BACKGROUND: There are limited and controversial data on the in¯uence of gender on metabolic rate in prepubertal children. OBJECTIVE: To assess the effect of gender on resting energy expenditure (REE), activity-related energy expenditure (AEE), total energy expenditure (TEE) and physical activity level (PAL) in free-living prepubertal children. DESIGN: Cross-sectional study. SUBJECTS: 40 prepubertal children (24 boys, 16 girls, 4 ± 11 y old (mean age: 7.0 AE 1.2 y), BMI 13.1 ± 32.0 kgam 2 ). MEASUREMENTS: Energy expenditure was measured by the combination of indirect calorimetry and individually calibrated 24 h heart rate monitoring. Body composition was assessed by anthropometrics and bioelectrical impedance analysis. Socio-cultural and socio-economic factors, as well as activities of daily living, were estimated by questionnaire for the parents. Boys and girls were matched for fat-free mass (FFM, boys: 25.9 AE 8.5 kg; and girls: 24.4 AE 4.5 kg, n.s.) and fat mass (FM, boys: 11.6 AE 5.9 kg; and girls: 10.8 AE 3.3 kg, n.s.). RESULTS: We found no sex difference in REE, AEE and TEE. PAL was 1.4 AE 0.3 for boys and 1.2 AE 0.4 for girls. REE and TEE were signi®cantly related to FFM (r 0.62, r 0.81, r 0.60). FFM was found to be the most signi®cant determinant of REE (r 2 0.70). REE accounted for the largest part of the variance in TEE (r 2 0.46). Gender had no signi®cant effect. CONCLUSIONS: There is no effect of gender on energy expenditure in prepubertal children.