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Prediction of resting energy expenditure from fat-free mass and fat mass
Abstract
On the basis of literature values, the relationship between fat-free mass (FFM), fat mass (FM), and resting energy expenditure [REE (kJ/24 h)] was determined for 213 adults (86 males, 127 females). The objectives were to develop a mathematical model to predict REE based on body composition and to evaluate the contribution of FFM and FM to REE. The following regression equations were derived: 1) REE = 1265 + (93.3 x FFM) (r2 = 0.727, P < 0.001); 2) REE = 1114 + (90.4 x FFM) + (13.2 x FM) (R2 = 0.743, P < 0.001); and 3) REE = (108 x FFM) + (16.9 x FM) (R2 = 0.986, P < 0.001). FM explained only a small part of the variation remaining after FFM was accounted for. The models that include both FFM and FM are useful in examination of the changes in REE that occur with a change in both the FFM and FM. To account for more of the variability in REE, FFM will have to be divided into organ mass and skeletal muscle mass in future analyses.
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“lean mass strongly determines heat production (metabolic rate) of the body: the greater the muscle mass, the more heat is produced by the body, even in a resting state [75,76].”
From Drivers of diversity in human thermal perception – A review for holistic comfort models (2018) · cites this paper as [75]
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Self-citationIs resting metabolic rate different between men and women?
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“FFM is composed of all nonfat tissues(14) (skeletal muscle mass [SMM], metabolic tissues such as the liver and kidney, intracellular and extracellular water, and bone tissue) and is responsible for the majority of resting energy expenditure.(15) Hurria et al(16) reported that receipt of standard dosing of chemotherapy…”
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“…and smoking on RMR has been discussed in detail elsewhere (Hofstetter et al, 1986; Weststrate et al, 1990; Moffat & Owens, 1991; Leenen et al, 1992; Nelson et al, 1992; Svendsen et al, 1993; Pannemans & Westerterp, 1995; Ryan et al, 1996; Withers et al, 1998; Nielsen et al, 2000; Kimm et al, 2001;…”
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“Table 6 presents a summary of the results from the regression analysis between the RMR assessment method RMR (kcal/d) Mean difference (kcal/d) p RMR measured 1,544 6 155 Nelson equation (8) 1,331 6 119 213 6 97 ,0.001z Mifflin-St.”
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“Major research groups thus consider that, for predicting basal metabolism accurately, fat mass and FFM must be taken into account, but also that FFM should be subdivided into its main components (21, 37, 43, 50, 59).”
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“Discussion The major finding of this study is that patients with diabetic nephropathy who smoke have an elevated REE after accounting for body weight – the strongest single predictor of REE [25-27].”
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“Larger post-meal triglyceride responses are reliably associated with enhanced cardiovascular risk, in part because they promote intima-media thickening (IMT) of carotid arteries, one surrogate atherosclerosis marker (Nordestgaard et al., 2007).”
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Self-citationHypocaloric feeding: pros and cons
Berger, M., & Chioléro, R. (2007) · Current Opinion in Critical Care · doi:10.1097/mcc.0b013e3280895d47 · Cited by 67
Johnstone, A. M., Rance, K. A., Murison, S. D., Duncan, J. S., & Speakman, J. R. (2006) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602477 · Cited by 69
“…major predictor of BMR is fat-free mass (FFM) (Fukagawa et al., 1990; Cunningham 1991; Weinsier et al., 1992), and this explains approximately 70% of the total variation, with some studies finding a secondary, independent contribution of fat mass (FM) (Nelson et al., 1992; Svendsen et al., 1993).”
BackgroundInfluentialNutrition and Metabolism in Kidney Disease
Pupim, L. B., Cuppari, L., & Ikizler, T. A. (2006) · Seminars in Nephrology · doi:10.1016/j.semnephrol.2005.09.010 · Cited by 69
Physical activity and energy requirements
Hill, J., Melby, C. L., Johnson, S., & Peters, J. (1995) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/62.5.1059s · Cited by 66
Coupaye, M., Bouillot, J., Coussieu, C., Guy-grand, B., Basdevant, A., & Oppert, J. (2005) · Obesity Surgery · doi:10.1381/0960892054222768 · Cited by 67
Elevated bound leptin correlates with energy expenditure in cirrhotics
Ockenga, J., Bischoff, S. C., Tillmann, H. L., Rifai, K., Widjaja, A., Böker, K. H. W., Manns, M. P., & Brabant, G. E. (2000) · Gastroenterology · doi:10.1053/gast.2000.20256 · Cited by 65
van Galen, K. A., Schrantee, A., ter Horst, K. W., la Fleur, S. E., Booij, J., Constable, R. T., Schwartz, G. J., Dileone, R., & Serlie, M. J. M. (2023) · Nature Metabolism · doi:10.1038/s42255-023-00816-9 · Cited by 67
Koonen, D. P. Y., Sung, M. M. Y., Kao, C. K., Dolinsky, V. W., Koves, T. R., Ilkayeva, O., Jacobs, R. L., Vance, D. E., Light, P. E., Muoio, D. M., et al. (2010) · Diabetes · doi:10.2337/db09-1142 · Cited by 72
“In addition, it is possible that other organs such as adipose tissue, liver and brain (43,44) are also involved in maintaining a high level of energy expenditure in the middle-aged CD36 KO mice.”
