Comparison of different methods to estimate BMR in Adoloscent student population.

ABSTRACT

There is a growing clinical emphasis for the measurement of BMR and energy expenditure in clinical and research investigation such as obesity, exercise, cancer, under-nutrition, trauma and infections. Hence, there is a motivation towards calculating basal metabolic rate using standard equations. The objective of the present work is to identify an appropriate equation in Indian environment for the estimation of calorie needs and basal metabolic rate using the measured height, weight, age and skin fold parameters of an individual. Basal metabolic rates of adolescent male and female population aged between 17-20 years were estimated using equations proposed by FAO, ICMR, Cunningham, Harris Benedict, Fredrix and Miffin. Calorie needs were calculated using factorial approach which involves the multiplication of basal metabolic rate with appropriate physical activity factor. Basal metabolic rates estimated by FAO, Cunningham, Harris- Benedict, Fredrix and Miffin are reduced by 5%. These reduced basal metabolic rates and calorie needs are compared with that obtained by Cunningham’s equation which is considered as accurate equation. Comparison of the basal metabolic rates and calorie needs obtained by Cunningham equation with all equations such as Harris-Benedict, FAO, Fredrix and Miffin after 5% reduction and ICMR equation without reduction indicates that Harris-Benedict, Fredrix, Miffin and FAO equations can be used for male and female adolescent populations for Indian environment. In conclusion, Harris-Benedict equation is an appropriate equation for both male and female adolescent population for Indian environment.