted, it still plays a critical role in weight management. EEE ultimately did increase TDEE, and other research has demonstrated that combining diet and exercise can preserve fat-free mass,[7] which is the primary modifiable determinant of BMR.[8]

The big picture

This study is consistent with other research suggesting that the relationship between EEE and TDEE isn’t linear. The “constrained total energy expenditure model” suggests that, while EEE increases TDEE at relatively low activity levels, TDEE plateaus at higher EEE levels as the body adapts to maintain TDEE within a narrow range.[9]

While the present study suggests that this adaptation to EEE occurs at the level of BMR, other studies show that several physiological responses play a role in energy compensation. In a 2019 randomized controlled trial (RCT), 171 people were divided into three groups: 20 kcal of exercise per kilogram of body weight per week (20 kcal/kg/week), 8 kcal/kg/week, and no exercise. Both exercise groups partially compensated for the calories burned through exercise by eating more, with no changes in BMR or NEAT.[2] However, a secondary subanalysis of that study performed a more in-depth analysis of energy expenditure and reported that adaptive changes in NEAT occurred in the 20 kcal/kg/week exercise group.[3]

This study is consistent with other research suggesting that exercise alone (i.e., without dietary changes) is an inefficient fat-loss method. In a 2011 RCT, 439 postmenopausal women found that the participants following both a diet and an exercise program lost more weight and body fat than the participants following only the diet or only the exercise program.[10] A 2014 meta-analysis of RCTs found that interventions combining diet and exercise resulted in greater reductions in body weight, fat mass, waist circumference, and waist-to-hip ratio than exercise alone.[11] Another 2014 meta-analysis of RCTs found that behavioral weight management programs combining diet and exercise resulted in greater weight loss than programs focusing on exercise alone.[12]

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This Study Summary was published on October 3, 2021.

References

  1. ^Thomas DM, Bouchard C, Church T, Slentz C, Kraus WE, Redman LM, Martin CK, Silva AM, Vossen M, Westerterp K, Heymsfield SBWhy do individuals not lose more weight from an exercise intervention at a defined dose? An energy balance analysisObes Rev.(2012 Oct)
  2. ^Corby K Martin, William D Johnson, Candice A Myers, John W Apolzan, Conrad P Earnest, Diana M Thomas, Jennifer C Rood, Neil M Johannsen, Catrine Tudor-Locke, Melissa Harris, Daniel S Hsia, Timothy S ChurchEffect of different doses of supervised exercise on food intake, metabolism, and non-exercise physical activity: The E-MECHANIC randomized controlled trialAm J Clin Nutr.(2019 Sep 1)
  3. ^Nicholas T Broskey, Corby K Martin, Jeffrey H Burton, Timothy S Church, Eric Ravussin, Leanne M RedmanEffect of Aerobic Exercise-induced Weight Loss on the Components of Daily Energy ExpenditureMed Sci Sports Exerc.(2021 Oct 1)
  4. ^John R Speakman, Herman Pontzer, Jennifer Rood, Hiroyuki Sagayama, Dale A Schoeller, Klaas R Westerterp, William W Wong, Yosuke Yamada, Cornelia Loechl, Alexia J Murphy-AlfordThe International Atomic Energy Agency International Doubly Labelled Water Database: Aims, Scope and ProceduresAnn Nutr Metab.(2019)
  5. ^Klaas R WesterterpDoubly labelled water assessment of energy expenditure: principle, practice, and promiseEur J Appl Physiol.(2017 Jul)
  6. ^N LIFSON, G B GORDONThe fate of utilized molecular oxygen and the source of the oxygen of respiratory carbon dioxide, studied with the aid of heavy oxygenJ Biol Chem.(1949 Sep)
  7. ^A Hernández-Reyes, F Cámara-Martos, R Molina-Luque, M Romero-Saldaña, G Molina-Recio, R Moreno-RojasChanges in body composition with a hypocaloric diet combined with sedentary, moderate and high-intense physical activity: a randomized controlled trialBMC Womens Health.(2019 Dec 27)
  8. ^Alexandra M Johnstone, Sandra D Murison, Jackie S Duncan, Kellie A Rance, John R SpeakmanFactors influencing variation in basal metabolic rate include fat-free mass, fat mass, age, and circulating thyroxine but not sex, circulating leptin, or triiodothyronineAm J Clin Nutr.(2005 Nov)
  9. ^Herman Pontzer, Ramon Durazo-Arvizu, Lara R Dugas, Jacob Plange-Rhule, Pascal Bovet, Terrence E Forrester, Estelle V Lambert, Richard S Cooper, Dale A Schoeller, Amy LukeConstrained Total Energy Expenditure and Metabolic Adaptation to Physical Activity in Adult HumansCurr Biol.(2016 Feb 8)
  10. ^Foster-Schubert KE, Alfano CM, Duggan CR, Xiao L, Campbell KL, Kong A, Bain CE, Wang CY, Blackburn GL, McTiernan AEffect of diet and exercise, alone or combined, on weight and body composition in overweight-to-obese postmenopausal womenObesity (Silver Spring).(2012 Aug)
  11. ^Lukas Schwingshackl, Sofia Dias, Georg HoffmannImpact of long-term lifestyle programmes on weight loss and cardiovascular risk factors in overweight/obese participants: a systematic review and network meta-analysisSyst Rev.(2014 Oct 30)
  12. ^David J Johns, Jamie Hartmann-Boyce, Susan A Jebb, Paul Aveyard, Behavioural Weight Management Review GroupDiet or exercise interventions vs combined behavioral weight management programs: a systematic review and meta-analysis of direct comparisonsJ Acad Nutr Diet.(2014 Oct)