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Ejection fraction response to exercise in patients with chest pain and normal coronary arteriograms.

In this study we describe the ejection fraction response to upright exercise using first-pass radionuclide angiocardiography in a group of 60 patients with chest pain, normal coronary arteriograms and normal resting ventricular function. A wide range of resting function (heart rate and ejection fraction) and exercise function (heart rate, ejection fraction, peak work load and estimated peak oxygen uptake) were measured. The ejection fraction response to exercise demonstrated wide variation, ranging from a decrease of 23% to an increase of 24%. Six of 22 clinical and radionuclide angiocardiographic variables (resting ejection fraction, peak work load, age, sex, body surface area and the change in end-diastolic volume index with exercise) were significant univariate predictors of the ejection fraction response to exercise. Multivariable analysis identified resting ejection fraction, the change in end-diastolic volume index with exercise and either sex or peak work load as variables that provided significant independent predictive information. These observations indicate that the ejection fraction response to exercise is a complex response that is influenced by multiple physiologic variables. The wide variation in this population suggests that the ejection fraction response to exercise is not a reliable test for the diagnosis of coronary artery disease because of its low specificity.

Adult↗

Use of cellular and plasma apheresis in the critically ill patient: part 1: technical and physiological considerations.

Apheresis is the process of separating the blood and removing or manipulating a cellular or plasma component for therapeutic benefit. An apheresis procedure, or series of procedures, may be indicated in the critical care setting as primary or adjunctive therapy for certain hematologic, neurologic, renal, and autoimmune/ rheumatologic disorders. Optimal management of severely ill patients undergoing apheresis requires a working knowledge of the technical, methodological, and therapeutic considerations. These considerations include instrument hardware and separation methods, vascular access requirements, hemodynamic and hemostatic effects of the procedures, exposure to anticoagulants and homologous blood products, physiological variables affecting blood/plasma processing efficiency, and therapeutic endpoints for specific indications. Part 1 of this review will discuss each of those technological considerations and the basic physiological principles that guide this form of therapy. Part 2 of this series will deal with the clinical indications and applications for specific disorders that are most likely to affect patients in the intensive care unit.

Anticoagulants↗

Physiology and regulation of biological rhythms in laboratory animals: an overview.

Biological rhythms have been observed in practically all groups of laboratory mammals and at every level of physiological and behavioural organization. Biological rhythms are classified according to their period as ultradian (less than 24 h), circadian (approximately 24 h), infradian (greater than 24 h), and seasonal or circannual rhythms (approximately 1 year). This review outlines what is known about the neurobiology of biological rhythms in mammals and describes the hierarchical order in which ultradian, circadian and infradian rhythms are related to each other. The article does not attempt to catalogue every physiological variable showing rhythmical fluctuations in laboratory mammals. Rather, it focuses on the basic concepts of circadian rhythms and recent advances made in our understanding of the physiology of the internal clock controlling circadian and other biological rhythms.

Animals↗

Influence of method of model fitting and gender on estimated parameters for the relationship between starvation heat production and body size in the domestic fowl.

The relationship between starvation heat production (SHP) in kJ/d and body weight (W) in kg for domestic fowl was examined with compiled calorimetric data for 294 fowls (Johnson and Farrell, 1985). Linear regression analyses using ordinary least squares methods were performed before and after transformation of the data to a logarithmic scale (base = 10). Coefficients of determination (R2) were similar for untransformed and log-transformed data (R2's = .56 and .53, respectively). The slopes for untransformed data of males and females were different (P less than 0.033). When the model parameters for: SHP = b0 Wb1 were derived from log-transformed data, there were no significant differences in exponents for males vs. females (P greater than .95). However, when the coefficients were estimated using non-linear regression techniques, a difference was detected at the level of P = 0.072. It was determined that there is no advantage in describing the relationship of SHP as a non-linear function of W, nor is it appropriate to express physiological variables as a ratio of weight raised to some mass exponent without statistical justification. Using W or W2 as a covariable for the statistical analysis of physiological data would produce equally acceptable determinations of significance.

Animals↗

[Emotional and motivational influences in an affiliation conflict situation].

The present study investigated the influence of induced mood (happy vs. sad) and the affiliation motive (hope of affiliation vs. fear of rejection) on cognitions and physiological reactions during the presentation of a social scenario. This scenario depicted the temporal approach to and finally the unexpected termination of a social interaction. Happy and sad moods were induced successfully, as indicated by self-report measures and physiological variables. Participants high in fear of rejection were more anxious and tensed immediately before the desired social interaction. In addition, they showed a higher level of physiological arousal. The unexpected termination of the social interaction at the end of the scenario had a strong negative effect on participants high in fear of rejection if they were in a happy mood. Thus, in this case an incongruence between the dominant motive and the actual emotional state led to emotional impairment. The results are discussed on the basis of motivational conflict theory and of learned helplessness.

