Under rigorous control with no air leaks occurring, four studies of neutral design suggest comparable RMR measures in free-living adults can be achieved using either canopy, mouthpiece and nose clip, or facemask gas collection devices. However, in one neutral quality study, mean RMR was 7% higher for facemask and 9% higher for mouthpiece compared to canopy. Because of conflicting data and recent advances in technology, further studies comparing gas collection devices are needed, including in clinical populations.
The first 5 minutes of data should be discarded no matter which of the three collection devices are used.