BackgroundClimate variables as predictors of basal metabolic rate: New equations
Froehle, A. W. (2008) · American Journal of Human Biology · doi:10.1002/ajhb.20769 · Cited by 70
“Body mass and body composition have been shown together to exert the largest influence on BMR, both on an interspecific scale and within humans (Cunningham, 1980, 1991; Kleiber, 1961; Nelson et al., 1992; Ravussin et al., 1986; Webb, 1981; Weinsier et al., 1992).”
BackgroundPrediction of resting energy expenditure in severely obese Italian males
Lazzer, S., Agosti, F., Resnik, M., Marazzi, N., Mornati, D., & Sartório, A. (2007) · Journal of Endocrinological Investigation · doi:10.1007/bf03350813 · Cited by 62
Effects of fat mass and body fat distribution on resting metabolic rate in the elderly
Lührmann, P. M., Herbert, B. M., & user-Berthold, M. N. A. (2001) · Metabolism · doi:10.1053/meta.2001.24871 · Cited by 62
Issues in characterizing resting energy expenditure in obesity and after weight loss
Bosy‐Westphal, A., Braun, W., Schautz, B., & Müller, M. J. (2013) · Frontiers in Physiology · doi:10.3389/fphys.2013.00047 · Cited by 61
“Besides FFM, FM explains a small additional proportion in REE variance, especially in populations with a wide range of adiposity (Nelson et al., 1992).”
BackgroundCifuentes, L., Ghusn, W., Feris, F., Campos, A., Sacoto, D., la Rosa, A. D., MCRAE, A. N., Rieck, T., Mansfield, S., Ewoldt, J., et al. (2023) · EClinicalMedicine · doi:10.1016/j.eclinm.2023.101923 · Cited by 60
Guo, J., & Hall, K. D. (2011) · PLoS ONE · doi:10.1371/journal.pone.0015961 · Cited by 59
“6 kcal/kg/d [13] results in mouse values of cFFM = 0.”
BackgroundEnergy requirements from infancy to adulthood
Butte, N., Moon, J., Wong, W. W., Hopkinson, J. M., & Smith, E. (1995) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/62.5.1047s · Cited by 61
Luo, W., Kramer, R. P., de Kort, Y. A. W., Rense, P., & Lichtenbelt, W. D. V. M. (2021) · Indoor Air · doi:10.1111/ina.12951 · Cited by 64
Hill, D. L., Parks, E. P., Zemel, B. S., Justine Shults, A., Stallings, V. A., & Stettler, N. (2013) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2013.137 · Cited by 65
Crane, M. M., Lutes, L. D., Ward, D. S., Bowling, J. M., & Tate, D. F. (2015) · Obesity · doi:10.1002/oby.21265 · Cited by 61
“After the self-evaluation, participants were provided personalized estimates for calorie needs to lose approximately one and two pounds per week (1,200 to 3,308 calories) [33].”
MethodCappuccio, F. P., Kerry, S., Adeyemo, A., Luke, A. H., Amoah, A. G. B., Bovet, P., Connor, M., Forrester, T., Gervasoni, J., Kaki, G. K., et al. (2008) · Epidemiology · doi:10.1097/ede.0b013e31815c4d2c · Cited by 58
“Body composition changes linearly over the range of BMI, with higher percent body fat observed at the upper end of the distribution.(37) Thus, increases in relative weight among the obese will reflect larger gains in adipose tissue relative to lean mass, compared with the lower end of the BMI distribution.”
Mild Calorie Restriction Induces Fat Accumulation in Female C57BL/6J Mice
Li, X., Cope, M. B., Johnson, M. S., Smith, D. L., & Nagy, T. R. (2009) · Obesity · doi:10.1038/oby.2009.312 · Cited by 57
“A common feature of moderate and severe CR in rats and mice is a decrease in energy expenditure due to the loss of metabolically active tissues, like skeletal muscles and organ tissues (33).”