Adult↗

Relations between visceral and behavioral function in men at bedrest.

Multiple physiological measurements as well as a self-assessment of arousal was made in eight men on the first, third, and fifth days of bedrest. On the third day, additional measurements of performance on memory and dexterity tasks were made. Univariate analysis did not reveal any physiological variable to either predict subsequent performance well or to co-vary acutely with it; however, self-rating scores did prove to be useful predictors of subsequent performance. Principal components analysis suggested an "alertness" factor comprised of physiological measures as well as self-ratings which helped in predicting better performance. Although the individual patterns of correlations between variable on each of the three test days was variable, even more variability between subjects was found on the performance testing day. We believe this effect of behavioral activation may be due to the injection of common, slow temporal trends into many of the different data sets.

Aged↗

Review of nitrogen and phosphorus metabolism in seagrasses.

Within the past few decades, major losses of seagrass habitats in coastal waters impacted by cultural eutrophication have been documented worldwide. In confronting a pressing need to improve the management and protection of seagrass meadows, surprisingly little is known about the basic nutritional physiology of these critical habitat species, or the physiological mechanisms that control their responses to N and P gradients. The limited available evidence to date already has revealed, for some seagrass species such as the north temperate dominant Zostera marina, unusual responses to nutrient enrichment in comparison to other vascular plants. Seagrasses derive N and P from sediment pore water (especially ammonium) and the water column (most nitrate). The importance of leaves versus roots in nutrient acquisition depends, in part, on the enrichment conditions. For example, a shift from reliance on sediment pore water to increased reliance on the overlying water for N and P supplies has been observed under progressive water-column nutrient enrichment. Seagrasses may be N-limited in nutrient-poor waters with sandy or (less so) organic sediments, and P-limited in carbonate sediments. On the basis of data from few species, seagrasses appear to have active uptake systems for NO(3)(-) and PO(4)(-3), but NH(4)(+) uptake may involve both low- and high-affinity systems. P(i) uptake affinities reported thus far are much lower than values for active ammonium uptake, but comparable to values for nitrate uptake by leaf tissues. Beyond such basic information, seagrass species have shown considerable variation in nutritional response. Dominance of acropetal versus basipetal nutrient translocation appears to vary among species as an innate trait. While some species follow classic Michaelis-Menten kinetics for N(i) uptake, others have exhibited sustained linear uptake with limited or negligible product feedback inhibition, perhaps in adaptation to oligotrophic environments. Zostera marina also is able to maintain nitrate reductase (NR) activity during dark periods if adequate carbohydrate reserves and substrate are available. Thus, this species can respond to nitrate pulses throughout a diel cycle, rather than being limited as most plants to nitrate uptake during the light period. Further adaptations may have occurred for seagrasses in extremely nitrate-depauperate conditions. For example, Halophila decipiens and H. stipulacea lack inducible NR and apparently have lost the ability to reduce nitrate; and a biphasic rather than hyperbolic P(i) uptake curve, with 'surge' uptake, has been described for Zostera noltii. Many seagrasses respond favorably to low or moderate N and/or P enrichment. However, excessive N(i) loading to the water column can inhibit seagrass growth and survival, not only as an indirect effect by stimulating algal overgrowth and associated light reduction, but-for some species-as a direct physiological effect. The latter direct impact has been most pronounced for plants growing in sandy (nutrient-poor) sediments, and is exacerbated by elevated temperatures and/or light reduction. Ammonia toxicity, known for many vascular plants, has been reported in seagrasses Ruppia drepanensis and Z. marina (125 µM water-column NH(4)(+), 5 weeks). Z. marina has shown to be inhibited, as well, by pulsed water-column nitrate enrichment (as low as 3.5-7 µM NO(3)(-), 3-5 weeks), which is actively taken up without apparent product feedback inhibition. Inhibition by elevated nitrate has also been reported, with description of the underlying physiological mechanisms, in certain macroalgae and microalgae. In Z. marina, this effect has been related to the high, sustained energy demands of nitrate uptake, and to inducement of internal carbon limitation by the concomitant 'carbon drain' into amino acid assimilation. In contrast, nitrate enrichment can stimulate growth of Z. marina when the sediment, rather than the water column, is the source. Because seagrass species have shown considerable variation in nutritional response, inferences about one well-studied species, from one geographic location, should not be applied a priori to that species in other regions or to seagrasses in general. Most of the available information has been obtained from study of a few species, and the basic nutritional physiology of many seagrasses remains to be examined and compared across geographic regions. Nonetheless, the relatively recent gains in general understanding about the physiological responses of some seagrass species to nutrient gradients already have proven valuable in both basic and applied research. For example, physiological variables such as tissue C:N:P content have begun to be developed as integrative indicators of nutrient conditions and anthropogenic nutrient enrichment. To strengthen insights for management strategies to optimize seagrass survival in coastal waters adjacent to exponential human population growth and associated nutrient inputs, additional emphasis is critically needed to assess the role of variable interactions-among inorganic as well as organic N, P and C, environmental factors such as temperature, light, and other community components-in controlling the physiology, growth and survival of these ecologically important marine angiosperms.

