Obesity

Using Time‐Weighted Averages of Total Daily Energy Expenditure to Estimate Energy Intake During a Weight Loss Intervention

Obesity (Silver Spring)Published Secondary analysis of the DRIFT randomised trial

Authors' conclusion

Using a regression modeling approach, we demonstrate the DLW intake-balance method maintains accuracy during weight loss without early-phase TDEE measurements.

Study context

Population
Participants of a 12-month behavioral weight loss intervention (Dietary Caloric Restriction versus intermittent Fasting Trial, DRIFT)
Comparison
Regression models using two or three time points vs reference approach for time-weighted total daily energy expenditure (TDEE)
Primary endpoint
Accuracy of time-weighted TDEE and % caloric restriction estimated by regression models vs reference approach
Follow-up
Months 6 and 12
Methodological detailsregression modelling, bootstrap validation
  • Regression modelling
  • Bootstrap validation

Primary result

As reported in the abstract

Agreement of regression-model estimates with reference model
Predictive performance of models (R 2)
0.911-0.982
Limits of agreement for TDEE
121.1-274.5 kcal/day
Limits of agreement for % CR
4.5%-10.3%
Bias
no significant bias

Original publication

Using Time‐Weighted Averages of Total Daily Energy Expenditure to Estimate Energy Intake During a Weight Loss Intervention. Obesity (Silver Spring). Published 28 August 2025. doi:10.1002/oby.70008

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