Significant features of basal and maximal energy expenditure parameters in obese adults

To compare body composition, resting metabolic rate, and maximal aerobic capacity parameters in obese adults and healthy controls, as well as to investigate the associations among these parameters. Materials and methods: A total of 120 participants, 60 obese participants (30 male, 30 female) with body mass indexes (BMIs) over 30 kg/m2 and 60 healthy controls (30 male, 30 female) with BMIs of 18-25 kg/m2, were included in the study. BMI was calculated as body weight divided by the square of the height (kg/m2). Body fat percentage, total body fat, and lean body mass were established with bioelectric impedance analysis. Resting metabolic rates (RMRs) were determined with indirect calorimeter. Maximal aerobic capacity was estimated with the Astrand exercise protocol. Results: RMRs (kcal/day) were significantly higher in male and female obese individuals than in the controls. VO2max (L/min) levels were not significantly different between obese and control individuals of either sex. However, RMR per kilogram of body weight and VO2max expressed in milliliters per kilogram of body weight were significantly lower in male and female obese adults compared to the controls. BMI, body fat percentage, and total body fat were positively correlated with RMR (kcal/day), but negatively correlated with RMR [(kcal/day)/kg] and VO2max (mL/kg/min) in both sexes. Conclusion: We suggest that resting and maximal energy expenditure per kilogram of body weight are impaired in obese adults. Both low resting metabolic rate and weak maximal aerobic capacity are related to excess body fat in obese subjects.

Significant features of basal and maximal energy expenditure parameters in obese adults

To compare body composition, resting metabolic rate, and maximal aerobic capacity parameters in obese adults and healthy controls, as well as to investigate the associations among these parameters. Materials and methods: A total of 120 participants, 60 obese participants (30 male, 30 female) with body mass indexes (BMIs) over 30 kg/m2 and 60 healthy controls (30 male, 30 female) with BMIs of 18-25 kg/m2, were included in the study. BMI was calculated as body weight divided by the square of the height (kg/m2). Body fat percentage, total body fat, and lean body mass were established with bioelectric impedance analysis. Resting metabolic rates (RMRs) were determined with indirect calorimeter. Maximal aerobic capacity was estimated with the Astrand exercise protocol. Results: RMRs (kcal/day) were significantly higher in male and female obese individuals than in the controls. VO2max (L/min) levels were not significantly different between obese and control individuals of either sex. However, RMR per kilogram of body weight and VO2max expressed in milliliters per kilogram of body weight were significantly lower in male and female obese adults compared to the controls. BMI, body fat percentage, and total body fat were positively correlated with RMR (kcal/day), but negatively correlated with RMR [(kcal/day)/kg] and VO2max (mL/kg/min) in both sexes. Conclusion: We suggest that resting and maximal energy expenditure per kilogram of body weight are impaired in obese adults. Both low resting metabolic rate and weak maximal aerobic capacity are related to excess body fat in obese subjects.

