text: NEAT is the main component of activity-related energy expenditure in obese individuals, as most do not do any physical exercise. NEAT is also lower in obese individuals than the general population.
  NEAT may be reduced in individuals who have lost weight, which some hypothesize contributes to difficulties in achieving and sustaining weight loss.
  In Western countries, occupations have shifted from physical labor to sedentary work, which results in a loss of energy expenditure. Strenuous physical labor can require 1500 calories or more per day than desk work.