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Basal metabolism of weight-stable chronically undernourished men and women: lack of metabolic adaptation and ethnic differences
Open accessAbstract
The purpose of this study was to investigate whether weight-stable chronically energy-deficient subjects exhibit evidence of metabolic adaptation and to establish whether international predictive equations overestimate the basal metabolic rate (BMR) of tropical populations. BMR, body weight, height, and fat-free mass (FFM) by underwater weighing were measured in healthy, physically active urban dwellers of low socioeconomic status (178 men and women aged 22-38 y) in Bangalore, Southern India. Subjects were selected on the basis of body mass index (BMI; in kg/m2) and classified in three groups: severely undernourished (BMI < 17.0; n = 30 men, n = 25 women), marginally undernourished (BMI = 17.0-18.5; n = 31 men, n = 30 women), and well nourished (BMI > 18.5; n = 27 men, n = 35 women). The BMR of the well-nourished group, expressed in absolute terms (6.20 and 5.18 MJ/d for men and women, respectively), was significantly higher (P < 0.000) than that of the severely undernourished group (5.72 and 4.64 MJ/d for men and women, respectively). Normalizing BMR for either body weight or FFM by analysis of covariance abolished all differences. The mean BMR of the low-BMI study group was substantially higher (11-14%) than reported previously for undernourished Indian adults. The BMR of both men and women, regardless of their nutritional status, was accurately estimated by age- and sex-specific FAO/WHO/UNU equations. These findings suggest the absence of an enhanced metabolic response in weight-stable chronically undernourished adults. This is in contrast with earlier reports, and supports more recent views. The study also provides evidence of the absence of ethnic-specific energy turnover in Indians.
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“The FAO 13 publication proposed for the first time the use of energy expenditure to calculate energy requirements.”
From Basal metabolic rate studies in humans: measurement and development of new equations (2005) · cites this paper as [13]
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Metadata
- Authors
- Ferro-Luzzi, A., Petracchi, C., Kuriyan, R., & Kurpad, A.
- Affiliations
- Istituto Nazionale di Ricerca per gli Alimenti e la Nutrizione (IT)
- Corresponding author
- Ferro-Luzzi, A
- ORCID
- Kuriyan, R
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 1997-11
- Volume
- 66
- Issue
- 5
- Pages
- 1086-1093
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W1951653039
- Cited by
- 47
- References
- 36
- Citations by year
- 2021: 1 · 2020: 2 · 2018: 2 · 2016: 2 · 2015: 3 · 2014: 1
- FWCI
- 1.83
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Funders
- European Commission
- Topics
- Health Sciences › Medicine › Physiology (medical) › Body Composition Measurement Techniques
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Keywords
- basal metabolic rate, chronic malnutrition, metabolic adaptation, energy deficiency, fat-free mass, body mass index, ethnic differences, energy expenditure, tropical populations, Indian adults
- MeSH terms
- Adaptation, Physiological, Adult, Basal Metabolism, Chronic Disease, Female, Humans, India, Male, Nutrition Disorders, Nutritional Status, Social Class, Tropical Climate, Urban Population, Body Mass Index
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