Solutions
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Resting Metabolic Rate
Why Test Metabolic Rate?
WEIGHT LOSS COUNSELING
- Proof of "normal" metabolism.
Most overweight people are convinced they have a slow metabolism. The truth is that statistically, most overweight and obese individuals have average or higher than average metabolic rates. Taking a measurement removes the excuse that they cannot lose weight. Seeing that their bodies can indeed burn calories can be very encouraging and motivating.
- Stabilize weight loss.
Regardless of the method used to lose weight, a patient's RMR will decrease after weight loss. The decrease is actually below the level predicted by fat-free mass (FFM) or non-obese counterparts. This makes it very easy for a patient to re-gain weight. Unfortunately this happens even with preventative measures, such as resistance training. It is undoubtedly a factor in the high rate of relapse. Although the cause is unclear, it appears that in most cases, if a patient can maintain his new weight for 6 months, his RMR will eventually rise to the expected level.
Frequent testing of RMR can be the key to surviving this crucial period. Pinpointing the precise number of calories necessary to maintain may be the most critical piece of information you can give your patient as they come off the high of finally reaching their weight loss goal and re-enters "real" life. True success is the patient who loses weight, and then keeps it off!
- Pinpoint caloric weight loss zone
RMR holds great value when counseling the weight loss patient. When restricting calories, knowing a baseline RMR is invaluable. KORR Metabolic Analyzers calculate a "weight loss zone" for practitioners who wish to create a caloric deficit based on each individual's baseline RMR.
- Detection and Diagnosis of hypo-metabolism.
In cases where a patient has a clinically low metabolic rate, further diagnosis and treatment by a physician will be required before successful weight loss can be achieved.
- Assess the effect of weight loss treatment on metabolism.
Once calories are restricted, medications are introduced, or an exercise plan has been implemented, the human body will respond. This is especially true of significant interventions, such as bariatric surgery. The caloric goals of a dietary plan will rarely sustain a patient throughout an entire weight loss regimen. The result is the dreaded "plateau." Periodic assessment of RMR will show the effects of the treatments and allow adjustments to the caloric goals.
NUTRITIONAL ASSESSMENT
- Proper nutritional care is VITAL for the hospitalized patient. Studies show that hospital stays are reduced an average of 60% when nutritional status is evaluated and needs are met.
- The formulas that predict caloric needs for nutritional assessment (Harris Benedict, Miffin, etc) are inadequate for certain populations, especially sick or hospitalized patients. RMR is recommended for the following populations:
- All patients receiving parental or enteral nutrition
- Hypermetabolic patients (burns, trauma, sepsis, head injury)
- Starvation-adapted or malnourished patients
- Extremely obese patients (>=200%of ideal body weight)
- Patients with non-healing wounds
- Patients with abnormal body composition (multiple sclerosis, cerebral palsy, cystic fibrosis, spinal cord injury, amputations).
- Patients who can benefit from education about appropriate calorie intake.
DIAGNOSIS OF HYPO-METABOLIC CONDITION
Hypo-metabolism can result from a variety of causes, including:
- Disease state
- Genetics
- Low percentage fat-free mass
- Hypo-caloric diet
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