A measurable, easily accessible physiological or biochemical parameter that provides an indirect, yet reliable, estimate of an individual’s overall metabolic rate. Since direct measurement of basal metabolic rate (BMR) or resting energy expenditure (REE) is often impractical, a proxy offers a clinically useful, non-invasive alternative for tracking metabolic changes. Examples include core body temperature, heart rate variability, or specific circulating hormone levels.
Origin
This term is a practical construct used in clinical and research settings to bridge the gap between complex, resource-intensive gold-standard measurements and routine monitoring. The use of a ‘proxy’ is a statistical and clinical necessity, originating from the need for convenient, actionable data points that correlate strongly with the underlying, harder-to-measure physiological process.
Mechanism
A proxy operates by reflecting a core process that is tightly coupled to the metabolic rate. For instance, basal body temperature is a proxy because the primary driver of body heat is cellular metabolism, largely regulated by thyroid hormones. Similarly, changes in certain adipokines or the ratio of respiratory gases can serve as a proxy, as they are downstream products or direct indicators of the rate at which the body is converting fuel into energy.
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