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Vol. 57, No. 3-4, 2010
Issue release date: January 2011
Section title: Original Paper
Ann Nutr Metab 2010;57:221–227
(DOI:10.1159/000322369)

Prepregnancy Body Mass Index and Resting Metabolic Rate during Pregnancy

Melzer K. · Schutz Y. · Soehnchen N. · Othenin Girard V. · Martinez de Tejada B. · Pichard C. · Irion O. · Boulvain M. · Kayser B.
aInstitute of Movement Sciences and Sports Medicine, Faculty of Medicine, University of Geneva, and bDepartment of Obstetrics and Gynaecology, and cNutrition Unit, University Hospitals of Geneva, Geneva, and dDepartment of Physiology, University of Lausanne, Lausanne, Switzerland

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 9/25/2009
Accepted: 10/29/2010
Published online: 12/2/2010

Number of Print Pages: 7
Number of Figures: 1
Number of Tables: 2

ISSN: 0250-6807 (Print)
eISSN: 1421-9697 (Online)

For additional information: http://www.karger.com/ANM

Abstract

Aim: The resting metabolic rate (RMR) varies among pregnant women. The factors responsible for this variability are unknown. This study aimed to assess the influence of the prepregnancy body mass index (BMI) on the RMR during late pregnancy. Methods: RMR, height, weight, and total (TEE) and activity (AEE) energy expenditures were measured in 46 healthy women aged 31 ± 5 years (mean ± SD) with low (<19.8), normal (19.8–26.0), and high (>26.0) prepregnancy BMI at 38.2 ± 1.5 weeks of gestation (tgest) and 40 ± 7 weeks postpartum (tpost) (n = 27). Results: The mean tgest RMR for the low-, normal-, and high-BMI groups was 1,373, 1,807, and 2,191 kcal/day, respectively (p = 0.001). The overall mean tgest RMR was 316 ± 183 kcal/day (21%), higher than the overall mean tpost value and this difference was correlated with gestational weight gain (r = 0.78, p < 0.001). The scaled metabolic rate by allometry (RMR/kilograms0.73) was similar in the low-, normal-, and high-BMI groups, respectively (p = 0.45). Changes in tgest TEE closely paralleled changes in tgest RMR (r = 0.84, p < 0.001). AEE was similar among the BMI groups. Conclusion: The RMR is significantly increased in the third trimester of pregnancy. The absolute gestational RMR is higher in women with high prepregnancy BMI due to increased body weight. The scaled metabolic rate (RMR/kilograms0.73) is similar among the BMI groups of pregnant women.


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 9/25/2009
Accepted: 10/29/2010
Published online: 12/2/2010

Number of Print Pages: 7
Number of Figures: 1
Number of Tables: 2

ISSN: 0250-6807 (Print)
eISSN: 1421-9697 (Online)

For additional information: http://www.karger.com/ANM


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Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

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