Evidence map›Paper›PMID 36828336›Full record

ArticleAdvances in nutrition (Bethesda, Md.)2023

Perspective: Is the Response of Human Energy Expenditure to Increased Physical Activity Additive or Constrained?

Javier T Gonzalez, Alan M Batterham, Greg Atkinson, Dylan Thompson

Open access · hybridAbstract read
In one paragraph

Article in Advances in nutrition (Bethesda, Md.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Physical activity is directly associated with total energy expenditure without evidence of constraint or compensation.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Observational
  9. Article
  10. Review
  11. Reply to Pemberton and Brown.The American journal of clinical nutrition · 2025
    Article
  12. Article
  13. Metabolic scaling, energy allocation tradeoffs, and the evolution of humans' unique metabolism.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  14. Article
  15. Are there sex differences in the variability of fasting metabolism?Journal of applied physiology (Bethesda, Md. : 1985) · 2024
    Article
  16. Does eating less or exercising more to reduce energy availability produce distinct metabolic responses?Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2023
    Review
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Javier T GonzalezDepartment for Health, University of Bath, Bath, United Kingdom; Centre for Nutrition, Exercise, and Metabolism, University of Bath, Bath, United Kingdom. Electronic address: j.t.gonzalez@bath.ac.uk.
Alan M BatterhamProfessor Emeritus, School of Health and Life Sciences, Teesside University, Middlesborough, United Kingdom.
Greg AtkinsonResearch Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom.
Dylan ThompsonDepartment for Health, University of Bath, Bath, United Kingdom; Centre for Nutrition, Exercise, and Metabolism, University of Bath, Bath, United Kingdom.
University of Bath · GBLiverpool John Moores University · GBTeesside University · GB

Funding

Biotechnology and Biological Sciences Research Council BB/R018928/1British Heart Foundation PG/19/43/34432
6 · The paper itself

Abstract

The idea that increasing physical activity directly adds to TEE in humans (additive model) has been challenged by the energy constrained hypothesis (constrained model). This model proposes that increased physical activity decreases other components of metabolism to constrain TEE. There is a logical evolutionary argument for trade-offs in metabolism, but, to date, evidence supporting constraint is subject to several limitations, including cross-sectional and correlational studies with potential methodological issues from extreme differences in body size/composition and lifestyle, potential statistical issues such as regression dilution and spurious correlations, and conclusions drawn from deductive inference rather than direct observation of compensation. Addressing these limitations in future studies, ideally, randomized controlled trials should improve the accuracy of models of human energy expenditure. The available evidence indicates that in many scenarios, the effect of increasing physical activity on TEE will be mostly additive although some energy appears to "go missing" and is currently unaccounted for. The degree of energy balance could moderate this effect even further.

Indexed as

Energy MetabolismExerciseBody CompositionCross-Sectional StudiesHumansLife Styleenergy balanceenergy expenditureexercisemetabolismphysical activity

Identifiers

PMID36828336
PMCPMC10201660
OpenAlexW4321601998

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.