The average healthy child can regulate energy intake to match energy needs
for expenditure plus growth. Obesity is one of the most common states of en
ergy imbalance, resulting from a loss in this regulatory ability. Despite p
opular belief, there is only one weak piece of evidence to support the noti
on that obesity is due either to an excess energy intake or reduction in en
ergy expenditure or physical activity. In this article, the influence of en
ergy expenditure and physical activity on the etiology of obesity in childr
en will be reviewed.