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. 2023 Feb 23;14(3):406–419. doi: 10.1016/j.advnut.2023.02.003

TABLE 1.

Summary of studies used to generate the energy constrained hypothesis, with the proposed components demonstrating constraint and supporting evidence

Type Study Constrained component Supporting evidence/reasoning
Original data Pontzer et al. (2012) [1] BMR TEEADJ was similar between Hadza vs. other populations a higher PAL.
Pontzer et al. (2016) [11] AEE RMRADJ not different across a wide range of physical activity, assessed by accelerometry, but TEEADJ plateaued at higher accelerometry counts.
Urlacher et al.(2019) [12] AEE Shuar children displayed little-to-no difference in TEE, but lower AEE vs. industrial counterparts, despite higher accelerometry counts.
Thurber et al. (2019) [13] AEE Little-to-no difference in BMR, TEF or EXEE between week 1 and weeks 14/20 of an ultramarathon, but lower TEE.
Careau et al. (2021) [14] BMR Relationship between BMR and TEE <1 and relationship between BMR and AEE negative.
Review Pontzer (2015) [10] Non-AEE metabolic activity (BMR/TEF/Other) Cross-sectional evidence in humans and experimental data from nonhuman animals.
Pontzer (2018) [49] Immune function, reproduction, and stress response (BMR/TEF/Other) Reduced markers of inflammation (for example, C-reactive protein) with chronic exercise, lower concentrations of sex hormones in endurance athletes, lower cortisol, and norepinephrine responses in people with high physical fitness.
Pontzer et al. (2018) [76] Non-AEE (BMR/TEF/Other) Higher accelerometry counts but little-to-no differences in TEE, AEE or PAL with Hadza and Tsimane populations compared to 7 industrialized populations.
Pontzer and McGrosky (2022) [77] BMR Measures of TEE at multiple timepoints indicate increase AEE is negatively associated with BMR in humans.

BMR, basal metabolic rate; EXEE, exercise energy expenditure; ADJ, adjusted for body composition and/or age.