Two high quality studies (one in healthy females and one in males and females) recommend a single measurement is sufficient to represent resting metabolic rate (RMR) in a 24-hour period; though the first 5 minutes should be discarded.

• Grade I means there is Good/Strong evidence supporting the statement;
• Grade II is Fair;
• Grade III is Limited/Weak;
• Grade IV is Expert Opinion Only;
• Grade V is Not Assignable.
• High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
• Moderate (B) means we are moderately confident in the effect estimate;
• Low (C) means our confidence in the effect estimate is limited;
• Very Low (D) means we have very little confidence in the effect estimate.
• Ungraded means a grade is not assignable.

• Detail
• Quality Rating Summary
  For a summary of the Quality Rating results, click here.
• Worksheets
  • Delikanaki-Skaribas E. The role of sampling duration on basal metabolic rate measurement error. Thesis dissertation. 2001 (1a).
  • Fredrix EWHM, Soeters PB, vonMeyenfeldt MF, Saris WHM. Measurement of resting energy expenditure in a clinical setting. Clin Nutr. 1990; 9: 299-304.
  • Gasic S, Schneider B, Waldhausl W. Indirect calorimetry: Variability of consecutive baseline determinations of carbohydrate and fat utilization from gas exchange measurements. Horm Metab Res 1997;29:12-15.
  • Horner NK, Lampe JW, Patterson RE, Neuhouser ML, Beresford SA, Prentice RL. Indirect calorimetry protocol development for measuring resting metabolic rate as a component of total energy expenditure in free-living postmenopausal women. J Nutr. 2001; 131 (8): 2,215-2,218.
  • Isbell TR, Klesges RC, Meyers AW, Klesges LM. Measurement reliability and reactivity using repeated measurements of resting energy expenditure with a face mask, mouthpiece and ventilated canopy. Journal of Parenteral and Enteral Nutrition. 1991; 15 (2): 165-168.
  • Leff ML, Hill JO, Yates AA, Cotsonis GA, Heymsfield SB. Resting metabolic rate: Measurement reliability. Journal of Parenteral and Enteral Nutrition 1987; 11: 354-359.
  • Stokes MA, Hill GL. A single, accurate measurement of resting metabolic expenditure. JPEN J Parenter Enteral Nutr. 1991;15(3):281-287.
  • van Lanschot JJB, Feenstra BWA, Vermeij CG, Bruining HA. Accuracy of intermittent metabolic gas exchange recordings extrapolated for diurnal variation. Crit Care Med. 1988; 16 (8): 737-742.
  • van Lanschot JJ, Feenstra BW, Vermeij CG, Bruining HA. Calculation versus measurement of total energy expenditure. Critical Care Medicine. 1986; 14: 981-985.

One study of moderate research quality in males residing in a Veterans Health Administration transitional skilled care unit recommends a single measurement is sufficient to represent resting metabolic rate (RMR) in a 24-hour period; though the first 5 minutes should be discarded.

 

• Grade I means there is Good/Strong evidence supporting the statement;
• Grade II is Fair;
• Grade III is Limited/Weak;
• Grade IV is Expert Opinion Only;
• Grade V is Not Assignable.
• High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
• Moderate (B) means we are moderately confident in the effect estimate;
• Low (C) means our confidence in the effect estimate is limited;
• Very Low (D) means we have very little confidence in the effect estimate.
• Ungraded means a grade is not assignable.

• Detail
• Quality Rating Summary
  For a summary of the Quality Rating results, click here.
• Worksheets
  • Delikanaki-Skaribas E. The role of sampling duration on basal metabolic rate measurement error. Thesis dissertation. 2001 (1a).
  • Fredrix EWHM, Soeters PB, vonMeyenfeldt MF, Saris WHM. Measurement of resting energy expenditure in a clinical setting. Clin Nutr. 1990; 9: 299-304.
  • Gasic S, Schneider B, Waldhausl W. Indirect calorimetry: Variability of consecutive baseline determinations of carbohydrate and fat utilization from gas exchange measurements. Horm Metab Res 1997;29:12-15.
  • Horner NK, Lampe JW, Patterson RE, Neuhouser ML, Beresford SA, Prentice RL. Indirect calorimetry protocol development for measuring resting metabolic rate as a component of total energy expenditure in free-living postmenopausal women. J Nutr. 2001; 131 (8): 2,215-2,218.
  • Isbell TR, Klesges RC, Meyers AW, Klesges LM. Measurement reliability and reactivity using repeated measurements of resting energy expenditure with a face mask, mouthpiece and ventilated canopy. Journal of Parenteral and Enteral Nutrition. 1991; 15 (2): 165-168.
  • Leff ML, Hill JO, Yates AA, Cotsonis GA, Heymsfield SB. Resting metabolic rate: Measurement reliability. Journal of Parenteral and Enteral Nutrition 1987; 11: 354-359.
  • Stokes MA, Hill GL. A single, accurate measurement of resting metabolic expenditure. JPEN J Parenter Enteral Nutr. 1991;15(3):281-287.
  • van Lanschot JJB, Feenstra BWA, Vermeij CG, Bruining HA. Accuracy of intermittent metabolic gas exchange recordings extrapolated for diurnal variation. Crit Care Med. 1988; 16 (8): 737-742.
  • van Lanschot JJ, Feenstra BW, Vermeij CG, Bruining HA. Calculation versus measurement of total energy expenditure. Critical Care Medicine. 1986; 14: 981-985.

