Measurement of total energy expenditure (TEE) in young children is now
possible without interfering with or influencing lifestyle. Such data
allow direct comparison with recommendations for energy requirements
which have hitherto been based on measurements of energy intake. Evalu
ation of the current world data of measured TEE in children aged 1-6 y
ears shows a consistent pattern despite originating from different lab
oratories. Data from 225 children reveal that energy expenditure is, o
n average, about 20% below current international recommendations. It i
s postulated that the reduction is probably due to changes in levels o
f habitual activity, which may have potentially important effects on h
ealth, and which need to be monitored carefully. (C) 1996 Wiley-Liss,
Inc.