ABSTRACT. We measured body composition, basal metabolic rate (BMR), and total energy expenditure in 28 nonobese and 35 obese adolescents aged 12-18 y using indirect calorimetry and the doubly labeled water method. BMR was highly correlated with fat-free mass in both the nonobese and obese groups (r = 0.77 and 0.84, respectively). BMR adjusted for fat-free mass was significantly greater in males than females and in the obese subjects. Total energy expenditure was significantly greater in the obese than nonobese cohort but ratios of total energy expenditure/BMR were not significantly different in the two groups (1.79 f 0.2 versus 1.68 f 0.19, nonobese and obese males and 1.69 f 0.28 versus 1.74 +. 0.19 nonobese and obese females, respectively). These data indicate that BMR and total energy expenditure are not reduced in the already obese adolescent. Therefore, reduced energy expenditure cannot be responsible for the maintenance of obesity in adolescents. (Pediatr Res 27: 198-203, 1990) Abbreviations BMR, basal metabolic rate TEE, total daily energy expenditure TBW, total body water FFM, fat free mass IBW, ideal body weight FQ, food quotient RQ, respiratory quotient Studies comparing energy intake among obese and nonobese adolescents suggest that obese adolescents eat less or similar amounts of calories than their nonobese peers (1-3). These findings have been cited as evidence that one or more components of energy expenditure may be reduced in obese individuals, and that a reduction in TEE may contribute to the development or maintenance of obesity despite low energy intakes. Nonetheless, TEE has never been measured in free-living obese or nonobese adolescents to verify these hypothesis.Because BMR accounts for a substantial portion of daily energy expenditure, alterations in BMR may have a major impact on TEE. A substantial portion of the variance of BMR among individuals is explained by body size (including FFM), age, and sex (4-8). Studies of families (6) mono-and dizygotic twins (9) suggest that BMR is at least in part genetically determined. Reductions in BMR may enhance susceptibility to obesity in an environment that promotes food intake and inactivity.Early studies (10, 11) reported that BMR in obese children was greater than normal when expressed in absolute terms but lower than normal when expressed per kg of body wt. Comparative studies of children (12, 13) and adults (14-18) have failed to demonstrate reductions in BMR, except among obese subjects who have lost weight. Because FFM differs significantly between obese and nonobese adolescents and is highly correlated with BMR (4, 5), it is essential that comparative studies of BMR between obese and nonobese adolescents adjust for these differences in FFM.Recent studies by Ravussin et al. (18) and Roberts et al. (19) have suggested a significant relationship between TEE and wt gain. Similarly Roberts et al. (19) showed greater wt gain in normal infants with low TEE.To determine whether differences in energy expenditure exist after obesity develops...