Research

Energy balance

Excluding physiologically implausible energy intake reports (where reported intake is <78% or >122% of predicted energy requirement) from dietary datasets reveals strong, biologically plausible positive associations between energy intake and BMI, whereas including these reports yields weak or spurious associations.

If you are analyzing diet and weight data, do not trust raw self-reported intake numbers. They are often inaccurate, especially for heavier individuals. You must filter out reports that are physiologically impossible (e.g., claiming to eat very little while having a high metabolic need) to see the true relationship between what people eat and their body weight. Without this filter, you might incorrectly conclude that obese people eat less than thin people.

GoodQualifiesHIGH confidence
Weak or spurious diet–BMI associations were present in the total sample; (cid:2)1 to 1.4 SD samples showed the strongest set of associations and provided the maximum n while maintaining biological plausibility.
Terry T.‐K. Huang et al. · Obesity Research · 2005

Why this rating

Large sample size (n=6499), use of objective doubly labeled water data for validation, and rigorous statistical error propagation.

Source

Effect of Screening Out Implausible Energy Intake Reports on Relationships between Diet and BMI

Terry T.‐K. Huang et al. · Obesity Research · 2005

DOI 10.1038/oby.2005.143

cross_sectional · n=6499Cited 326×
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DOI resolved against Crossref · corpus check 2026-06-10

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