PT - JOURNAL ARTICLE AU - Urlacher, Samuel S. AU - Snodgrass, J. Josh AU - Dugas, Lara R. AU - Sugiyama, Lawrence S. AU - Liebert, Melissa A. AU - Joyce, Cara J. AU - Pontzer, Herman TI - Constraint and trade-offs regulate energy expenditure during childhood AID - 10.1126/sciadv.aax1065 DP - 2019 Dec 01 TA - Science Advances PG - eaax1065 VI - 5 IP - 12 4099 - http://advances.sciencemag.org/content/5/12/eaax1065.short 4100 - http://advances.sciencemag.org/content/5/12/eaax1065.full SO - Sci Adv2019 Dec 01; 5 AB - Children’s metabolic energy expenditure is central to evolutionary and epidemiological frameworks for understanding variation in human phenotype and health. Nonetheless, the impact of a physically active lifestyle and heavy burden of infectious disease on child metabolism remains unclear. Using energetic, activity, and biomarker measures, we show that Shuar forager-horticulturalist children of Amazonian Ecuador are ~25% more physically active and, in association with immune activity, have ~20% greater resting energy expenditure than children from industrial populations. Despite these differences, Shuar children’s total daily energy expenditure, measured using doubly labeled water, is indistinguishable from industrialized counterparts. Trade-offs in energy allocation between competing physiological tasks, within a constrained energy budget, appear to shape childhood phenotypic variation (e.g., patterns of growth). These trade-offs may contribute to the lifetime obesity and metabolic health disparities that emerge during rapid economic development.