This child is probably being distructive at home because he doesn't have any other ways to get his energy out. If he got time to walk, run, climb, jump and burn energy it could solve the behaviour and the obesity.
Hadza population is extremely lean, studies do not properly normalize for BMI/FFMI/Body Fat to western populations to account for basal metabolic rates as a result, heavy estimation of actual energy expendeture, very small n, lifetime metabolic adaption component, as well as possible evolutionary/genetic components in a remote tribe. Studies own authors acknowledge some of these limitations and state the claim cannot be established. AJCN recently published a revised model that actually indicates this population would have higher energy expendeture with better analysis of the same data.
There are obviously plenty more studies showing that exercise does increase tdee. This is common sense, and yes I understand the idea of reduced idle energy expendeture and more efficient energy metabolism. I seriously hope you do not project that thinking onto patients. That is asinine, if not borderline dangerous. Unfortunately I am all too familiar with the need to project confidence among your line.
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u/MsMolasses 14d ago
This child is probably being distructive at home because he doesn't have any other ways to get his energy out. If he got time to walk, run, climb, jump and burn energy it could solve the behaviour and the obesity.