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Unexpected relationship between fat mass and basal metabolic rate in pregnant women

Published online by Cambridge University Press:  09 March 2007

Michele N. Bronstein
Affiliation:
Department of Nutritional Sciences, University of California at Berkeley, Berkeley, CA 94720, USA
Rosa P. Mak
Affiliation:
Department of Nutritional Sciences, University of California at Berkeley, Berkeley, CA 94720, USA
Janet C. King*
Affiliation:
Department of Nutritional Sciences, University of California at Berkeley, Berkeley, CA 94720, USA
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Abstract

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We investigated the relationships between BMR, fat-free mass (FFM) and fat mass in pregnancy. BMR was measured by indirect calorimetry and body composition was assessed by densitometry in seventeen non-pregnant women (79·9 (SD 26·3, range 505−151·4) kg) and sixteen pregnant women (75·7 (SD 20·6, range 545−115·9) kg). The pregnant women were evaluated during weeks 31−35 of gestation. Multiple regression analysis of BMR with FFM and fat mass in the non-pregnant women showed that FFM was a highly significant predictor of BMR (P < 0·0001), but fat mass was not (P = 0·09). In contrast, in the pregnant women, multiple regression analysis revealed that fat mass was a highly significant predictor (P < 0·001), while FFM was not (P = 0·69). Evaluation of the interaction terms in the combined data set confirmed that the relationships of BMR with FFM and fat mass differ significantly in non-pregnant and pregnant women. It is proposed that pregnancy represents a unique condition during which BMR is regulated by maternal adipose reserves. An augmented BMR in overweight pregnant women may be protective, given that excessive weight gain may be detrimental to neonatal and maternal health.

Type
Basal metabolism in pregnant women
Copyright
Copyright © The Nutrition Society 1996

