Journal List > Korean J Sports Med > v.33(1) > 1054546

Kim and Park: Accuracy of Four Resting Metabolic Rate Predictive Equations in Obese Women

Abstract

Calculating the estimated resting metabolic rate (RMR) in severely obese patients is useful, but there is controversy concerning the effectiveness of available predictive equations using body weight. This study compared the accuracy of four commonly used RMR predictive equations to measured RMR. We evaluated the efficacy of RMR equations against indirect calorimetry in forth female obese subjects. The subjects had their RMR measured by indirect calorimetry and compared to the most commonly used prediction equations (Harris-Benedict, Owen, and Mifflin-St Jeor, World Health Organization/Food and Agriculture Organization/United Nations University [WHO/FAU/UNU]). The results shows that Owen and Mifflin-St Jeor equations significantly under-estimated to our measured RMR. However, the WHO/FAO/UNU Equation was the most accurately predictive RMR values (1,543.6±110.3 vs. 1,484.3±218.3) compared to measured RMR. As based on data, we suggest that WHO/FAO/UNU equation and Harris-Benedicts equation would be most reasonable and useful for Korean obese women.

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Fig. 1.
Measurement of resting metabolic rate.
kjsm-33-29f1.tif
Fig. 2.
Adjusted mean differences between the measured and predicted RMR. p<0.05. RMR: resting metabolic rate, MRMR: measured resting metabolic rate, WHO/FAU/UNU: World Health Organization/Food and Agriculture Organization/ United Nations University.
kjsm-33-29f2.tif
Table 1.
Characteristics of study subjects
  N Age (y) Height (cm) Weight (kg) BMI (kg/m2) %BF (%)
Subject 40 45.3±8.0 159.3±3.0 74.2±12.4 29.5±3.2 36.3±4.2

BMI: body mass index, %BF: %body fat.

Table 2.
Four resting metabolic rate prediction equations
Harris-Benedict (1919)
-Women: RMR=665.09+9.56×weight+1.84×height−4.67×
age
WHO/FAO/UNU (1985)
-Women
18−30: 13.3×weight+334×height+35
31−60: 8.7×weight−25×height+865
>60: 9.2×weight+637×height−302
Owen (1986−87)
-Women: RMR=795+7.18×weight.
Mifflin-St Jeor (1990)
-Women: RMR=9.99×weight+6.25×height−4.92×age−
161

RMR: resting metabolic rate, WHO/FAO/UNU: World Health Organization/Food and Agriculture Organization/United Nations University.

Table 3.
Comparison of resting metabolic rate and predicted resting metabolic rate
  No. Measured RMR (kcal/d) Harris-Benedict WHO/FAO/UNU Owen Mifflin-ST Jeor
Subject 40 1,484.3±218.3 1,570.6±148.0 1,543.6±110.3 1,320.1±106.1 1,343.8±134.5
PRMR-MRMR     86.3±72.3 61.3±44.7 −164.1±62.8 −140.5±68.8
c rate, WHO/FAO/ R: predicted restin UNU: World Health g metabolic rate, M h Organization/Food MRMR: measured re d and Agriculture sting metabolic rat Organization/United e.

RMR: Resting metabolic rate, WHO/FAO/UNU: World Health Organization/Food and Agriculture Organization/United Nations University, PRMR: predicted resting metabolic rate, MRMR: measured resting metabolic rate.

p < 0.05

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