Errors in MET Estimates of Physical Activities Using 3.5 ml.kg-1.min-1 as the Baseline Oxygen Consumption

Purpose: To compare intensity misclassification and activity MET values using measured RMR (measMET) compared with 3.5 ml.kg(-1).min(-1) (standMET) and corrected METs [corrMET = mean standMET x (3.5 divided by Harris-Benedict RMR)] in subgroups. Methods: RMR was measured for 252 subjects following a 4-hr fast and before completion of 11 activities. VO2 was measured during activity using indirect calorimetry (n = 2555 activities). Subjects were classified by BMI category (normal-weight or overweight/obese), sex, age (decade 20, 30, 40, or 50 y), and fitness quintiles (low to high). Activities were classified into low, moderate, and vigorous intensity categories. Results: The (mean +/- SD) measMET was 6.1 +/- 2.64 METs. StandMET [mean (95% CI)] was (0.51(0.42, 0.59) METs) less than measMET. CorrMET was not statistically different from measMET (-0.02 (-0.11,0.06) METs). 12.2% of the activities were misclassified using standMETs compared with an 8.6% misclassification rate for METs based on predicted RMR (P < .0001). StandMET differences and misclassification rates were highest for low fit, overweight, and older individuals while there were no differences when corrMETs were used. Conclusion: Using 3.5ml.kg(-1).min(-1) to calculate activity METs causes higher misclassification of activities and inaccurate point estimates of METs than a corrected baseline which considers individual height, weight, and age. These errors disproportionally impact subgroups of the population with the lowest activity levels.