This clinical objective focuses on implementing nutritional, exercise, and hormonal strategies designed to maintain or restore the basal metabolic rate (BMR) and resting energy expenditure (REE) to a level consistent with optimal health and vitality. It is a proactive defense against the age-related or diet-induced decline in metabolism, which often leads to weight gain and reduced energy. Preserving a robust metabolic rate is fundamental to sustained energy balance and hormonal function.
Origin
The term stems from exercise physiology, endocrinology, and nutritional science, addressing the dynamic changes in energy expenditure over the lifespan. It moves beyond simple calorie counting to focus on the qualitative health of metabolic tissues, particularly muscle and thyroid function. The ‘preservation’ aspect emphasizes a preventative and restorative approach to metabolic health.
Mechanism
Metabolic rate preservation is achieved primarily by maintaining lean muscle mass, which is metabolically active, and ensuring optimal thyroid hormone production and conversion. Hormones such as testosterone, growth hormone, and triiodothyronine (T3) are crucial regulators of BMR by influencing mitochondrial density and thermogenesis. Targeted resistance training and adequate protein intake stimulate muscle protein synthesis, while nutritional support for thyroid function ensures efficient cellular energy turnover.
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