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Resting energy expenditure and body composition in morbidly obese, obese and control subjects

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Abstract

Resting energy expenditure (REE) was investigated by indirect calorimetry in relation to body composition and to different degrees of obesity in order to assess if a defective energy expenditure contributes to extra body fat accumulation. Differences were found between control subjects (group C; BMI 23±0.5 kg/m2, REE 5890±218 kJ/day; mean±SEM) and obese subjects (group O; BMI 34.2±0.9 kg/m2, REE 7447±360 kJ/day;P<0.0001) and between group C and morbidly obese subjects (group MO; BMI 49.9±1.6 kg/m2, REE 8330±360 kJ/day;P<0.0001); REE was not significantly different between groups O and MO. Body composition data were obtained by means of body impedance analysis. Even though group MO had a fat mass higher than group O, body cell mass, the metabolically active body compartment, was similar in groups O and MO, and this fact may have contributed to the similar REE in the two groups. Multiple regression analysis gave the following equation as the best predictor of REE: REE (kJ/day)+1591±49BW+74BCM−737 G (R 2=0.88), where BW is body weight, BCM is body cell mass andG is a dummy variable coding group membership (group C=1; group O=2; group MO=3). Thus the analysis showed a negative impact of obesity on REE beyond body composition variables.

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Authors and Affiliations

  1. Cattedra di Clinica Medica B, University of Palermo, Policlinico “P. Giaccone”, Piazza delle Cliniche, 2, I-90127, Palermo, Italy

    S. Verga & S. Buscemi

  2. Insegnamento di Metodologia Clinica, University of Palermo, Italy

    G. Caimi

Authors
  1. S. Verga
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  2. S. Buscemi
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  3. G. Caimi
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Verga, S., Buscemi, S. & Caimi, G. Resting energy expenditure and body composition in morbidly obese, obese and control subjects. Acta Diabetol 31, 47–51 (1994). https://doi.org/10.1007/BF00580761

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  • DOI: https://doi.org/10.1007/BF00580761

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