Basal metabolic rate (BMR) is the energy the body uses at complete rest to keep itself alive: breathing, blood circulation, brain and kidney work, maintaining body temperature and renewing cells. It is measured in the morning after a night's sleep, after 10–12 hours of fasting, lying still in a comfortably warm room. In most people BMR makes up the largest part (about 60–70%) of daily energy expenditure. It depends mainly on lean (fat-free) body mass, and also on sex, age, hormones and genetics.
The Mifflin–St Jeor equation, derived from indirect calorimetry in about 500 adults, predicts resting energy expenditure more accurately than the older Harris–Benedict equation, which overestimated it by about 5%:
Men: 10 × weight (kg) + 6.25 × height (cm) − 5 × age (years) + 5
Women: 10 × weight (kg) + 6.25 × height (cm) − 5 × age (years) − 161
Example: a 40-year-old man, 80 kg, 180 cm: 800 + 1125 − 200 + 5 = 1730 kcal/day. Equations can be off by 10% or more in an individual, especially with obesity, low muscle mass or illness; then measurement is preferred.
Older age, less muscle, hypothyroidism, prolonged dieting or starvation (adaptive slowing), adrenal or pituitary insufficiency.
More muscle, hyperthyroidism, fever (≈ 10–13% per °C), infections, burns, trauma and surgery, cancer, pregnancy and breastfeeding, some medicines and stimulants.
BMR is the starting point for planning nutrition: multiplied by an activity factor it gives daily energy needs. Unexplained weight loss with a high metabolic rate, or weight gain with a low one, may indicate thyroid disease and needs a doctor's assessment.
This article is for general information and does not replace a consultation with a doctor. Measurements must be interpreted by a physician together with symptoms and other tests.
Published on 2 June 2019