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medRxiv PreprintsInternational14 October 2026

Estimated Free-Living Energy Balance and Perceived Physical and Psychological Stress in Japanese Male University Students: A 28-Day Observational Study

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Background: Whether whole-body energy balance is associated with perceived stress in young adults is unclear. Aim: To examine associations of estimated free-living energy balance with physical and psychological stress during 28-day monitoring. Methods: This secondary analysis of an observational study included 18 Japanese male university students with at least 14 valid accelerometer days (at least 600 min/day). Energy intake was estimated using the Brief-type Self-administered Diet History Questionnaire; total energy expenditure was estimated from accelerometry plus resting metabolic rate. Phy
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