- Basal metabolic rate
- Physical activity
- Thermic effect of food
BMR is measured under very restrictive circumstances when a person is awake. An accurate BMR measurement requires that the person's sympathetic nervous system not be stimulated, such a condition whose prerequisite is that of complete rest. A more common and closely related measurement, used under less strict conditions, is resting metabolic rate (RMR).
BMR and RMR are measured by gas analysis through either direct or indirect calorimetry, though a rough estimation can be acquired through an equation using age, sex, height, and weight. Studies conducted by Spennewyn in 1990 found strong correlations between lean mass and metabolism based on indirect calorimetry measurements. Spennewyn discovered that lean tissue in men and women required approximately 16 calories per pound per day. Thus, once a lean mass was known it could be multiplied by 16 to reveal daily caloric needs based on the activity level of the individual. This method has been used in many health club environments to determine daily caloric needs.
Medical considerations
Each person's metabolism is unique due to his or her unique physical makeup and physical behavior. For some, this makes weight management a very difficult undertaking requiring sophisticated expertise. There are a number of medical adjustments to natural human processes that can affect one's metabolism.Menopause affects metabolism but in different ways for different people, thus hormones are sometimes used to minimize the effects of menopause. Weight training can have a longer impact on metabolism than aerobic training, but there are no formulas currently written which can predict the length and duration of a raised metabolism from trophic changes with anabolic neuromuscular training. Gastric bypass surgery is used to reduce the content capacity of the stomach, bringing caloric intake down and lowering thermogenesis. Because the surgery significantly reduces caloric consumption, it will decrease BMR and RMR over time in the same fashion as aging, because the volume of the stomach is reduced. The stomach along with the rest of the digestive tract is a major contributor to BMR and RMR. Celiac disease, which reduces the ability of the stomach to digest food, may also reduce BMR and RMR. Celiac disease is fairly common, occurring in 1% of the U.S. population, with 2 million undiagnosed.
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