In the present paper I shall try to discuss the ideas and principles underlying the estimates of human energy requirements proposed by a consultative group set up by the Food and Agriculture Organization, World Health Organization and United Nations University, that met in Rome in October 1981 (FAO/WHO/UNU, 1985).I shall only consider adults, since Whitehead (1986) discusses the requirements of infants and young children.
Intake v. expenditureIn the present report, estimated energy requirements are based more firmly than before on measurements of energy expenditure rather than of intake. An exception is in infants and children up to the age of 10 years, whose requirements are estimated from intakes because we do not know enough about their expenditure.The principle is not new, but it has been applied more rigorously than before. Of course, if people are in balance, maintaining constant body-weight, input and output will, over the long term, be equal, and it should not matter which is measured to give an estimate of energy requirement. Without embarking on the difficult question of whether energy balance is maintained through regulation of input or output or both, it seems to me common sense that because we have to expend energy, we need an intake, rather than the other way round. Thus expenditure is the primary factor.The word 'requirement', as generally used in relation to healthy people, refers to the habitual requirement over a period of time; a period that admittedly has not been specified. Requirement over I or 2 d makes no sense, except perhaps in people who are ill and whose state is rapidly changing. However, both intakes and outputs are usually measured over quite short periods of a few days on a finite number of subjects. The measurements, therefore, can only produce estimates of what is habitual and, because of the variation within and between individuals, they may be very much in error. Moreover, as is well known, even with the most careful technique, estimates of energy intake and output frequently do not agree (e.g.
Norgan et al. 1974).There is in fact no reason to suppose that over the short term people do maintain an exact energy balance. Even if there are no changes in weight, alterations in body composition may occur that are too small to be detected by the methods currently available. For these reasons, in interpreting measurements of intake and output, it is important to have some idea of their variability.available at https://www.cambridge.org/core/terms. https://doi