Total Energy Expenditure Assessment in Elite Junior Basketball Players: A Validation Study Using Doubly Labeled Water

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Silva, AM, Santos, DA, Matias, CN, Minderico, CS, Schoeller, DA, and Sardinha, LB. Total energy expenditure assessment in elite junior basketball players: A validation study using doubly labeled water. J Strength Cond Res 27(7): 1920–1927, 2013—An accurate assessment of total energy expenditure (TEE) during a competitive season is required. We aimed to validate TEE estimated by self-reported energy intake (EI) and the dietary reference intake (DRI) method in 19 elite basketball players (aged 16–18 years) using doubly labeled water (DLW) as the reference method. The DRI models and EI from dietary records over a 7-day period were simultaneously assessed for TEE estimation. Resting energy expenditure was assessed by indirect calorimetry. Fat and fat-free mass (FFM) were determined by a 4-compartment model (body volume by air displacement plethysmography, bone mineral by DXA, and water by deuterium dilution). Fat and FFM ranged from 4 to 19 kg and from 47 to 81 kg, respectively. The physical activity level ranged from 2.2 to 3.7 with a mean value of 2.8 ± 0.4. Total energy expenditure from DLW (17,598 ± 3,298 kJ·d−1) was significantly underestimated by EI (11,274 ± 2,567 kJ·d−1), whereas no differences were found using DRI (17,008 ± 3,206 kJ·d−1). The EI and DRI methods explained TEE from DLW by 34% (p = 0.057) and 44% (p = 0.002), respectively, and wide limits of agreement were observed. Our findings suggested that EI is not a valid tool for TEE assessment. The DRI method may be valid at a group level but inaccurate for estimating individual TEE in young players during a demanding competitive season period.

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