Energy Balance
Calories (Energy) IN = Calories (Energy) OUT
Energy balance is key to maintaining a healthy weight and fitting all foods and beverages into an active healthy lifestyle that includes a sensible diet based on balance, variety and moderation, and regular physical activity.
Energy balance describes the relationship between the calories (energy) consumed in foods and beverages and the calories (energy) burned by the body. For most people, when calories (IN) = calories (OUT), body weight remains stable, which is a desirable condition for adults who are at a healthy weight. When intake consistently exceeds expenditure, body weight increases. When more calories are consistently burned than consumed, weight loss occurs.
Although energy balance may seem a simple concept, long-term health requires actively managing both sides of the energy balance equation. This includes understanding the body’s energy needs, including the impact of physical activity, and gaining knowledge about the calorie content of foods and beverages. It also includes learning behaviors like portion control and calorie budgeting to help manage energy intake. Research suggests that small everyday decisions like how often and how much to eat and drink, whether to take the stairs or the elevator, and even whether or not to monitor body weight can have a big impact on body weight and health over time.
Articles
- Community-based Model Reduces Childhood Obesity by Over 10%
- PCNA Introduces “A Heart Healthy Toolbox” - Lifestyle Change Tools for Health Professionals and Patients
- American Medical Association (AMA) Finds No Unique Link Between High Fructose Corn Syrup and Obesity (ABA)
- Consumers Respond to Lower Calorie Beverage Options (ABA)
- Food and Beverage Manufacturers Pledging to Reduce Annual Calories By 1.5 Trillion By 2015 (HWC)
- Study Finds Aspartame, Stevia Sweeteners Do Not Increase Hunger Levels or Increase Desire to Eat More (CCC)
- Tips for Managing Beverage Calories
- Understanding Nutrition Labels
What Experts Say
- The Truth about Sugars (IFIC) Consumption of Added Sugars Among U.S. Adults, 2005-2010. Ervin RB, Ogden CL. NCHS data brief. 2013;122.
- Consumption of Added Sugars Among U.S. Adults, 2005–2010. Ervin RB, Ogden CL. NCHS data brief. 2013;122.
- Consumption of Added Sugars Among U.S. Adults, 2005–2010. Ervin RB, Ogden CL. NCHS data brief. 2013;122. National Center for Health Statistics.
- Beverages & Satiety...Sorting Out the Science. An interview with Adam Drewnowski, PhD
- Aspartame: From Metabolism and Safety to Impact on Appetite and Body Weight. An interview with Bernadene Magnuson, PhD
- Unlocking Motivation: A Key to Successful Health Behavior Change. An interview with Lola Coke, PhD and Julie Schwartz, MS, RD
- Prevention of Pediatric Overweight and Obesity. American Academy of Pediatrics Policy Statement. Pediatrics: 2003;112(2):424-30.
- Nonnutritive Sweeteners: Current Use and Health Perspectives. A Scientific Statement From the American Heart Association and the American Diabetes Association (AHA/ADA). Circulation. 2012 Jul 24;126(4):509-19. Epub 2012 Jul 9.
- The Use and Misuse of Fruit Juice in Pediatrics. American Academy of Pediatrics Policy Statement. Pediatrics: 2001;107(5):1210-1213.
- Use of Nutritive and Non-nutritive Sweeteners. Position of the Academy of Nutrition and Dietetics. J Acad Nutr Diet. 2012;112:739-758.
- Children, Adolescents, and Television. American Academy of Pediatrics Policy Statement. Pediatrics.2001; 107 :423 –426.
- Dietary Reference Intakes Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Institute of Medicine, Food and Nutrition Board (FNB) 2005.
- Global Strategy on Diet, Physical Activity and Health (WHO)
- Managing Sweetness. Towards Constructive, Workable Solutions (EUFIC)
- Overweight and Obesity: Causes and Consequences. (CDC)
- Physical Activity and Public Health in Older Adults. Recommendation From the American College of Sports Medicine (ACSM) and the American Heart Association (AHA). Circulation. 2007;116:1094-1105.
