A new approach to weight management counseling: Metabolic Factor in multiple populations

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Jennifer Dobias Nicole Ebel Rachael Sauck Katie M Smith


Background: Metabolic factor (MF) provides a standardized metric to compare resting metabolic rate (RMR) between populations and across time.  Better understanding of one’s metabolism may provide insight into the successes or failures of weight loss and weight management. Weight loss clients enjoy numbers to motivate success and continuation of positive lifestyle changes, and MF may be a useful tool to use that goes beyond the weight number on a scale. The purpose of this study was to explore the potential use of MF in clinical weight counseling by assessing MF in a variety of populations and determine if additional variables support previous MF findings.

Methods: RMR was measured via indirect calorimetry in sixty-seven adults > 18 years old including athletes, non-athletes, general young and older adults. Anthropometric measurements included BMI, waist-to-hip ratio (WHR), and body composition (percent body fat).

Results: Athletes had a significantly higher MF compared to non-athletes (12.2 ± 1.9 vs 10.5 ± 2.4, p = .006) and older adults had a significantly lower MF compared to younger adults (8.7 ± 1.8 vs 11.4 ± 2.2, p < .0001). Significant correlations were found between MF and BMI (r = -.387, p =.001), age (r = -.433, p < .0001), percent body fat (r = -.515, p < .0001), and physical activity (r = .420, p < .0001), while no relationship was present between MF and WHR.

Conclusion:  Previous MF research demonstrating lower MF with higher BMI was consistent in newly tested populations including athletes and older adults. New data suggests lower body composition and higher physical activity are also associated with higher MF. Metabolic factor may provide valuable insights for clinical weight counseling to assist with weight management and improving body acceptance.

Article Details

How to Cite
DOBIAS, Jennifer et al. A new approach to weight management counseling: Metabolic Factor in multiple populations. Medical Research Archives, [S.l.], v. 6, n. 7, july 2018. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/1822>. Date accessed: 25 sep. 2022. doi: https://doi.org/10.18103/mra.v6i7.1822.
Research Articles


1. Ravussin E. Low resting metabolic rate as a risk factor for weight gain: role of the sympathetic nervous system. Int J Obes Relat Metab Disord. 1995;19(7):S8-9. PMID: 8963370

2. Davis B, Indelicato J, & Kuiper N. Metabolic factor: a new clinical tool in obesity diagnosis and weight management. Archives of Medical and Biomedical Research. 2014;1(2):47-53. URL: https://www.ajol.info/index.php/ambr/article/view/109724

3. Davis B, Indelicato J. Stability of metabolic factor before and after bariatric surgery. Obes Surg. 2016;26(10):2379-483. doi: 10.1007/s11695-016-2111-6

4. Bacon L. Health at every size: The surprising truth about your weight. Dallas: BenBella Books; 2010.

5. United States, Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans: be active your way; A fact sheet for adults. Washington, D.C.: U.S. Dept. of Health and Human Services; 2008.

6. Hirshkowitz M, Whiton K, Albert SM, et al. National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health: Journal of the National Sleep Foundation. 2015;1:40-3. doi 10.1016/j.sleh.2014.12.010

7. Compher C, Frankenfield D, Keim N, Roth-Yousey L, & Evidence Analysis Working Group. Best practice methods to apply to measurement of resting metabolic rate in adults: a systematic review. J Am Diet Assoc. 2006;106:881-903.
doi 10.1016/j.jada.2006.02.009

8. Pescatello L, Arena R, Riebe D, & Thompson P. ACSM’s Guidelines for Exercise Testing and Prescription. 9th ed. Philadelphia: Lippincott Williams & Wilkins; 2013.

9. Do Lee C, Blair SN, Jackson AS. Cardiorespiratory fitness, body composition, and all-cause and cardiovascular disease mortality in men. Am J Clin Nutr. 1999;69:373-80. doi 10.1093/ajcn/69.3.373