Journal Article↗

Physiological reactions to fear provocation in dogs.

Fear is a common behavioral problem in dogs. In this paper, we studied the association between behavioral and physiological responses in two potentially fear-eliciting situations. The aim was to establish whether it is possible to separate dogs of the collie breed that are fearful of floors and gunshots from those that are not by studying changes in heart rate and hematocrit, plasma cortisol, progesterone, testosterone, vasopressin, and beta-endorphin concentrations. Thirteen privately owned male dogs of the collie breed were studied during a floor test, using different types of floors, and a subsequent gunshot test. Seven of the dogs were identified as being fearful of floors and six were declared as fearless. Out of the 13 dogs, seven were fearful of gunshots and six were fearless of gunshots. Since fear of floors did not always occur concomitantly with fear of gunshots, there were consequently four different groups of dogs. The heart rate increased during the floor test in all groups, but dogs that were fearful of floors had higher heart rates than dogs that were fearless of floors. Dogs that were fearful of gunshots had higher heart rates, higher hematocrit levels and higher plasma concentrations of cortisol, progesterone, vasopressin, and beta-endorphins during the gunshot test than did dogs that were found to be fearless of gunshots. Plasma cortisol and progesterone increased drastically during the gunshot test in dogs identified as being fearful of gunshots. In fearful dogs, the testosterone concentration increased after completion of the floor test and before the gunshot test started, but there were no significant differences in testosterone between the groups. Since dogs fearful of gunshots had increased levels of several physiological parameters, the results demonstrated that this fear is a serious stress for the individual, a fear which it is possible to register with physiological variables.

Adaptation, Physiological↗

Physiologic status at 1-year follow-up of obese women engaged in a supervised conditioning program.

A follow-up study was conducted to re-evaluate a group of obese middle-aged women (n = 13), eight of whom had completed an 18-wk supervised (3 d/wk) plus unsupervised (2 d/wk) conditioning intervention program (at least 90 min per day) as the exercise plus diet group; while five of the remainder served as the control group. Each session had included a 25- to 45-min jog/run at intensities between the heart rate (HR) corresponding to lactate threshold (LT) and that slightly above the HR @ LT. During 1 year following the program, the women participated in self-controlled training such as running, aerobic dancing, or jazz dancing 2.6 +/- 1.1 d/wk. Dietary intake averaged approximately 1736 +/- 152 kcal/d at the pre-treatment, 1404 +/- 124 kcal/d at the post-treatment, and 1645 +/- 147 kcal/d 1 year after the post-treatment. Interestingly however, oxygen uptake corresponding to LT (VO2 @ LT), maximal oxygen uptake (VO2max), weight, systolic blood pressure, and the ratio of high-density lipoprotein cholesterol to total cholesterol (HDLC/TC) observed 1 year after the post-treatment were significantly different from the original pre-treatment and/or mid-treatment values. For instance, the significant 42% increase (14.7 +/- 2.4----21.3 +/- 4.2 ml/kg/min) in VO2 @ LT and 18% increase (0.284 +/- 0.106----0.335 +/- 0.093) in HDLC/TC from the pre-test to post-test were maintained throughout the 1-year follow-up period, suggesting no detrimental effect either on a cardiorespiratory fitness factor or on an anti-atherogenic factor. These findings indicate that physiologic status of obese middle-aged women engaged in a conditioning intervention program may not regress to pre-treatment status for at least one year after completion; provided they continue to participate in a 2.6-d/wk self-controlled training program with dietary intake of 1600-1700 kcal/d. Another interesting finding was that significant relationships existed between individual changes (delta) in training frequency and individual changes (delta) in physiologic variables (i.e., delta VO2max, delta VO2 @ LT, delta WT, delta fat, and delta HDLC/TC) during the follow-up study. It is concluded that, although the improved physiologic status of obese women can be maintained fairly well during 1 year following the conditioning program; continuation of training (3 d/wk or more) should be critical, either supervised or self-controlled, for successful maintenance of lost weight (8.2 +/- 2.9 kg) and improved fitness.

