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ABSTRACT
AINSWORTH, B. E,., W. L. HASKELL, M. C. WHITT, M. L. IRWIN, A. M. SWARTZ, S .J. STRATH, W. L. O'BRIEN, D. R.
BASSETT, JR., K. H. SCHMITZ, P. O EMPLALNCOURT. D. R. JACOBS, JR., and A. S. LEON. Compendium of physical activities:
an update of activity codes and MET intensities. Med. Sci. Sports Exerc., Vol. 32, No. 9, Suppl., pp. S498-S516, 2000. We provide
an updated version of the Compendium of Physical Activities, a coding scheme that classifies specific physical activity (PA) by rate
of energy expenditure. It was developed to enhance the comparability of results across studies using self-reports of PA. The
Compendium coding scheme links a five-digit code that describes physical activities by major headings (e.g., occupation, transpor-
tation, etc.) and specific activities within each major heading with its intensity, defined as the ratio of work metabolic rate to a standard
resting metabolic rate (MET). Energy expenditure in MET-minutes, MET-hours, kcal. or kcal per kilogram body weight can be
estimated for specific activities by type or MET intensity. Additions to the Compendium were obtained from studies describing daily
PA patterns of adults and studies measuring the energy cost of specific physical activities in field settings. The updated version includes
two new major headings of volunteer and religious activities, extends the number of specific activities from 477 to 605. and provides
updated MET intensity levels for selected activities. Key Words: EXERCISE, EXERTION, ENERGY EXPENDITURE
COMPENDIUM OF PHYSICAL ACTIVITIES: UPDATE Medicine & Science in Sports & Exercisew S501
by a standard RMR. In the 1993 Compendium, MET values heavier individuals than indicated by the Compendium's
were assigned to each activity based on the "best represen- MET intensities. For these individuals, use of the MET
tation" of an intensity level from published lists and selected intensities in the Compendium would underestimate the
unpublished data (1). For activities not in original lists or in actual energy cost of weight bearing activity. The opposite
other unpublished reports of the energy cost of physical pattern would be observed for non-weight-bearing activi-
activities, data were obtained from published literature and ties. Schmitz (27) discusses these concerns in relation to
assigned a measured MET value or was estimated from energy expended during household chores among obese and
similar activities with a known MET value (1). lean women. Similar observations may apply to individuals
MET levels for 42 activities in the updated Compendium who differ in age, cardiorespiratory fitness levels, and me-
were changed based on published and unpublished studies chanical efficiency and when activities are performed in
that measured the energy cost of PAs (4,7-9,16,17, varied geographic and environmental conditions (33). It
21,22,24,27-30,32,35,37). Since the publication of the 1995 should be emphasized that the Compendium was developed
Pate et al. (23) moderate activity recommendation, there has to facilitate the coding of PAs and to compare coding across
been widespread interest among health educators, clinicians, studies. It does not take into account individual differences
public health specialists, and fitness professionals to recom- that may alter the energy cost of movement. Thus, a cor-
mend types of activities that are classified as moderate rection factor may be needed to adjust for individual differ-
intensity. There was some concern, however, that the MET ences when estimating the energy cost of PA in individuals;
levels for many household, lawn and garden, walking, and but no such general correction is available at this time.
some occupational activities frequently performed by older Use of the Compendium in PA validation studies.
adults, people of color, and women of all ages had not been The Compendium facilitates the use of PA records to record
objectively measured, but had been assigned estimated MET the type, intensity, and duration of activities in a systematic
intensities. Thus, in 1997-1998, a series of studies were manner. PA records and the Compendium have been used to
funded by the International Life Sciences Institute Research validate PA surveys commonly used in observational and
Foundation to measure the energy cost of selected house- clinical studies (25). In 1993, we presented a sample PA
hold, lawn and garden, walking, recreational, and occupa- record for use with the Compendium (1). We have since
tional activities using indirect calorimetry methods in lab- developed an updated PA record that is easy to use and code
oratory and field settings (4,9,29,30,35). Doctoral and provides a detailed explanation for the use of PA
dissertations and other research studies have also focused on records and the Compendium in PA validation studies.
measuring the MET intensities of household, lawn and
garden, cultural, and custodial activities (8,9,27,28).
Because changes in MET intensities for selected activities
may change the energy cost of PA, investigators using the
DISCUSSION AND LIMITATIONS
1993 Compendium in cohort studies may wish to continue The value and limitations of using the Compendium of
using the 1993 Compendium to compute the energy cost of Physical Activities to determine the energy cost of PA in
activities. However, for newer activities, codes in the 2000 adults was previously discussed in the 1993 publication (1).
Compendium are appropriate for use. Because the MET levels presented in the Compendium are
As in the 1993 Compendium of Physical Activities, the based on the energy cost of actual movement, investigators
updated Compendium provides data for adults without should remind participants to recall only the time spent in
handicaps or other conditions that would significantly alter movement when using the Compendium to estimate the
their mechanical or metabolic efficiency. Also, a study is energy cost of activities. It should also be stressed that the
underway at the University of North Carolina at Chapel Hill Compendium was not developed to determine the precise
to measure the energy cost of individual and group PAs energy cost of PA within individuals, but instead to provide
among youth, ages 8-18 yr (J. A. Harrell, School of Nurs- an activity classification system that standardizes the MET
ing, University of North Carolina at Chapel Hill, 1999). intensities of PAs used in survey research. This limits the
Another study is underway at the Edward Hines Jr. VA use of the Compendium in estimating the energy cost of PA
Hospital to measure the energy costs of physical activities in in individuals in ways that account for differences in body
adults with spinal cord injuries (W. E. Langbein and E. mass, adiposity, age, sex, efficiency of movement, geo-
Collins, Hine Hospital, Maywood, IL, 1999). When com- graphic and environmental conditions in which the activities
pleted, the projects will provide compendiums of the PAs are performed. Thus, individual differences in energy ex-
measured in the studies. penditure for the same activity can be large and the true
Calculation of energy cost. Methods used to calcu- energy cost for a person may or may not be close to the
late the energy cost of activities in the 1993 Compendium stated mean MET level as presented in the Compendium.
were explained in detail by Ainsworth et al. (1). There has As was true with the original Compendium, the updated
been concern that the absolute MET intensities presented in version contains specific activities in which the MET values
the Compendium may be inaccurate for people of different were not derived from indirect calorimetry; however, many
body mass and body fat percentage (10,27). For weight- codes have been updated using measured MET values. The
bearing activities, Schmitz et al. (27) and Howell et al. (10) updated Compendium still has some codes in which MET
showed that the energy cost of activity was higher among values were estimated from activities having similar
S502 Official Journal of the American College of Sports Medicine http://www.msse.org
movement patterns. Therefore, these estimates may have version of the Compendium may be obtained from Dr.
ill-defined confidence limits around the mean MET values. Barbara Ainsworth.
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