The clinical process of accurately measuring or estimating the rate at which an individual expends energy, typically expressed as calories per unit of time, to maintain essential bodily functions and perform physical activity. This determination is a critical physiological marker for diagnosing metabolic disorders, assessing thyroid function, and designing personalized nutritional and weight management protocols. It encompasses both basal and resting metabolic rates.
Origin
The concept originated with the development of calorimetry in the 18th and 19th centuries, evolving from measuring heat production to quantifying oxygen consumption, known as indirect calorimetry. ‘Determination’ refers to the precise, clinical measurement or calculation, forming a cornerstone of endocrinology and exercise physiology.
Mechanism
Metabolic rate is primarily determined by the collective energy demands of all cells, with a significant influence from lean body mass and the activity of the thyroid gland. Measurement techniques, such as indirect calorimetry, quantify oxygen consumption and carbon dioxide production, which are stoichiometric proxies for ATP generation. Hormones like T3 and T4 directly increase the transcription of genes for metabolic enzymes, thereby modulating the overall rate of energy expenditure.
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