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Elevated metabolic rates in obesity

W P James, H L Davies, J Bailes

    Lancet (London, England)
    |May 27, 1978
    PubMed
    Summary
    This summary is machine-generated.

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    Obese individuals have higher resting metabolic rates (R.M.R.s) due to increased lean body mass, not excess fat. This elevated R.M.R. decreases during weight loss, necessitating sustained dietary changes for weight management.

    Area of Science:

    • Metabolism and Obesity Research
    • Human Physiology

    Background:

    • Obesity is a complex metabolic condition.
    • Resting metabolic rate (R.M.R.) is a key factor in energy balance.

    Purpose of the Study:

    • To investigate the relationship between obesity, lean body mass, and resting metabolic rates.
    • To understand R.M.R. changes during weight stability and weight loss in obese individuals.

    Main Methods:

    • Measured resting metabolic rates (R.M.R.s) in 69 obese patients during weight stability.
    • Assessed R.M.R. changes in 30 patients during weight loss.
    • Analyzed R.M.R. in relation to lean body mass and body fat.

    Main Results:

    • Obese patients exhibited higher R.M.R.s (megajoules per 24 hours) than normal-weight subjects, an effect masked by traditional surface area normalization.

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  • Increased R.M.R. was correlated with a significant rise in lean body mass (36% in men, 32% in women), not excess fat.
  • R.M.R. declined progressively during weight loss.
  • Conclusions:

    • Elevated R.M.R. in obesity is a compensatory mechanism for energy balance, driven by increased lean body mass.
    • The fall in R.M.R. during slimming highlights the necessity of permanent dietary reduction to maintain energy balance post-weight loss.
    • R.M.R. measurement alone in the obese state is insufficient for understanding obesity's pathogenesis.