- Promotion of Healthy Weight-Control Practices in Young Athletes. American Academy of Pediatrics Policy Statement. Pediatrics: 1996; 97 :752 –753.
- Sport and Health: 2008 European Union Physical Activity Guidelines (EU)
- The Health Effects of High Fructose Syrup: Report 3 of the Council on Science and Public Health (AMA)
- Total Diet Approach to Communicating Food and Nutrition Information. Position of the Academy of Nutrition and Dietetics. J Acad Nutr Diet. 2013;113:307-317.
- Weight Management. Position of the Academy of Nutrition and Dietetics. J Am Dietet Assn. 2009; 109(2): 330-346.
CPE Programs, Webinars & Podcasts
- Low-Calorie Sweeteners & Weight Management: Help or Hindrance? with Adam Drewnowski, PhD (Free CPE Program)
- Energy Balance in an Obese World: Science & Clinical Applications with James Hill, PhD and Keith Ayoob, EdD, RD (Free CPE Program)
- Using Mindful Eating to Improve Diabetes Management with Michelle May, MD and Megrette Fletcher, MEd, RD, CDE (Free CPE Program)
- Move It! - Research Updates from the Activity Side of the Energy Balance Equation with Steven N. Blair, PED and Timothy Church, PhD, MD (Free CPE Program)
- Sit Less, Move More! Understanding Inactivity Physiology with Marc Hamilton, PhD (Free CPE Program)
- Understanding Americans' Approach to Weight Management: The Role of Low-Calorie Sweeteners with Adam Drewnowski, PhD and Robyn Flipse, MS, RD (Free CPE program)
- Exercise is Medicine: Understanding the Evidence with Robert E. Sallis, MD
- Mindset: A New Strategy for Health Behavior Change with Carol S. Dweck, PhD and Lola Coke, PhD, APRN-BC (Free CPE Program)
- Motivational Interviewing in Action with Julie Schwartz, MS, RD and Lola Coke, PhD, APRN-BC (Free CPE Program)
- Heart Healthy Lifestyle Counseling with Jane Nelson-Worel, APNP and Lynne T. Braun, PhD, CNP
- Active Healthy Lifestyle Pyramid for Children and Adolescents with Marcella Gonzales-Gross, PhD
- Intuitive Eating: Creating a Healthy Relationship with Food, Mind and Body with Evelyn Tribole, MS, RD
- Translating Epidemiology into Sound Public Health Advice with Douglas Weed, MD, PhD (Free CPE Program)
- Effectively Communicating Food and Nutrition Science (Free CPE Program - IFIC)
- Helping Consumers Get the “Big Picture” - Promoting a Healthful, Balanced Eating Pattern (Free CPE Program - IFIC)
- Managing Sweetness. Towards Constructive, Workable Solutions (EUFIC)
Printable Downloads
- What is Weighing Us Down? Calorie Imbalance Impacts Us All
- Helping Your Children Become Physically Active
Based on “Active Healthy Lifestyles. A Guide for Parents” developed by Dr. Marcela Gonzales-Gross and colleagues, this fact sheet is designed for parents to help children become more active.
- Physical Activity: The Key to Keeping Your Child Healthy
Based on “Active Healthy Lifestyles. A Guide for Parents” developed by Dr. Marcela Gonzales-Gross and colleagues, this fact sheet can help parents understand the importance of helping children adopt sensible, balanced fitness and nutrition habits.
- Compendium of Physical Activities
- Guidelines For Communicating Emerging Science (IFIC)
- Heart Healthy Toolbox: Lifestyle Change Tools for Health Care Professionals & Their Patients (PCNA)
- Hitting the Sweet Spot in an Active, Healthy Lifestyle
- Managing Sweetness Brochure (UNESDA)
A recap of Managing Sweetness conference held in Brussels.
Related References
- The Truth about Sugars (IFIC) Consumption of Added Sugars Among U.S. Adults, 2005-2010. Ervin RB, Ogden CL. NCHS data brief. 2013;122.
