Academy of Nutrition and Dietetics recommended “If indirect calorimetry is available, the RDN should use a measured resting metabolic rate (RMR) to determine energy
needs in overweight or obese adults.” Eat Right: Academy of Nutrition and Dietetics .
Energy Balance and Obesity Management
“The high prevalence of overweight and obesity in the United States negatively affects the health of the population, thus reducing the prevalence of overweight and obesity is considered to be a public health priority. Weight loss of only 3% to 5% that is maintained has the ability to produce clinically relevant health improvement, with larger amounts of weight loss reducing additional risk factors for CVD. Successful treatment of overweight and obesity in adults requires the ability of adopting and maintaining lifestyle behaviors, which contribute to both sides of the energy-balance equation. Lifestyle behaviors are influenced by several factors at differing levels of the socioecological model, which include factors at the intrapersonal, community and organizational, and government and public level.”
“To address obesity, it is proposed that several factors at differing levels need to be targeted to assist with the development and maintenance of behaviors that are necessary for weight loss and successful weight-loss maintenance. The RDN and NDTR, as part of a multidisciplinary team, need to be current and skilled in weight management to effectively assist and lead efforts that can reduce the obesity epidemic. Due to the many factors and levels of the socioecological model that need to be addressed, these teams will include traditional health care partners, but also nontraditional partners.”
Use Accurate REE, RMR and RQ
National Institutes of Health (NIH) Nutrition for Precision Nutrition, Academy of Nutrition and Dietetics, and American College of Sports Medicine have recommended that personalized treatment of weight management to improve weight loss outcomes includes precise measurement of REE. It is important to accurately assess REE in individual patients and to ensure adapted nutrition support. Indirect calorimetry is ideal to determine REE/RMR for any patients in whom energy needs are uncertain should be measured.
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