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  • Chaput JP, Doucet E, Tremblay A. Obesity: a disease or a biological adaptation? An update. Obes Rev 2012; 13: 681–691.
  • Pereira-Lancha LO, Coelho DF, de Campos-Ferraz PL, Lancha AH Jr. Body fat regulation: is it a result of a simple energy balance or a high fat intake? J Am Coll Nutr 2010; 29: 343–351.
  • Sazonov ES, Schuckers S. The energetics of obesity: a review: monitoring energy intake and energy expenditure in humans. IEEE Eng Med Biol Mag 2010; 29: 31–35.
  • Gezmen Karadağ M, Aksoy M. The effect of omega-3 fatty acid supplementation on plasma orexin A, plasma fatty acids, and anthropometric measurements in patients with narcolepsy. Turk J Med Sci 2012; 42: 77–88.
  • Sevinç Ö, Bozkurt Aİ, Gündoğdu M, Baş Aslan U, Ağbuğa B, Aslan Ş, Dikbaş E, Gökçe Z. Evaluation of the effectiveness of an intervention program on preventing childhood obesity in Denizli, Turkey. Turk J Med Sci 2011; 41: 1097–1105.
  • American College of Sports Medicine (ACSM). ACSM’s Health-Related Physical Fitness Assessment Manual. 2nd ed. Baltimore: Lippincott Williams & Wilkins; 2007. pp. 56, 57, 118–121.
  • Jia WP, Yang M, Shao XY, Bao YQ, Lu JX, Xiang KS. Resting energy expenditure and its relationship with patterns of obesity and visceral fat area in Chinese adults. Biomed Environ Sci 2005; 18: 103–107.
  • Genç A, Üçok K, Günay E, Gönül Y, Karabacak H, Şener Ü, Nural S, Ünlü M. Effects of long acting beta-2 agonist treatment on daily energy balance and body composition in patients with chronic obstructive pulmonary disease. Turk J Med Sci 2012; 42: 1414–1422.
  • Unutmaz G, Tekin Koruk S, Sert C. Determination of changes in the basal metabolic rate and body composition of patients with chronic active and inactive hepatitis B infection using bioelectrical impedance analysis. Turk J Med Sci 2012; 42: 237–243.
  • Cosar E, Koken G, Sahin FK, Akgun L, Ucok K, Genc A, Yılmazer M. Resting metabolic rate and exercise capacity in women with polycystic ovary syndrome. Int J Gynaecol Obstet 2008; 101: 31–34.
  • American College of Sports Medicine (ACSM). ACSM’s Guidelines for Exercise Testing and Prescription. 6th ed. Baltimore: Lippincott Williams & Wilkins; 2009. pp. 19–34, 72. Swain DP, Parrott JA, Bennett AR, Branch JD, Dowling EA. Validation of a new method for estimating VO2max based on VO2 reserve. Med Sci Sports Exerc 2004; 36: 1421–1426.
  • Demirel R, Ucok K, Kavuncu V, Gecici O, Evcik D, Dundar U, Solak O, Mollaoglu H. Effects of balneotherapy with exercise in patients with low back pain. J Back Musculoskelet Rehabil 2008; 21: 263–272.
  • Abacı A, Akelma AZ, Özdemir O, Hızlı Ş, Razı CH, Akın KO. Relation of total homocysteine level with metabolic and anthropometric variables in obese children and adolescents. Turk J Med Sci 2012; 42: 69–76.
  • Itagi V, Patil R. Obesity in children and adolescents and its relationship with hypertension. Turk J Med Sci 2011; 41: 259– 2
  • Forman JN, Miller WC, Szymanski LM, Fernhall B. Differences in resting metabolic rates of inactive obese African-American and Caucasian women. Int J Obes Relat Metab Disord 1998; 22: 215–221.
  • Ruige JB, Ballaux DP, Funahashi T, Mertens IL, Matsuzawa Y, Van Gaal LF. Resting metabolic rate is an important predictor of serum adiponectin concentrations: potential implications for obesity-related disorders. Am J Clin Nutr 2005; 82: 21–25.
  • Astrup A, Gİtzsche PC, van de Werken K, Ranneries C, Toubro S, Raben A, Buemann B. Meta-analysis of resting metabolic rate in formerly obese subjects. Am J Clin Nutr 1999; 69: 1117– 11
  • Bosy-Westphal A, Kossel E, Goele K, Later W, Hitze B, Settler U, Heller M, Glüer CC, Heymsfield SB, Müller MJ. Contribution of individual organ mass loss to weight loss-associated decline in resting energy expenditure. Am J Clin Nutr 2009; 90: 993– 100
  • Hallgren P, Sjöström L, Hedlund H, Lundell L, Olbe L. Influence of age, fat cell weight, and obesity on O 2 consumption of human adipose tissue. Am J Physiol 1989; 256: 467–474.
  • DeLany JP, Bray GA, Harsha DW, Volaufova J. Energy expenditure in African American and white boys and girls in a 2-y follow-up of the Baton Rouge Children’s Study. Am J Clin Nutr 2004; 79: 268–273.
  • Faintuch J, Souza SA, Valezi AC, Sant’Anna AF, GamaRodrigues JJ. Pulmonary function and aerobic capacity in asymptomatic bariatric candidates with very severe morbid obesity. Rev Hosp Clin Fac Med Sao Paulo 2004; 59: 181–186.
  • Mollaoglu H, Ucok K, Kaplan A, Genc A, Mayda H, Guzel HI, Sener U, Uygur E, Ozbulut O. Association analyses of depression, anxiety, and physical fitness parameters in Turkish obese adults. J Back Musculoskelet Rehabil 2012; 25: 253–260.
  • Watanabe K, Nakadomo F, Maeda K. Relationship between body composition and cardiorespiratory fitness in Japanese junior high school boys and girls. Ann Physiol Anthropol 1994; 13: 167–174.
  • Ostojic SM, Stojanovic MD, Stojanovic V, Maric J, Njaradi N. Correlation between fitness and fatness in 6–14-year-old Serbian school children. J Health Popul Nutr 2011; 29: 53–60.
  • Chaput JP, Tremblay A. Obesity and physical inactivity: the relevance of reconsidering the notion of sedentariness. Obes Facts 2009; 2: 249–254.
  • Bournat JC, Brown CW. Mitochondrial dysfunction in obesity. Curr Opin Endocrinol Diabetes Obes 2010; 17: 446–452.
  • Ritov VB, Menshikova EV, Azuma K, Wood R, Toledo FG, Goodpaster BH, Ruderman NB, Kelley DE. Deficiency of electron transport chain in human skeletal muscle mitochondria in type 2 diabetes mellitus and obesity. Am J Physiol Endocrinol Metab 2010; 298: 49–58.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

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The correlation between cardiovascular risk and functional disability and disease activity in the patients with rheumatoid arthritis

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Tissue Doppler evaluation of the right ventricle in major pulmonary resections

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Effect of mental stress on cardiovascular function at rest and after ingestion of fructose or sucralose in healthy, white European males

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Investigation of the frequency of the mutant CCR5-Δ32 allele related to HIV resistance in Turkey

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Determining the association between Turkish women's menopausal symptoms and their marital adjustment

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Headache in multiple sclerosis

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Left atrial dilatation in undetermined group according to TOAST classification: echocardiographic assessment of stroke patients

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