- Consumption of Added Sugars Among U.S. Adults, 2005–2010. Ervin RB, Ogden CL. NCHS data brief. 2013;122.
- Consumption of Added Sugars Among U.S. Adults, 2005–2010. Ervin RB, Ogden CL. NCHS data brief. 2013;122. National Center for Health Statistics.
- Is funding source related to study reporting quality in obesity or nutrition randomized control trials in top-tier medical journals? Kaiser KA, et. al. Int J Obes. 2012; 36:977-81.
- Low-Calorie Sweeteners and Weight Control. (Supplement) J Nutr. 2012; 142:1132S-1133S.
- Misuse of Odds Ratios in Obesity Literature: An Empirical Analysis of Published Studies. Tajeu GS, Sen B, Allison DB, Menachemi N. Obesity. 2102; 8:1726-31.
- Prevention of Pediatric Overweight and Obesity. American Academy of Pediatrics Policy Statement. Pediatrics: 2003;112(2):424-30.
- The effects of four hypocaloric diets containing different levels of sucrose or high fructose corn syrup on weight loss and related parameters. Lowndes J, Kawiecki D, Pardo S, Nguyen V, Melanson KJ, Yu Z, Rippe JM. Nutr J. 2012; 11:55.
- Nonnutritive Sweeteners: Current Use and Health Perspectives. A Scientific Statement From the American Heart Association and the American Diabetes Association (AHA/ADA). Circulation. 2012 Jul 24;126(4):509-19. Epub 2012 Jul 9.
- The Use and Misuse of Fruit Juice in Pediatrics. American Academy of Pediatrics Policy Statement. Pediatrics: 2001;107(5):1210-1213.
- Trends over 5 Decades in U.S. Occupation-Related Physical Activity and Their Associations with Obesity. Church TS, et. al. PLOS One, Mary 25, 2011.
- Use of Nutritive and Non-nutritive Sweeteners. Position of the Academy of Nutrition and Dietetics. J Acad Nutr Diet. 2012;112:739-758.
- 45-Year Trends in Women’s Use of Time and Household Management Energy Expenditure. Archer E, et al. PLoS ONE. 2013; 8(2): e56620.
- A review of the effectiveness of aspartame in helping with weight control. Ashwell, M, Gibson, S, de la Hunty, A. Nutr Bull. 2006;31(2):115-128.
- Children, Adolescents, and Television. American Academy of Pediatrics Policy Statement. Pediatrics.2001; 107 :423 –426.
- Diet vs exercise for the prevention of pediatric obesity: the role of exercise. Gutin B. Int J Obes. 2010, Jul 20.
- Dietary Reference Intakes Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Institute of Medicine, Food and Nutrition Board (FNB) 2005.
- Eating attentively: a systematic review and meta-analysis of the effect of food intake memory and awareness on eating. Robinson E, et al. Am J Clin Nutr. 2013 Feb 27.
- Food Companies' Calorie-Reduction Pledges to Improve U.S. Diet. Slining MM, Ng SW, Popkin BM. Amer J Prev Med. 2013;44(2):174-184.
- Myths, presumptions, and facts about obesity. Casazza K, Fontaine KR, Astrup A, Birch LL, et al. N Engl J Med. 2013 Jan 31;368(5):446-54
- Observational Studies Often Make Clinical Practice Recommendations: An Empirical Evaluation of Authors' Attitudes. Prasad V, Jorgenson J, Ioannidis JP, Cifu A. J Clin Epidemiol. 2013 Feb 2. S0895-4356(12)00352-6.
- Overweight and Obesity: Causes and Consequences. (CDC)
- Physical Activity and Public Health in Older Adults. Recommendation From the American College of Sports Medicine (ACSM) and the American Heart Association (AHA). Circulation. 2007;116:1094-1105.
- Plate Size and Children’s Appetite: Effects of Larger Dishware on Self-Served Portions and Intake. Katherine I. DiSantis, PhD, Leann L. Birch, PhD et al. Pediatrics peds.2012-2330; Published online April 8, 2013.
