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Energy Expenditure in Physical and Mental Activity

For medical students3 min readUpdated 2026-10-10

Energy expenditure in humans is the total caloric cost required to maintain basal physiological functions and perform any type of work. It depends on the intensity of muscle contractions, emotional stress, and body posture, ranging from minimal values at rest to extreme levels during heavy physical labor.

Gross energy expenditureThe sum of the basal metabolic rate and the daily working increment.
Mental laborPure mental activity without movement increases overall metabolism by only 2–3%.
Heavy laborIncreases daily basal energy expenditure more than 4.5-fold (up to 5,850 kcal).
SubstratesIn well-trained athletes, energy is generated exclusively through the oxidation of fats.

Components of Total Energy Expenditure

Daily energy expenditure in the body consists of four basic components:

  1. Basal metabolic rate (BMR) — the energy required to maintain minimum vital functions in a state of complete rest (in a quietly lying person, this is approximately 35 kcal/m²).
  2. Thermic effect of food (specific dynamic action) — the energy cost of digesting and metabolizing nutrients.
  3. Thermoregulation — maintaining a constant core body temperature.
  4. Physical and mental activity.

The energy that a person expends throughout the day above the basal metabolic rate directly for work and activity is called the working increment. Adding the basal metabolic rate to the working increment gives the gross energy expenditure.

Impact of Muscular Work and Body Posture

Any muscular activity requires significant energy expenditure and is accompanied by increased heat production. There is a direct correlation: the more intense the activity, the higher the daily expenditure. Even a simple change in posture radically alters metabolic demands compared to rest:

Absolute values can vary within immense limits. While a person lying down expends about 1,265 kcal per day, active household cleaning requires 2,800 kcal, competitive rowing requires 4,080 kcal, and extremely heavy work (such as bricklaying) requires up to 5,850 kcal.

The choice of energy substrates for oxidation depends directly on the parameters of physical load. During short-term exertion, the body burns primarily carbohydrates. As exertion becomes prolonged, fats are utilized (providing up to 80% of energy requirements). Interestingly, in highly trained professional athletes, muscle contractions can be fueled exclusively via fat oxidation.

Occupational Groups and Physical Activity Ratio (PAR)

To objectively assess whether energy expenditure is adequate across different professions, international health organizations utilize the Physical Activity Ratio (PAR) or physical activity level (PAL). This is the ratio of total energy expenditure across all daily activities to the basal metabolic rate.

Note: PAR values are identical for males and females. However, absolute energy expenditure in groups with identical PARs is always lower in females due to a lower body mass and consequently a lower basal metabolic rate. Furthermore, an important hygienic standard dictates that the physical strain of regular work should not require energy expenditures exceeding the basal metabolic rate by more than 3-fold.

Depending on daily energy expenditure, occupations are divided into five groups:

  1. Group I (PAR 1.4) — predominantly sedentary workers with very light activity. Includes researchers, educators, students, and office workers. Expends 1,800 to 2,450 kcal/day.
  2. Group II (PAR 1.6) — light physical labor. Includes nurses, orderlies, retail sales associates, and public transit drivers. Expenditure: 2,100–2,800 kcal/day.
  3. Group III (PAR 1.9) — moderate physical labor. Includes surgeons, machine operators, textile workers, and bus or excavator drivers. Expenditure: 2,500–3,300 kcal/day.
  4. Group IV (PAR 2.2) — heavy physical labor with high activity. Metallurgists, construction workers, and most agricultural workers. Expenditure: 2,800–3,850 kcal/day.
  5. Group V (PAR 2.5) — very heavy labor with extremely high activity. This group includes males only: miners, lumberjacks, manual ditchdiggers, and unmechanized loaders. Expenditure reaches 3,750–4,200 kcal/day.

Energy Expenditure in Mental and Emotional Activity

Contrary to popular myth, intensive brain activity by itself burns almost no extra calories. If a person performs pure mental work while remaining physically immobile, the increase in metabolism is only 2–3% compared to the resting state.

However, the picture changes when an emotional factor is introduced:

Mnemonic

To quickly remember muscle oxidation substrates, use the association: Short-term work = Carbohydrates, Long-term = Fats. A trained body is like a hybrid engine that always prefers fats.

Frequently asked questions

What are the specific dynamic action (SDA) values for proteins, fats, and carbohydrates?

The specific dynamic action values of food vary depending on the type of nutrient consumed, with proteins eliciting the maximal effect.

  • Proteins — energy expenditure increases by 30–40%.
  • Carbohydrates — energy expenditure increases by 4–6%.
  • Fats — cause a minimal increase in energy expenditure.
How is gross energy expenditure calculated?

It is the sum of the basal metabolic rate (baseline resting expenditure) and the working increment—the energy expended by the body throughout the day directly for physical and mental activities.

Do Physical Activity Ratio (PAR/PAL) values depend on sex?

The standardized numerical PAR values for males and females are the same. However, the resulting absolute energy expenditure (in kcal) is always lower in females due to a lower average body mass and basal metabolic rate.

Which occupational group do physicians belong to?

It depends on the medical specialty. Surgeons belong to Group III (moderate labor, PAR 1.9), whereas nurses and orderlies belong to Group II (light labor, PAR 1.6).

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