Adaptation of the doubly labeled water method for subjects consuming isotopically enriched water. Gretebeck, Randall J., Dale A. Schoeller, Rick A. Socki, Janis Davis -Street, Everett K, Gibson, Leslie O. Schulz, and Helen W. Lane. Nutritional Biochemistry and 3Stable Isotope Laboratories, Space and Life Sciences Directorate, NASA/Johnson Space Center, Houston, TX, The Committee on Human Nutrition and Nutritional Biology, University of Chicago, Department of Medicine, Chicago, IL and Health Sciences, University of Wisconsin, Milwaukee, Milwaukee, WI
APStracts 3:0419A, 1996.
The use of doubly labeled water (DLW) to measure energy expenditure is subject to error if the background abundance of the oxygen and hydrogen isotope tracers changes during the test period. This study evaluated the accuracy and precision of different methods by which such background isotope changes can be corrected, including a modified method that allows prediction of the baseline that would be achieved if subjects were to consume water from a given source indefinitely. Subjects in this study were 8 women (4 test subjects and 4 control subjects) who consumed water enriched to resemble drinking water aboard the U.S. Space Shuttle for 28 days. Test subjects and control subjects were given a DLW dose on days 1 and 15 respectively. The change to an enriched water source produced a bias in expenditure calculations that exceeded 2.9 MJ/d (35%) relative to calculations from intake/balance. The proposed correction based on the predicted final abundance of 18O and deuterium after equilibration to the new water source eliminated this bias, as did the traditional use of a control group. This new modified correction method is advantageous under field conditions when subject numbers are limited.

Received 20 May 1996; accepted in final form 26 August 1996.
APS Manuscript Number A470-6.
Article publication pending Journal of Applied Physiology.
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 19 September 1996