- Portion size: review and framework for interventions. Steenhuis IH, Vermeer WM. Int J Behav Nutr Phys Act. 2009; 21;6:58.
- Promotion of Healthy Weight-Control Practices in Young Athletes. American Academy of Pediatrics Policy Statement. Pediatrics: 1996; 97 :752 –753.
- Reported use of reduced-sugar foods and beverages reflect high-quality diets. Sigman-Grant MJ and Hsieh G J Food Sci. 2005; 70:S42-46.
- Role of physical activity in preventing and treating obesity. Hill JO, Wyatt HR. J Appl Physiol. 2005;99(2):765-70.
- Small changes in dietary sugar and physical activity as an approach to preventing excessive weight gain: The America on the Move family study. Rodearmel SJ, Wyatt HR, Stroebele N, Smith SM, Ogden LG and Hill J O. Pediatrics. 2007; 120(4): e869-e879.
- Sport and Health: 2008 European Union Physical Activity Guidelines (EU)
- The "healthy lifestyle guide pyramid" for children and adolescents. González-Gross M, Gómez-Lorente JJ, Valtueña J, Ortiz JC, Meléndez A. Nutr Hosp. 2008;23(2):159-68.
- Total Diet Approach to Communicating Food and Nutrition Information. Position of the Academy of Nutrition and Dietetics. J Acad Nutr Diet. 2013;113:307-317.
- Trends in energy intake among adults in the United States: findings from NHANES. Ford ES and Dietz WH. Am J Clin Nutr. 2013 Apr;97(4):848-53. Epub 2013 Feb 20.
- Weight Management. Position of the Academy of Nutrition and Dietetics. J Am Dietet Assn. 2009; 109(2): 330-346.
- Is food addiction a valid and useful concept? Ziauddeen H & Fletcher PC. Obesity Reviews 20131;4:19-28.
- Obesity and the brain: how convincing is the addiction model? Ziauddeen H, Farooqi IS, Fletcher PC. Nat Rev Neurosci. 2012 Mar 14;13(4):279-86.
- EPODE approach for childhood obesity prevention: methods, progress and international development. Borys JM, Le Bodo Y, Jebb SA, et al. Obesity Reviews. 2012;13(4):299–315.
- Characterizing the EPODE logic model: unravelling the past and informing the future. Van Koperen TM, Jebb SA, Summerbell CD, et al. Obes Rev. 2013 Feb;14(2):162-70.
- Communication strategies to help reduce the prevalence of non-communicable diseases. Fernstrom MH, Reed KA, Rahavi EB, Dooher CC. Nutr Rev. 2012 May;70(5):301-10.
Related Websites
- FamilyDoctor.org (AAFP)
- Academy of Nutrition and Dietetics (AND)
- America on the Move (AOM)
- American Academy of Pediatrics (AAP)
- American Beverage Association (ABA)
- American College of Sports Medicine (ACSM)
- Calorie Control Council (CCC)
- ChooseMyPlate.gov (USDA)
- Energy Balance (EUFIC)
- EU Platform for Diet, Physical Activity and Health (EU)
- Exercise is Medicine (EIM)
- Healthy Weight Commitment Foundation (HWF)
- International Food Information Council (IFIC)
- National Weight Control Registry (NWCR)
- SmallStep.gov (USDA)
- SteviaBenefits.org (CCC)
- U.S. Physical Activity Guidelines 2008 (DHHS)
- We Can! (NIH/NHLBI)
- EPODE International Network (EIN)
Energy Expenditure
Use our Energy Needs Calculator to estimate personal needs and this Calories Burned Calculator from the Calorie Control Council to see the impact of physical activity.
Energy Intake
Using product labels, portion control and low-calorie options can help manage calories.
Check out our Beverage Calorie Comparison tool, or use the USDA MyPlate Food Tracker to calculate your energy balance status.
Behavior Change
Successful weight management often requires learning new behaviors.
Learn how experts help clients overcome barriers to change in our Mindset and Motivational Interviewing programs.


