Which of the following factors is used to determine estimated energy requirements (eers)?
a. age
b. height and weight
c. physical activity level
d. all of the above

The Estimated Energy Requirement for Maintenance (EERM, or actual energy requirement) is the dietary energy intake that is predicted to maintain energy balance.  The estimated energy requirements (EERs) are determined by the following factors: age, gender, weight, height, activity. This makes the correct D: all of the above. However, there are extra needs for pregnancy, lactation and growth.

was there more to the question like a picture or something? also i mean with no picture i think something that's not likely to be an educational impact would probably be the way the child is raised since it has special health care needs