首都医科大学学报 ›› 2025, Vol. 46 ›› Issue (3): 581-585.doi: 10.3969/j.issn.1006-7795.2025.03.025

• 临床研究 • 上一篇    下一篇

超重及肥胖人群静息能量消耗及其与身体成分的相关性

黄敏*   

  1. 首都医科大学附属复兴医院营养科,北京  100038
  • 收稿日期:2024-07-29 出版日期:2025-06-21 发布日期:2025-06-25
  • 通讯作者: 黄敏 E-mail:18611736060@163.com

Resting energy expenditure of overweight and obese people and its correlation with body compositions

Huang Min*   

  1. Department of Nutrition, Fu Xing Hospital, Capital Medical University, Beijing 100038, China
  • Received:2024-07-29 Online:2025-06-21 Published:2025-06-25

摘要: 目的  分析超重及肥胖人群的静息能量消耗(resting energy expenditure,REE)与身体成分的相关性。方法  纳入2021年5月~2022年6月在首都医科大学附属复兴医院营养科接受代谢车及体成分检查的超重及肥胖人群进行回顾性分析,间接测热法测定REE,身体成分分析仪测量身体成分,将REE实测值与体成分计算值进行比较,并分析REE与身体成分的相关性。结果  共纳入受试者332例,男82例,平均年龄(37.72±9.82)岁(20~62岁),其中超重13例(15.9%),肥胖69例(84.1%);女 250 例,平均年龄(37.42±9.60)岁(19~65岁),其中超重50例(20%),肥胖200例(80%)。超重与肥胖的男性与女性REE实测值均明显高于体成分计算值(P<0.05)。男性超重者REE测定与各个指标间均无明显相关性P>0.05,女性超重者REE测定与身高、体质量、骨骼肌、去脂体质量呈显著正相关P <0.05;不同性别的肥胖者REE 测定结果与身高、体质量及体成分中的骨骼肌、体脂肪、体脂百分比、腹部肥胖程度、体质量指数等均呈显著正相关P <0.05; 与年龄呈显著负相关P <0.05。结论  超重和肥胖人群体成分计算值低于REE实测值,肥胖人群REE与身高、体质量、体质量指数、脂肪重、肌肉量、去脂体质量等呈正相关关系。

关键词: 超重, 肥胖, 静息能量消耗, 间接测热法, 人体成分

Abstract: Objective  To analyze the correlation between resting energy expenditure (REE) and body composition in overweight and obese people. Methods  A retrospective analysis was performed on overweight and obese people who underwent metabolic vehicle and body composition examination in Fuxing Hospital Affiliated to Capital Medical University from May 2021 to June 2022. REE was measured by indirect calorimetry, and body composition was measured by body composition analyzer. The measured REE values were compared with calculated body composition values, and the correlation between REE and body composition was analyzed. Results  A total of 332 subjects were included, including 82 males, with an average age of 37.72±9.82 years (20-62 years). Among them, 13 (15.9%) were overweight and 69 (84.1%) were obese. There were 250 females with an average age of  37.42± 9.60  years (19-65 years), among whom 50 (20%) were overweight and 200 (80%) were obese. The measured REE values of overweight and obese men and women were significantly higher than the calculated body composition values P<0.05. There was no significant correlation between REE measurement and all indexes in male overweight subjects P>0.05, while REE measurement in female overweight subjects was significantly positively correlated with height, weight, skeletal muscle and fat-free body weight P<0.05. The results of REE were positively correlated with skeletal muscle, body fat, percentage of body fat, degree of abdominal obesity and body mass index in height, weight and body composition P<0.05. There was a significant negative correlation with age. P <0.05. Conclusion  The calculated value of population composition in overweight and obese people is lower than the measured value of REE, and REE in obese people is positively correlated with height, weight, body mass index, fat mass, muscle mass and fat free weight. 

Key words: overweight, obesity, resting energy expenditure, indirect calorimetry,  , body composition

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