Assessing Resting Metabolic Rate in Overweight and Obese Adolescents With a Portable Indirect Calorimeter: A Pilot Study for Validation and Reliability

• Published in: Nutrition in clinical practice Vol. 31; no. 3; p. 355
• Main Authors: Henes, Sarah T, Johnson, Abby, Toner, Marti, Mamaril, Kamille, Kelkar, Maya, Xiao, Yuanhui, Warren, Gordon L
• Format: Journal Article
• Language: English
• Published: United States 01.06.2016
• Subjects: Adolescent; Adult; Basal Metabolism - physiology; Calorimetry, Indirect - methods; Calorimetry, Indirect - statistics & numerical data; Female; Humans; Male; Overweight - physiopathology; Pediatric Obesity - physiopathology; Pilot Projects; Reproducibility of Results; Young Adult; resting energy expenditure; adolescent; energy expenditure; energy metabolism; obesity; indirect calorimetry
• ISSN: 1941-2452
• DOI: 10.1177/0884533615603966

Indirect calorimetry measured via the traditional indirect calorimeter is considered the "gold standard" for determining resting metabolic rate (RMR). Portable devices for assessing RMR are a less expensive option for measuring RMR in the clinical setting. This pilot study tested the reliability and validity of a portable device for measuring RMR, specifically in overweight and obese adolescents. Participants aged 17-19 years (n = 19) and ≥85th percentile on the Centers for Disease Control and Prevention body mass index growth curves for age and sex were recruited from a university campus. Participants completed testing on a traditional indirect calorimeter and a portable indirect calorimeter in a randomized order on 2 separate testing days. A paired samples t test comparing the means of the portable device and the traditional indirect calorimeter found no significant difference (P = .22). The test-retest intraclass correlation coefficient for assessing RMR was 0.91, indicating reliability of the portable indirect calorimeter. Compared with measured RMR, the Mifflin-St Jeor equation demonstrated 37% accuracy, and the Molnar equation demonstrated 57% accuracy. This pilot study found portable indirect calorimetry to be reliable and valid for assessing RMR in an overweight and obese adolescent population. In addition, this study indicates that portable indirect calorimetry may be an acceptable option for assessing RMR in this population compared with the traditional indirect calorimeter or predictive equations.