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  • Grade Chart
  • EE: Measuring Resting Metabolic Rate (RMR) in the Healthy and Non-Critically Ill Guideline (2014)
    • EE: Executive Summary of Recommendations (2014)
    • EE: Introduction (2014)
      • EE: Introduction (2014)
      • EE: Scope of Guideline (2014)
      • EE: Statement of Intent (2014)
      • EE: Guideline Methods (2014)
      • EE: Specific Methods (2014)
      • EE: Implementation of the Guideline (2014)
      • EE: Benefits and Risks/Harms of Implementation (2014)
    • EE: Major Recommendations (2014)
    • EE: Background Information (2014)
    • EE: References (2014)
  • EE: Measuring Resting Metabolic Rate (RMR) in the Critically Ill Guideline (2013)
    • EE: Executive Summary of Recommendations (2013)
    • EE: Introduction (2013)
      • EE: Introduction (2013)
      • EE: Scope of Guideline (2013)
      • EE: Statement of Intent (2013)
      • EE: Guideline Methods (2013)
      • EE: Specific Methods (2013)
      • EE: Implementation of the Guideline (2013)
      • EE: Benefits and Risks/Harms of Implementation (2013)
    • EE: Major Recommendations (2013)
    • EE: Algorithms (2013)
      • EE: Algorithms (2013)
      • EE: Nutrition Assessment (2013)
    • EE: Background Information (2013)
    • EE: References (2013)
  • Energy Expenditure (EE) Systematic Review (2013-2014)
    • EE: Measurement of Resting Metabolic Rate in the Critically Ill (2013)
      • EE: Body Positions (2013)
      • EE: Diurnal Variation (2013)
      • EE: Duration of Measurement (Steady State) (2013)
      • EE: Gas Collection Devices (2013)
      • EE: Respiratory Quotient (RQ) (2013)
      • EE: Rest Period Duration (2013)
      • EE: Room Conditions (2013)
      • EE: Thermic Effect of Feeding (2013)
    • EE: Measurement of Resting Metabolic Rate in the Non-Critically Ill (2013-2014)
      • EE: Body Positions (2014)
      • EE: Caffeine and Other Stimulants (2014)
      • EE: Diurnal Variation (2014)
      • EE: Duration of Measurement (Steady State) (2014)
      • EE: Gas Collection Devices (2013)
      • EE: Physical Activity (2013-2014)
      • EE: Respiratory Quotient (RQ) (2014)
      • EE: Rest Period Duration (2013)
      • EE: Room Conditions (2013)
      • EE: Smoking and Nicotine (2013)
      • EE: Thermic Effect of Food (2014)

  • Assessment
    Do administration or changes in chemical use of alcohol have an acute effect on resting metabolic rate (RMR)?
    • Conclusion

      10/19/04

      Two small studies of moderate quality (one in healthy males and one in healthy females, ages 21 to 41 years) report individual RMR increases of 1.1 - 13.6% over 95 minutesa fter ingestion of alcohol in healthy men (Weststrate, Wunnick, et al, 1990) and mean RMR increases of 9.0% have been recorded 90-10 minutes post-ingestion in women (Klesges RC, Mealer CZ, et al, 1994).  In men, mean RMR increases of 4-6 % over 95 min or 124-287 kcal/24 hr, following 20-23 grams alcohol (140-251 kcals) consumption. These changes in RMR correspond with significant (P>0.05) decreases of 8-9% in respiratory quotient.  No data are available to indicate duration of the effect of alcohol on RMR

    • Grade: III
      • 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.
    • Evidence Summary: What effect does alcohol consumption have on energy expenditure?
      • Detail
      • Quality Rating Summary
        For a summary of the Quality Rating results, click here.
      • Worksheets
        • Klesges RC, Mealer CZ, Kleges LM. Effects of alcohol intake on resting energy expenditure in young women social drinkers. Am J Clin Nutr 1994;59:805-809.
        • Levine JA, Harris MM, Morgan MY. Energy expenditure in chronic alcohol abuse. Eur J Clin Invest 2000; 39: 779-786.
        • Weststrate JA, Wunnink I, Deurenberg P, Hautvast JGA. Alcohol and its acute effects on resting metabolic rate and diet-induced thermogenesis. Br J Nutr. 1990; 64: 413-425.
    Do administration or changes in chemical use of alcohol have a chronic effect on resting metabolic rate (RMR)?
    • Conclusion

      10/19/04

      In one study of neutral quality rating, middle-aged alcoholics (mean age 42 y), the RMR was elevated (26%) due to chronic alcohol intake but decreased to levels similar to that of non-alcoholic controls within 14 days of abstention.  

    • Grade: III
      • 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.
    • Evidence Summary: What effect does alcohol consumption have on energy expenditure?
      • Detail
      • Quality Rating Summary
        For a summary of the Quality Rating results, click here.
      • Worksheets
        • Klesges RC, Mealer CZ, Kleges LM. Effects of alcohol intake on resting energy expenditure in young women social drinkers. Am J Clin Nutr 1994;59:805-809.
        • Levine JA, Harris MM, Morgan MY. Energy expenditure in chronic alcohol abuse. Eur J Clin Invest 2000; 39: 779-786.
        • Weststrate JA, Wunnink I, Deurenberg P, Hautvast JGA. Alcohol and its acute effects on resting metabolic rate and diet-induced thermogenesis. Br J Nutr. 1990; 64: 413-425.
    Do administration or changes in chemical use of alcohol have an effect on resting metabolic rate (RMR) when alcohol is consumed with food?
    • Conclusion

      10/19/04

      No effect is consistently supported in diet-induced thermogenesis when alcohol is administered with food. 

    • Grade: II
      • 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.
    • Evidence Summary: What effect does alcohol consumption have on energy expenditure?
      • Detail
      • Quality Rating Summary
        For a summary of the Quality Rating results, click here.
      • Worksheets
        • Klesges RC, Mealer CZ, Kleges LM. Effects of alcohol intake on resting energy expenditure in young women social drinkers. Am J Clin Nutr 1994;59:805-809.
        • Levine JA, Harris MM, Morgan MY. Energy expenditure in chronic alcohol abuse. Eur J Clin Invest 2000; 39: 779-786.
        • Weststrate JA, Wunnink I, Deurenberg P, Hautvast JGA. Alcohol and its acute effects on resting metabolic rate and diet-induced thermogenesis. Br J Nutr. 1990; 64: 413-425.
 
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