BackgroundEstimating changes in free-living energy intake and its confidence interval
Hall, K. D., & Chow, C. C. (2011) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.111.014399 · Cited by 56
Association Between Blood Pressure and Resting Energy Expenditure Independent of Body Size
Luke, A., Adeyemo, A., Kramer, H., Forrester, T., & Cooper, R. (2004) · Hypertension · doi:10.1161/01.hyp.0000118020.44335.20 · Cited by 53
Douglas, C. C., Lawrence, J. C., Bush, N. C., Oster, R. A., Gower, B. A., & Darnell, B. E. (2007) · Nutrition Research · doi:10.1016/j.nutres.2007.01.016 · Cited by 52
“Fatfree mass is the largest determinant of REE, explaining approximately 62% to 73% of the variability of REE [17,18].”
BackgroundSteinach, M., Kohlberg, E., Maggioni, M. A., Mendt, S., Opatz, O. S., Stahn, A. C., & Gunga, H. (2016) · PLoS ONE · doi:10.1371/journal.pone.0150099 · Cited by 52
“As the women showed significantly higher percentages of fat mass from body weight than men, it is plausible that their average physical activity level was lower compared to men [53], as fat mass is relatively hypometabolic compared to fat free mass [54].”
BackgroundPrediction of resting energy expenditure in severely obese Italian women
Lazzer, S., Agosti, F., Silvestri, P., Derumeaux-Burel, H., & Sartório, A. (2007) · Journal of Endocrinological Investigation · doi:10.1007/bf03347391 · Cited by 53
Grade of adiposity affects the impact of fat mass on resting energy expenditure in women
Bosy‐Westphal, A., Müller, M. J., Boschmann, M., Klaus, S., Kreymann, G., Lührmann, P. M., Neuhäuser‐Berthold, M., Noack, R., Pirke, K. M., Platte, P., et al. (2008) · British Journal Of Nutrition · doi:10.1017/s0007114508020357 · Cited by 51
“the ratio between the regression coefficients of FFM and FM on REE ranged between 1·5:1((1)) and 7:1((4)), suggesting that each kg of lean tissue exerts a 1·5–7 times greater effect on REE than did each kg of fat tissue.”
BackgroundResultPredicting Energy Expenditure in Extremely Obese Women
Dobratz, J. R., Sibley, S. D., Beckman, T. R., Valentine, B. J., Kellogg, T. A., Ikramuddin, S., & Earthman, C. P. (2007) · Journal of Parenteral and Enteral Nutrition · doi:10.1177/0148607107031003217 · Cited by 51
Nguyen, T. Y. V., Batterham, M. J., & Edwards, C. (2016) · Nutrition and Cancer · doi:10.1080/01635581.2016.1153667 · Cited by 50
“Fat-free mass (FFM) is considered to be the largest contributor of REE, suggesting to provide 53– 88% of REE variation (9,10).”
BackgroundHuman energy expenditure: advances in organ‐tissue prediction models
Heymsfield, S. B., Peterson, C. M., Bourgeois, B. L., Thomas, D. M., Gallagher, D., Strauss, B. J., Müller, M. J., & Bosy‐Westphal, A. (2018) · Obesity Reviews · doi:10.1111/obr.12718 · Cited by 49
Moon, J. R., Tobkin, S. E., Smith‐Ryan, A. E., Roberts, M. D., Ryan, E. D., Dalbo, V. J., Lockwood, C. M., Walter, A. A., Cramer, J. T., Beck, T. W., et al. (2008) · Dynamic Medicine · doi:10.1186/1476-5918-7-7 · Cited by 48
Monnier, L., Schlienger, J.-L., Colette, C., & Bonnet, F. (2021) · Diabetes & Metabolism · doi:10.1016/j.diabet.2020.09.002 · Cited by 47
Metadata
- Authors
- Nelson, K., Weinsier, R., Long, C., & Schutz, Y.
- Affiliations
- University of Alabama at Birmingham (US)
- Corresponding author
- Nelson, KM
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 1992-11
- Volume
- 56
- Issue
- 5
- Pages
- 848-856
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W1954962848
- Cited by
- 371
- References
- 44
- Citations by year
- 2026: 11 · 2025: 3 · 2024: 10 · 2023: 13 · 2022: 16 · 2021: 23 · 2020: 19 · 2019: 9 · 2018: 17 · 2017: 15 · 2016: 15 · 2015: 19 · 2014: 16 · 2013: 16 · 2012: 13
- FWCI
- 1.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Body Composition Measurement Techniques
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- resting energy expenditure, fat-free mass, fat mass, body composition, energy expenditure estimation, regression models, skeletal muscle mass, organ mass, adults
- MeSH terms
- Adipose Tissue, Adult, Basal Metabolism, Body Composition, Energy Metabolism, Female, Humans, Male, Mathematics, Models, Biological, Obesity, Regression Analysis
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