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Routine resting energy expenditure measurement increases effectiveness of dietary intervention in obesity

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Abstract

Aims

Primary outcome of this observational study was to compare weight changes in two groups of overweight and obese individuals: subjects who had a diet prescribed on the base of resting energy expenditure (REE) measured by indirect calorimetry and subjects whose REE was estimated by a predictive equation. In addition, we analyzed differences in weight and metabolic parameter variation in subjects with and without an adequate to predicted REE.

Methods

We retrospectively analyzed data of 355 overweight and obese patients: 215 on a diet based on REE measured by indirect calorimetry and 140 following a diet based on REE estimated by the Harris–Benedict equation. Anthropometric and metabolic parameters were evaluated for 18 months from baseline. Propensity score adjustment was used to adjust for known differences between the groups being compared.

Results

A significant greater decrease in body weight was observed in the group that underwent indirect calorimetry compared to the group that did not undergo it (p < 0.001). No significant differences were observed between patients with not adequate to predicted REE compared to patients with adequate to predicted REE.

Conclusions

A weight reduction program based on REE measurement appears more effective than a dietary program based on predictive formulas. This study suggests the routine use of indirect calorimetry in all weight reduction procedures.

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Authors and Affiliations

  1. Endocrinology and Metabolism, Policlinico San Donato Hospital and Scientific Institute, Via Morandi 30, 20097, San Donato Milanese, Italy

    Stefano Massarini, Anna Ferrulli, Concetta Macrì, Stefano Benedini & Livio Luzi

  2. Department of Physical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy

    Federico Ambrogi

  3. Diabetes Research Institute, Metabolism, Nutrigenomics and Cellular Differentiation Unit, San Raffaele Scientific Institute, Milan, Italy

    Ileana Terruzzi

  4. Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy

    Stefano Benedini & Livio Luzi

Authors
  1. Stefano Massarini
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  2. Anna Ferrulli
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  3. Federico Ambrogi
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  4. Concetta Macrì
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  5. Ileana Terruzzi
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  6. Stefano Benedini
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  7. Livio Luzi
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Corresponding author

Correspondence to Livio Luzi.

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Conflict of interest

The authors declare no conflicts of interest.

Ethical approval

This study was conducted in accordance with the ethical principles of the Declaration of Helsinki.

Informed consent

All participants provided written informed consent before the enrollment in the study.

Additional information

Managed by Massimo Federici.

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Massarini, S., Ferrulli, A., Ambrogi, F. et al. Routine resting energy expenditure measurement increases effectiveness of dietary intervention in obesity. Acta Diabetol 55, 75–85 (2018). https://doi.org/10.1007/s00592-017-1064-0

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  • DOI: https://doi.org/10.1007/s00592-017-1064-0

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