Resting energy expenditure in the obese: a cross-validation and comparison of prediction equations

J Am Diet Assoc. 1993 Sep;93(9):1031-6. doi: 10.1016/0002-8223(93)92043-w.

Abstract

Objective: To examine the accuracy and precision of 12 equations or tables for predicting resting metabolic rate (RMR) in obese persons.

Design: Observational (correlational) study.

Setting: Obesity Research Center, St Luke's/Roosevelt Hospital, New York, NY.

Subjects/samples: One hundred twenty-six (73 women, 53 men) healthy, obese subjects recruited through the Obesity Research Center's Weight Control Unit.

Measures: RMR by indirect calorimetry. Weight and height were measured to the nearest 0.1 kg and to the nearest 1 cm.

Statistical analyses performed: Bivariate regression of predicted RMR on measured RMR; paired t tests for the difference between means of predicted RMR and measured RMR.

Results: Of the 12 prediction equations, 6 had intercepts or slopes that were significantly different from 0 and 1, respectively. With two exceptions, the equations accounted for between 56% and 63% of the variance in measured RMR. The Robertson and Reid (1952) equation and the Fleisch (1951) equation performed best with our obese sample.

Applications/conclusions: The Robertson and Reid (1952) and the Fleisch (1951) equations are recommended for clinical use with obese patients.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Calorimetry, Indirect
  • Energy Metabolism*
  • Female
  • Forecasting
  • Humans
  • Male
  • Obesity / metabolism*
  • Regression Analysis