One measurement is sufficient for hospitalized, ventilated patients in a 24-hour period if steady state is achieved. In individuals unable to achieve steady state or tolerate measurement conditions,* two or more nonconsecutive single measurements may improve measurement value.

 

 

• Grade I means there is Good/Strong evidence supporting the statement;
• Grade II is Fair;
• Grade III is Limited/Weak;
• Grade IV is Expert Opinion Only;
• Grade V is Not Assignable.
• High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
• Moderate (B) means we are moderately confident in the effect estimate;
• Low (C) means our confidence in the effect estimate is limited;
• Very Low (D) means we have very little confidence in the effect estimate.
• Ungraded means a grade is not assignable.

• Detail
• Quality Rating Summary
  For a summary of the Quality Rating results, click here.
• Worksheets
  • Delikanaki-Skaribas E. The role of sampling duration on basal metabolic rate measurement error. Thesis dissertation. 2001 (1a).
  • Fredrix EWHM, Soeters PB, vonMeyenfeldt MF, Saris WHM. Measurement of resting energy expenditure in a clinical setting. Clin Nutr. 1990; 9: 299-304.
  • Gasic S, Schneider B, Waldhausl W. Indirect calorimetry: Variability of consecutive baseline determinations of carbohydrate and fat utilization from gas exchange measurements. Horm Metab Res 1997;29:12-15.
  • Horner NK, Lampe JW, Patterson RE, Neuhouser ML, Beresford SA, Prentice RL. Indirect calorimetry protocol development for measuring resting metabolic rate as a component of total energy expenditure in free-living postmenopausal women. J Nutr. 2001; 131 (8): 2,215-2,218.
  • Isbell TR, Klesges RC, Meyers AW, Klesges LM. Measurement reliability and reactivity using repeated measurements of resting energy expenditure with a face mask, mouthpiece and ventilated canopy. Journal of Parenteral and Enteral Nutrition. 1991; 15 (2): 165-168.
  • Leff ML, Hill JO, Yates AA, Cotsonis GA, Heymsfield SB. Resting metabolic rate: Measurement reliability. Journal of Parenteral and Enteral Nutrition 1987; 11: 354-359.
  • Stokes MA, Hill GL. A single, accurate measurement of resting metabolic expenditure. JPEN J Parenter Enteral Nutr. 1991;15(3):281-287.
  • van Lanschot JJB, Feenstra BWA, Vermeij CG, Bruining HA. Accuracy of intermittent metabolic gas exchange recordings extrapolated for diurnal variation. Crit Care Med. 1988; 16 (8): 737-742.
  • van Lanschot JJ, Feenstra BW, Vermeij CG, Bruining HA. Calculation versus measurement of total energy expenditure. Critical Care Medicine. 1986; 14: 981-985.

In individuals achieving steady state, one measurement reliably indicated RMR. In individuals unable to achieve steady state or tolerate measurement conditions, two or more nonconsecutive single measurements may improve measurement value.

• Grade I means there is Good/Strong evidence supporting the statement;
• Grade II is Fair;
• Grade III is Limited/Weak;
• Grade IV is Expert Opinion Only;
• Grade V is Not Assignable.
• High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
• Moderate (B) means we are moderately confident in the effect estimate;
• Low (C) means our confidence in the effect estimate is limited;
• Very Low (D) means we have very little confidence in the effect estimate.
• Ungraded means a grade is not assignable.

• Detail
• Quality Rating Summary
  For a summary of the Quality Rating results, click here.
• Worksheets
  • Delikanaki-Skaribas E. The role of sampling duration on basal metabolic rate measurement error. Thesis dissertation. 2001 (1a).
  • Fredrix EWHM, Soeters PB, vonMeyenfeldt MF, Saris WHM. Measurement of resting energy expenditure in a clinical setting. Clin Nutr. 1990; 9: 299-304.
  • Gasic S, Schneider B, Waldhausl W. Indirect calorimetry: Variability of consecutive baseline determinations of carbohydrate and fat utilization from gas exchange measurements. Horm Metab Res 1997;29:12-15.
  • Horner NK, Lampe JW, Patterson RE, Neuhouser ML, Beresford SA, Prentice RL. Indirect calorimetry protocol development for measuring resting metabolic rate as a component of total energy expenditure in free-living postmenopausal women. J Nutr. 2001; 131 (8): 2,215-2,218.
  • Isbell TR, Klesges RC, Meyers AW, Klesges LM. Measurement reliability and reactivity using repeated measurements of resting energy expenditure with a face mask, mouthpiece and ventilated canopy. Journal of Parenteral and Enteral Nutrition. 1991; 15 (2): 165-168.
  • Leff ML, Hill JO, Yates AA, Cotsonis GA, Heymsfield SB. Resting metabolic rate: Measurement reliability. Journal of Parenteral and Enteral Nutrition 1987; 11: 354-359.
  • Stokes MA, Hill GL. A single, accurate measurement of resting metabolic expenditure. JPEN J Parenter Enteral Nutr. 1991;15(3):281-287.
  • van Lanschot JJB, Feenstra BWA, Vermeij CG, Bruining HA. Accuracy of intermittent metabolic gas exchange recordings extrapolated for diurnal variation. Crit Care Med. 1988; 16 (8): 737-742.
  • van Lanschot JJ, Feenstra BW, Vermeij CG, Bruining HA. Calculation versus measurement of total energy expenditure. Critical Care Medicine. 1986; 14: 981-985.