Abstract

Background Weight gain may be associated with an imbalance between energy intake and energy expenditure. The resting metabolic rate (RMR) is the main component of total energy expenditure, and is related mainly to lean mass (LM), as well as to other factors such as fat mass (FM), age, sex and genetic factors. A RMR lower than expected may be a risk factor for weight gain. RMR is estimated by equations that use patient's weight, sex, age and height to calculate energy needs. Several studies have shown that these equations have a poor agreement with RMR measured by indirect calorimetry (IC) in obese patients once their excess fat-free mass (FFM) is usually not taken into account.

Highlights

  • Weight gain may be associated with an imbalance between energy intake and energy expenditure

  • Several studies have shown that these equations have a poor agreement with resting metabolic rate (RMR) measured by indirect calorimetry (IC) in obese patients once their excess fat-free mass (FFM) is usually not taken into account

  • RMR was measured by IC (Weir equation) and estimated by Mifflin–St

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Summary

Introduction

Weight gain may be associated with an imbalance between energy intake and energy expenditure. The resting metabolic rate (RMR) is the main component of total energy expenditure, and is related mainly to lean mass (LM), as well as to other factors such as fat mass (FM), age, sex and genetic factors. A RMR lower than expected may be a risk factor for weight gain. RMR is estimated by equations that use patient's weight, sex, age and height to calculate energy needs. Several studies have shown that these equations have a poor agreement with RMR measured by indirect calorimetry (IC) in obese patients once their excess fat-free mass (FFM) is usually not taken into account

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