Energy is used continuously in the body and is fundamental to physiolo
gic processes. Requirements of individuals vary in relation to a wide
variety of factors, making energy metabolism an issue of great importa
nce to the pediatrician. Techniques are available for short- and long-
term measurements of energy expenditure, which serve different purpose
s. The principal techniques are suitable for the age range from birth
to adolescence. The theory of energy metabolism is briefly discussed,
including a summary of the different working definitions. The principl
es and practicalities of classical indirect calorimetry, the doubly la
beled water method, the bicarbonate method, and heart rate monitoring
are then described. (C) Elsevier Science Inc. 1998.