References

REFERENCES

Abrams, B. F. & Laros, R. K. (1986). Prepregnancy weight, weight gain, and birth weight. American Journal of Obstertrics and Gynecology 154, 503509.CrossRefGoogle ScholarPubMed
Briend, A. (1985). Do maternal energy reserves limit fetal growth? Lancet i, 3840.CrossRefGoogle Scholar
Committee on Nutritional Status During Pregnancy and Lactation, Food and Nutrition Board, Institute of Medicine (1990) Nutrition During Pregnancy. Washington, DC: National Academy Press.Google Scholar
Cunningham, J. J. (1991). Body composition as a determinant of energy expenditure: a synthetic review and a proposed general prediction equation. American Journal of Clinical Nutrition 54, 963969.CrossRefGoogle Scholar
Durnin, J. V. G. A. & Rahaman, M. M. (1967). The assessment of the amount of fat in the human body from measurements of skinfold thickness. British Journal of Nutrition 21, 681689.CrossRefGoogle ScholarPubMed
Forsum, E., Sadurskis, A. & Wager, J. (1988). Resting metabolic rate and body composition of healthy Swedish women during pregnancy. American Journal of Clinical Nutrition 47, 942947.CrossRefGoogle ScholarPubMed
Frentzen, B. H., Dimperio, D. L. & Cruz, A. C. (1988). Maternal weight gain: effect on infant birth weight among overweight and average-weight low-income women. American Journal of Obstetrics and Gynecology 159, 11141117.CrossRefGoogle ScholarPubMed
Goldberg, G. R., Prentice, A. M., Coward, W. A., Davies, H. L., Murgatroyd, P. R., Wensing, C., Black, A. E., Harding, M. & Sawyer, M. (1993). Longitudinal asseessment of energy expenditure in pregnancy by the doubly labeled water method. American Journal of Clinical Nutrition 57, 494505.CrossRefGoogle Scholar
Gross, T., Sokol, R. J. & King, K. C. (1980). Obesity in pregnancy: risks and outcome. Obstetrics and Gynecology 56, 446450.Google ScholarPubMed
Hytten, F. & Chamberlain, G. (1980). Clinical Physiology in Obstetrics. Oxford: Blackwell Scientific Publications.Google Scholar
Langhoff-Roos, J., Lindmark, G. & Gebre-Medhin, M. (1987). Maternal fat stores and fat accretion during pregnancy in relation to infant birthweight. British Journal of Obstetrics and Gynaecology 94, 11701177.CrossRefGoogle ScholarPubMed
Lawrence, M., Lawrence, F., Coward, W. A, Cole, T. J. & Whitehead, R. G. (1987). Energy requirements of pregnancy in the Gambia. Lancet ii, 10721076.CrossRefGoogle Scholar
Lawrence, M., McKillop, F. M. & Durnin, J. V. G. A. (1991). Women who gain more fat during pregnancy may not have bigger babies: implications for recommended weight gain during pregnancy. British Journal of Obstetrics and Gynaecology 98, 254259.CrossRefGoogle Scholar
Luke, B. & Petrie, R. H. (1980). Intrauterine growth: correlation of infant birth weight and maternal postpartum weight. American Journal of Clinical Nutrition 33, 23112317.CrossRefGoogle ScholarPubMed
Mitchell, M. C. & Lerner, E. (1987). Factors that influence the outcome of pregnancy in middle-class women. Journal of the American Dietetics Association 87, 731735.CrossRefGoogle ScholarPubMed
Naeye, R. L. (1979). Weight gain and the outcome of pregnancy. American Journal of Obstetrics and Gynecology 135, 39.Google ScholarPubMed
Nagy, L. E. & King, J. C. (1983). Energy expenditure of pregnant women at rest or walking self-paced. American Journal of Clinical Nutrition 38, 369376.CrossRefGoogle ScholarPubMed
Poppitt, S. D., Prentice, A. M., Jéquier, E., Schutz, Y. & Whitehead, R. G. (1993). Evidence of energy sparing in Gambian women during pregnancy: a longitudinal study using whole-body calorimetry. American Journal of Clinical Nutrition 57, 353364.CrossRefGoogle ScholarPubMed
Prentice, A. M., Coward, W. A., Davies, H. L., Murgatroyd, P. R., Black, A. E., Goldberg, G. R., Ashford, J., Sawyer, M. & Whitehead, R. G. (1985). Unexpectedly low levels of energy expenditure in healthy women. Lancet i, 14191422.CrossRefGoogle Scholar
Prentice, A. M., Goldberg, G. R., Davies, H. L., Murgatroyd, P. R. & Scott, W. (1989). Energy-sparing adaptations in human pregnancy assessed by whole-body calorimetry. British Journal of Nutrition 62, 522.CrossRefGoogle ScholarPubMed
Ravussin, E. & Bogardus, C. (1989). Relationship of genetics, age, and physical fitness to daily energy expenditure and fuel utilization. American Journal of Clinical Nutrition 49, 968975.CrossRefGoogle ScholarPubMed
Sadurskis, A., Kabir, N., Wager, J. & Forsum, E. (1988). Energy metabolism, body composition, and milk production in healthy Swedish women during lactation. American Journal of Clinical Nutrition 48, 4449.CrossRefGoogle ScholarPubMed
Schoeller, D. A., van Santen, E., Peterson, D. W., Dietz, W., Jaspan, J. & Klein, P. D. (1980). Total body water measurement in humans with 18O and 2H labeled water. American Journal of Clinical Nutrition 33, 26862693.CrossRefGoogle ScholarPubMed
Seitchik, J. (1967). Total body water and total body density of pregnant women. Obstetrics and Gynecology 29, 155166.Google ScholarPubMed
Siri, W. E. (1956). Gross composition of the body. In Advances in Biological and Medical Physics, vol. 4, pp. 239280 [Lawrence, J. H. and Tobias, C. A., editors. New York: Academic Press.Google Scholar
van Raaij, J. M. A., Schonk, C. M., Vermaat-Miedema, S. H., Peek, M. E. M. & Hautvast, J. G. A. J. (1989). Body fat mass and basal metabolic rate in Dutch women before, during and after pregnancy: a reappraisal of energy cost of pregnancy. American Journal of Clinical Nutrition 49, 765772.CrossRefGoogle ScholarPubMed
Weir, J. B. de V. (1949). New methods for calcufating metabolic rate with special reference to protein metabolism. Journal of Physiology 109, 19.CrossRefGoogle ScholarPubMed
Womersley, J., Durnin, J. V. G. A., Boddy, K. & Mahaffy, M. (1976). Influence of muscular development, obesity, and age on the fat-free mass of adults. Journal of Applied Physiology 41, 223228.CrossRefGoogle ScholarPubMed