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超重和肥胖人群静息代谢率与身体成分之间的关系

The Relationship between Resting Metabolic Rate and Body Composition in People Living with Overweight and Obesity.

作者信息

Gitsi Evdoxia, Kokkinos Alexander, Konstantinidou Sofia K, Livadas Sarantis, Argyrakopoulou Georgia

机构信息

Diabetes and Obesity Unit, Athens Medical Center, 15125 Athens, Greece.

First Department of Propaedeutic Internal Medicine and Diabetes Center, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, 11527 Athens, Greece.

出版信息

J Clin Med. 2024 Oct 1;13(19):5862. doi: 10.3390/jcm13195862.

Abstract

Resting metabolic rate (RMR) is an important contributor of energy balance and displays a well-documented relationship with sex, age, race and fat-free mass (FFM) in the existing scientific literature. However, the impact of other body composition components such as fat and liver fat on RMR remains unclear. This study aims to investigate the correlation of RMR with body composition parameters in a sample of patients with overweight and obesity. Retrospective data of patients with overweight or obesity referred for magnetic resonance imaging of liver fat during the period 2018-2023 were utilized for this study. Demographic and anthropometric data were collected, including body composition parameters (body fat, muscle mass) and RMR measured by bioelectrical impedance and indirect calorimetry, respectively. The final sample included 53 patients (66% male), with a mean age of 48 years (±11.2) and a mean body mass index (ΒΜΙ) of 38.5 kg/m (32.7, 44.7). Simple correlation models revealed that RMR was separately correlated with gender, age, BMI, muscle mass, and liver fat (all < 0.05) but not with fat mass. When multiple regression models were employed, only muscle mass retained its statistically significant influence on RMR, while total and hepatic fat did not significantly affect RMR after controlling for other parameters (gender, age, muscle mass). These findings confirm the known correlation between muscle mass and RMR while highlighting the lack of association between total and hepatic fat and RMR in individuals with overweight and obesity.

摘要

静息代谢率(RMR)是能量平衡的一个重要因素,并且在现有科学文献中显示出与性别、年龄、种族和去脂体重(FFM)之间有充分记录的关系。然而,其他身体成分如脂肪和肝脏脂肪对RMR的影响仍不清楚。本研究旨在调查超重和肥胖患者样本中RMR与身体成分参数之间的相关性。本研究利用了2018年至2023年期间因肝脏脂肪磁共振成像而转诊的超重或肥胖患者的回顾性数据。收集了人口统计学和人体测量学数据,包括身体成分参数(体脂、肌肉量)以及分别通过生物电阻抗和间接量热法测量的RMR。最终样本包括53名患者(66%为男性),平均年龄为48岁(±11.2),平均体重指数(BMI)为38.5kg/m²(32.7,44.7)。简单相关模型显示,RMR分别与性别、年龄、BMI、肌肉量和肝脏脂肪相关(均P<0.05),但与脂肪量无关。当采用多元回归模型时,只有肌肉量对RMR保持其统计学上的显著影响,而在控制其他参数(性别、年龄、肌肉量)后,总脂肪和肝脏脂肪对RMR没有显著影响。这些发现证实了肌肉量与RMR之间已知的相关性,同时突出了超重和肥胖个体中总脂肪和肝脏脂肪与RMR之间缺乏关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c791/11477793/6b9befd7f3ca/jcm-13-05862-g001.jpg

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