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Am J Physiol Endocrinol Metab 280: E965-E972, 2001;
0193-1849/01 $5.00
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Vol. 280, Issue 6, E965-E972, June 2001

Natural abundance deuterium and 18-oxygen effects on the precision of the doubly labeled water method

Micah A. Horvitz and Dale A. Schoeller

Department of Nutritional Sciences, University of Wisconsin-Madison, Madison, Wisconsin 53706

The doubly labeled water method for measuring total energy expenditure is subject to error from natural variations in the background 2H and 18O in body water. There is disagreement as to whether the variations in background abundances of the two stable isotopes covary and what relative doses of 2H and 18O minimize the impact of variation on the precision of the method. We have performed two studies to investigate the amount and covariance of the background variations. These were a study of urine collected weekly from eight subjects who remained in the Madison, WI locale for 6 wk and frequent urine samples from 14 subjects during round-trip travel to a locale >= 500 miles from Madison, WI. Background variation in excess of analytical error was detected in six of the eight nontravelers, and covariance was demonstrated in four subjects. Background variation was detected in all 14 travelers, and covariance was demonstrated in 11 subjects. The median slopes of the regression lines of delta 2H vs. delta 18O were 6 and 7, respectively. Modeling indicated that 2H and 18O doses yielding a 6:1 ratio of final enrichments should minimize this error introduced to the doubly labeled water method.

stable isotope; energy metabolism; isotope fractionation





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