As the 'diabesity' epidemic rages on, 95% of all diets fail, and two thirds of Americans are either overweight or obese. All kinds of reasons have been cited for the rise of obesity, yet there is a critical component of the weight management equation that has not received much attention: resting metabolic rate or "RMR."
Many dieters assume that they have slow metabolisms and must starve themselves to lose any weight at all. In fact, the opposite is true in many cases: Dieters can have fairly hefty caloric needs, and are undercutting themselves by more than 500 calories per day which will cause undue hunger and drastically decrease diet adherence.
In an ongoing study of obese New Yorkers, resting metabolic rates among women of equal ages and body mass indexes varied by as much as 700 calories a day, and men by as much as 1000 calories a day. This suggests very strongly that "one diet does not fit all." Moreover, attempts to predict a patient's metabolic rate with the Harris-Benedict equation, among others, often yields inaccurate results.
Resting metabolic rate measurement is easier than ever, as handheld devices have replaced the cumbersome "metabolic carts" of exercise physiology labs.[7] Indirect calorimeters measure oxygen consumption (VO2) to determine RMR by means of a 5- to 10-minute breath test. The cost to consumer is perhaps $99 a test, and since RMR represents about 75% to 80% of daily caloric needs, it is fairly easy to calculate an appropriate calorie target for weight loss, taking into account general activity levels.
I think that RMR should be a part of regular screening performed by primary care physicians and healthcare professionals involved in assisting patients with weight loss. Dieting without an individualized caloric goal is like driving a car without a steering wheel. Maybe this is part of the reason why America has so many "nutritional casualties?"

That's my opinion and I'd like to hear yours. I'm Dr. Val Jones, Editor of MedGenMed's eSection on Clinical Nutrition & Obesity.


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Body Ecology

The Body Ecology is a series of tests that helps you better understand the underlying factors of your biological well-being and the direction that your body may be moving towards.  The Body Ecology evaluation cannot diagnose disease; however, the feedback from the BodyEcology testing will help you to balance your body for optimal well-being.

What information the Body Ecology can provide:

   * the effectiveness of energy production/conversion in your body
   * whether your cells are well hydrated (making use of the water you take in)
   * the stress or fatigue of your adrenal glands
   * how well your digestive system is absorbing nutrients
   * the degree of free radical damage

In addition to enhancing your athletic performance by helping you to monitor your metabolic state, Body Ecology testing will also help you monitor your overall health and keep excersice fun and rewarding.

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