Comparison of heart rate monitoring with indirect calorimetry for energy expenditure evaluation

PurposeThe purpose of this study was to compare established methods with newly-developed methods for estimating the total energy expenditure (TEE).MethodsThe study subjects comprised 46 individuals, including 16 middle-aged men (mean age 51.4 years), 14 middle-aged women (mean age 49.9 years) and 16 young women (mean age 19.1 years). The TEE was estimated from 24-h heart rate (HR) data using newly-developed software (MoveSense HRAnalyzer 2011a, RC1, Suunto Oy, Vantaa, Finland), and was compared against the TEE determined using doubly labeled water (DLW). Agreement between the two methods was analyzed using Bland and Altman plots.ResultsThe HR method yielded similar TEE values as the DLW method at the group level, with an average of 8.6 kcal/day in the difference in the mean, but with large individual variations. Forty-four (96%) out of 46 subjects fell within ±2SD of the mean difference in TEE comparisons, and there was no tendency towards under- or over-estimation.ConclusionOur results indicate that the current software using HR analysis for the estimation of daily TEE needs further development for use with free-living individuals.