Korean Diabetes J.  2010 Dec;34(6):374-383. 10.4093/kdj.2010.34.6.374.

The Usefulness of an Accelerometer for Monitoring Total Energy Expenditure and Its Clinical Application for Predicting Body Weight Changes in Type 2 Diabetic Korean Women

• Jung JY
• Han KA
• Kwon HR
• Ahn HJ
• Lee JH
• Park KS
• Min KW

• KMID: 2222365
• DOI: http://doi.org/10.4093/kdj.2010.34.6.374

Abstract

BACKGROUND
The purpose of this study was to evaluate the usefulness of an accelerometer in predicting body weight (BW) change during a lifestyle intervention and to find out whether exercise or overall physical activity is associated with change in insulin sensitivity and body composition.
METHODS
A total of 49 overweight (body mass index [BMI] > or = 23 kg/m2) women with diabetes were enrolled and performed lifestyle intervention while monitoring BW, total energy expenditure (TEE) and physical activity energy expenditure (PAEE) using an accelerometer, and energy intake (EI) using a three-day dietary record at baseline and every 2 weeks for 12 weeks. We assessed body composition using bioimpedance analysis and compared the actual BW change to the predicted BW change, which was calculated from the energy deficit (ED) between EI and TEE (ED = EI-TEE).
RESULTS
Mean age was 57.2 years, duration of diabetes was 8.0 years, and BMI was 27.8 kg/m2. There was no significant difference between EI and TEE at baseline. For 12 weeks, the ED was 474.0 kcal.day-1, which was significantly correlated with BW change (-3.1 kg) (r = 0.725, P < 0.001). However, the actual BW change was 50% lower than the predicted BW change. Both TEE and PAEE correlated with change in KITT (r = 0.334, P = 0.019; r = 0.358, P = 0.012, respectively), BMI (r = -0.395, P = 0.005; r = -0.347, P = 0.015, respectively), and fat mass (r = -0.383, P = 0.007; r = -0.395, P = 0.005, respectively), but only TEE correlated with fat free mass change (r = -0.314, P = 0.030).
CONCLUSION
The accelerometer appears to be a useful tool for measuring TEE under free-living conditions for both short- and long-term periods.

Keyword

Accelerometer; Energy balance; Energy intake; Physical activity energy expenditure; Total energy expenditure

MeSH Terms

Body Composition
Body Weight
Body Weight Changes
Diet Records
Energy Intake
Energy Metabolism
Female
Humans
Insulin Resistance
Life Style
Motor Activity
Overweight

Figure

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  Fig. 1 Difference between total energy expenditure (TEE) measured by an accelerometer and energy intake (EI) plotted against the mean of the 2 measurements, according to Bland and Altman.

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  Fig. 2 Correlation between the difference in energy intake (EI) and total energy expenditure (TEE) and actual change of body weight (A), change of fat mass (B), or change of %fat for 12 weeks; %fat (percentage body fat).

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  Fig. 3 Correlation between change in actual body weight and predicted body weight change with law of Wishnofsky.

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