Accuracy of standardized equations for predicting metabolic rate in premenarcheal girls

Several different equations based on height, weight, sex, and age are available to predict metabolic rate in children and adolescents. The purpose of this study was to determine which of the published standardized equations most accurately predicts metabolic rate in premenarcheal girls. Resting metabolic rate (RMR) was measured in 186 premenarcheal girls by using open-circuit indirect calorimetry with a ventilated hood. Measured RMR was compared with equations provided by the FAO/WHO/UNU, the Mayo Clinic, and Robertson and Reid for girls of the same age. The accuracy of each equation differed for each Tanner stage. The Mayo Clinic standards significantly differed from measured RMR among girls in Tanner stages 1 and 2. The Robertson and Reid standards differed from measured RMR for girls in Tanner stage 1. Only the FAO/WHO/UNU equation predictions did not differ from measured RMR for all Tanner stages studied. These results indicate that the FAO/WHO/UNU equation is the best predictor of RMR in premenarcheal girls at different stages of development. Furthermore, because RMR measured under inpatient and outpatient conditions did not differ significantly, an overnight measurement is not necessary for a reliable determination of RMR.