
5–10% fall in intake during the follicular phase with
a similar rise in the luteal phase may accentuate the
hormonally dependent swing. The effects of contra-
ceptives that inhibit ovulation and the subsequent rise
in basal temperature are unknown. The previous
day’s food intake does not affect the BMR unless
there has been substantial overeating. However, the
mixture of fuels combusted during fasting is influ-
enced by the proportion of the previous 3–4 days’
intakes, which is derived from carbohydrate, much
of the glucose from glycogen being metabolized in the
fasting state if carbohydrate intake was previously
high. When the carbohydrate store of glycogen in
the liver is nearing exhaustion, the body’s output of
carbon dioxide falls as the body switches to using
body stores of fat. The oxygen uptake for combusting
the fatty acids continues since the demand for
regenerating ATP is unaffected by the change in fuel
supply, but a carbohydrate-rich diet tends to induce a
slightly higher fasting metabolic rate than an energy-
equivalent, fat-enriched diet, probably because of a
slight induction of thyroid metabolism by dietary
carbohydrates. (See Hormones: Thyroid Hormones.)
0005 The BMR falls by between 2 and 5% when indi-
viduals transfer to live in a tropical warm environ-
ment, and in uninsulated houses, seasonal changes in
the BMR were readily seen with a 5–10% rise from
summer to winter being observed in the Japanese
before World War II. The BMR formulae shown in
Table 1 ignore any temperature effects. The BMR of
some people living in the tropics may be as much as
10% below the values shown, but these studies have
been conducted on children and adults who are, or
were, undernourished. Poor nutrition may have both
an immediate and a long-term effect in lowering the
basal metabolic rate. Semistarvation leads to a fall in
BMR from about day 4, and within 2 weeks, the
BMR can fall by 15% as thyroid metabolism changes
and the body’s organs become more efficient. More
prolonged or severe semistarvation leads to a progres-
sive loss of the body lean tissues as well as fat, and the
BMR therefore continues to decline in proportion to
the loss of lean tissues. Body weight can eventually
stabilize at a new low level and, if physical activity is
also reduced, semistarved volunteers can come back
into energy balance on 50% of their initial intake.
However, this requires a 40% loss of weight and
marked lethargy if energy balance is to be preserved
on such a low intake.
The Components of Metabolic Rate
0006 Traditionally, the metabolic rate is divided into three
components: BMR, postprandial thermogenesis,
and physical activity. The BMR usually amounts to
50–60% of an individual’s total energy expenditure,
and postprandial thermogenesis to 10% used for the
metabolic cost of processing, i.e., eating, absorbing,
transporting, and storing food. The remaining energy
is used for physical activity.
Postprandial Thermogenesis
0007The surge in oxygen uptake after a meal, known
as postprandial thermogenesis, has been variously
described as the specific dynamic action of food,
dietary-induced thermogenesis or the thermic effect
of feeding. The last term is particularly favored by
animal nutritionists. It is difficult to measure it accur-
ately because after ingesting the food with minimum
physical effort, an individual has to lie at complete
rest while the oxygen uptake and carbon dioxide
production are monitored for many hours until the
metabolic rate has returned to the basal rate. This
may take more than 10 h, which explains why BMR
is measured after a 14-h fast. Separate feeding of
different fuels shows that the maximum effect on
oxygen uptake occurs after protein. This response is
equivalent to about 30% of the protein’s energy;
glucose induces a 5–10% effect, fat only a 2–5%
effect, consistent with its slow absorption by the
lymphatic tissue, and alcohol a 0–8% effect. Certain
dietary components also increase metabolic rate, e.g.,
a caffeine equivalent to two cups of tea increases
metabolic rate by 1–3%, and spices, such as those
found in an Indian curry, increase it by 25% com-
pared with a nonspiced meal. Moderate exercise
amplifies the metabolic response to a standard meal,
so that the combined effect of exercise and food is
greater than the sum of the response to each stimulus
given separately. The effect, however, is small and
amounts to 2% of the total energy expenditure. (See
Thermogenesis.)
0008Differences in postprandial energy expenditure
have been sought as an explanation for the propensity
of some individuals and animals to obesity. Results
are often conflicting because in any person, the
response tends to vary from day to day and is readily
influenced by changes in gastric emptying. A propor-
tion of obese subjects have a reduced metabolic re-
sponse to a meal; this effect may prove to depend on
the degree of abdominal insulation since the response
is reduced if volunteers are swathed in insulation to
reduce the abdominal heat loss, thereby increasing
the temperature of the blood entering and leaving
the liver. This seems to reduce the stimulus to body
metabolism. Lactating mothers (and pregnant
women) have a lower postprandial thermogenesis
that returns to normal after they have stopped
breast-feeding. Smoking and postprandial thermo-
genesis interact synergistically so the thermic output
METABOLIC RATE 3865