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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
2H vs.
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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