2022-CMEB-Step-N-Count

h1. Energy Expenditure

"Energy expenditure refers to the amount of energy an individual uses to maintain essential body functions (respiration, circulation, digestion) and as a result of physical activity. Total daily energy expenditure is determined by resting or basal metabolic rate (BMR), food-induced thermogenesis, and energy expended as a result of physical activity." [1]

There are several formulas to calculate a person's energy expenditure, each with a differing level of accuracy and measurement requirements. Our project will focus on the portion of energy expended during physical activity, whether regarding walking, running or even cycling.

In an ideal scenario, either the volume of O2 exhaled or the thermal output of the individual are measured during the physical activity, achieving a highly accurate value of estimated energy expenditure[2]. For our application and for the massly available health monitoring products in the market, this isn't viable, resorting to other metrics such as heart rate, acceleration, body temperature etc.

Given our use of the VitalJacket technology, we will be relying on the individual's self-inputted biometric data, such as weight, height, age, sex and the data accquired by the heart rate sensor and the accelerometer available with the VitalJacket.

To improve the energy expenditure calculation, and considering heart rate is _generally_ a better metric than acceleration[2], several decisions need to be made, such as :

1. Given that the difference in heart rate of someone in a resting rate when compared to low effort is so insignificant, should we, for values below a certain HR threshold, solely use the accelerometer or use a REE (resting energy expenditure) value as placeholder?

2. Due to the lag between our change in acceleration and the correspondent change in heart rate, should we calculate EE using just the acceleration for these sudden differences in speed?

3. If we deem necessary to offer a TDEE (Total Daily Energy Expenditure) feature in our app, should we consider EPOC[3] (Post exercise oxygen consumption)?

References :

1 - Heaney, J. (2013). Energy: Expenditure, Intake, Lack of. In: Gellman, M.D., Turner, J.R. (eds) Encyclopedia of Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1005-9_454

2 - Maughan, Ronald J. (2013). The Encyclopaedia of Sports Medicine (An IOC Medical Commission Publication) || How to Assess the Energy Costs of Exercise and Sport. , 10.1002/9781118692318(), 59–71. doi:10.1002/9781118692318.ch4 

3 - https://www.runnersworld.com/training/a22024491/what-is-epoc/