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What does low energy availability look like in training data?

Asked 8 Apr 2026Modified 2 months agoViewed 4k times
13

I have three DEXA scans on the same scanner at twelve-week intervals, fasted, same time of day.

I have the document in front of me and I can read the numbers. What I cannot do is interpret them.

I am reasonably comfortable with statistics and completely uncomfortable with chromatography, or vice versa.

Which parts of this are informative and which are decoration?

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DZ
askedDr_Marek_Zielinski27k278 Apr 2026
Voting to keep this open — it is more specific than it first looks. – aine_mulcahy 3 months ago
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5 Answers

Accepted answer first, then by votes
64

Accepted answer

The strongest evidence for exercise in this context is in maintaining loss rather than producing it, and that is not a lesser claim.

A brisk hour of walking expends roughly 250 to 350 kilocalories for most adults, which is about one moderate snack. That arithmetic is why exercise alone rarely produces meaningful weight loss.

What each body-composition method measures

MethodMeasuresSensitive toLeast significant change
DEXAThree-compartment by attenuationHydration, positioning~2–3 % regional lean
BIA (consumer)Impedance, modelledHydration, food, temperatureNot usable at this timescale
Air displacementTwo-compartment by densityLung volume, hair, clothing~1–2 % fat mass
Tape and scaleCircumference, massTechniqueSurprisingly usable as a trend

The part that matters: non-exercise activity thermogenesis varies between individuals by hundreds of kilocalories a day and falls during energy restriction, which is a large and invisible term in the equation.

Meta-analyses of exercise-only interventions report modest mean weight loss, generally under two kilograms, against much larger effects for dietary interventions.

The caveat is that anyone with cardiovascular disease or significant deconditioning should get advice before beginning a programme.

Steps are the least-compensated expenditure. Add those first.

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SD
answered · acceptedsunniva_dahl22k2710 Jun 2026
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25

The relevant phenomenon is compensation: both behavioural and metabolic, and it erodes a meaningful fraction of the expenditure added.

Compensation is measurable: adding structured exercise typically yields substantially less than the predicted deficit, partly through increased intake and partly through reduced spontaneous movement elsewhere in the day.

In this population, exercise capacity often improves quickly with weight loss, which makes the early weeks the wrong time to fix a long-term programme.

Energy-expenditure compensation following exercise interventions is documented in doubly labelled water studies.

Nothing here is medical advice.

Fitness predicts outcomes independently of weight, which is reason enough on its own.

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KL
answeredkirsi_lahtinen25k2729 May 2026
18

Answering this needs to distinguish exercise energy expenditure from total daily expenditure, which do not move together as much as they should.

Resistance training and cardiovascular training answer different questions and do not substitute for one another on composition or on fitness respectively.

To be exact about it, fitness-tracker energy estimates for anything other than steady-state running are unreliable, often by thirty per cent or more, and treating them as measurements produces systematic overestimation.

Tracker energy figures are estimates with wide error and should not be eaten back.

Diet creates the deficit, exercise protects the composition and the maintenance. Different jobs.

edited 9 Jun 2026 by w_okoye — clarified the distinction between purity and content

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WO
answeredw_okoye43k13716 May 2026
7Confirming that maintaining load rather than adding it is the realistic goal in a deficit. – sian_llewellyn 3 months ago
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15

On the detail: cardiorespiratory fitness predicts mortality independently of weight, which is the reason to do it regardless of what the scale does.

Cardiorespiratory fitness measured as VO2 max is a stronger predictor of all-cause mortality than body-mass index in large cohorts, which reframes the objective entirely.

Cardiorespiratory fitness as an independent mortality predictor is established across multiple large prospective cohorts.

Expect less weight change from exercise than the arithmetic suggests, because of compensation.

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RP
answeredretest_please9.7k154 May 2026
4This is the clearest explanation of the plateau arithmetic I have read anywhere. – e_dziedzic 6 months ago
5The glycogen-water point explains a fortnight of confusion I had two years ago. – ellis_thorne 8 months ago
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14

Mechanically, adding steps is the most reliable expenditure intervention because it is the least compensated.

The weight-maintenance literature consistently finds high activity levels — often quoted around sixty minutes of moderate activity daily — among those who sustain a large loss.

The National Weight Control Registry and comparable cohorts report high activity levels among successful maintainers, which is observational and consistent.

Do not eat back tracker calories. The estimate is not accurate enough to justify it.

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DA
answeredDr_Yusuf_Adeyemi54k14722 Apr 2026
Any published number for how long the counter-regulatory response persists? – Dr_Ravi_Selvarajah 5 months ago
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Your answer

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