Adult↗

Physiological profile and predictors of cycling performance in ultra-endurance triathletes.

BACKGROUND: To report physiological profiles, and investigate the relationship between selected physiological variables and cycling performance in ultra-endurance triathletes. METHODS PARTICIPANTS: ten male (mean+/-SD, age; 32+/-5 years) ultra-endurance triathletes participated in the study. Physiological profiles were compared with 10 male age-matched control subjects. MEASURES: left ventricular structure (wall thickness [LVPWd], internal diameter [LVIDd], and mass [LVM]) and function (diastolic filling, fractional shortening, and stroke volume [SV]) were assessed using standard M-Mode, 2D, and Doppler echocardiography. Maximal and sub-maximal exercise gas exchange responses were measured on-line during a maximal ramping cycle-ergometer exercise test. RESULTS: Ultra-endurance triathletes demonstrated significantly larger LVPWd, LVIDd, LVM, SV, VO2max anaerobic threshold (AT), and power to body-mass ratio compared with controls. Cycling performance for both Ironman and half Ironman were significantly correlated with LVPWd, LVM, and SV. LVIDd was significantly correlated Ironman cycle time alone. Oxygen consumption (VO2) at AT, percentage of VO2max at AT, and peak power to bodymass ratio were significantly correlated to bike finish time in the half Ironman, but not Ironman. CONCLUSIONS: The correlation between cycling performance, LVM and SV suggests that the more conditioned athletes may be better able to maintain a high cardiac output during prolonged cycling. Sub-maximal gas exchange responses are predictors of cycling performance for the half-Ironman but not the Ironman. These results suggest that other factors including the longer duration swim prior to the cycling component, may impact upon cycle performance.

Adult↗

Optimal size matching in single lung transplantation.

BACKGROUND: Single lung transplantation for patients with end-stage obstructive lung disease has been highly effective in providing symptomatic relief, and it has been performed at a much increased frequency since 1983. However, there still lacks a convincing study showing the effect of size match and other preoperative variables in predicting functional outcome of patients after transplantation. METHODS: We evaluated 23 single lung transplantations performed for obstructive lung disease over a 34-month period. Multiple physiologic variables and size match criteria were evaluated for their contribution in determining the postoperative forced expiratory volume in 1 second at 3 months after transplantation. RESULTS: The size match ratio that was based on inframammary chest wall circumference was the most useful criterion to adopt, and the optimal donor/recipient size match ratio was 0.89. Furthermore, forced expiratory volume in 1 second at 3 months after transplantation could be predicted with a simple mathematical model that was based on the size match ratio and the recipient's calculated vital capacity of the transplanted hemithorax. CONCLUSIONS: This model could be applied in a clinical setting to maximize functional outcome of the recipients undergoing single lung transplantation.

Adult↗

Combined PET-CT in the head and neck: part 1. Physiologic, altered physiologic, and artifactual FDG uptake.

Positron emission tomography (PET) with 2-[fluorine-18] fluoro-2-deoxy-D-glucose (FDG) has been effective for the diagnosis, staging, and restaging of malignancies of the head and neck region. However, lack of anatomic landmarks, variable physiologic uptake, and asymmetric FDG distribution in several altered physiologic states can confound image interpretation. In addition, many benign causes and several artifacts can simulate physiologic or pathologic FDG uptake in the head and neck. Combined PET-computed tomography (CT) is a unique imaging modality that permits anatomic and functional imaging on a single scanner with nearly perfect coregistration. Combined PET-CT provides information that cannot be obtained with PET or CT alone. In particular, PET-CT facilitates the interpretation of FDG uptake in the head and neck, an area that is characterized by dense and complex anatomic structures. An atlas of FDG uptake in this anatomic region was compiled on the basis of combined PET-CT findings in 11,000 patients. In general, patterns of FDG uptake were variable and often reflected patient activity during or immediately preceding the uptake phase. With the growing interest in PET-CT, interpreting radiologists and nuclear medicine physicians must be familiar with the patterns of FDG uptake in the head and neck to avoid misinterpretation or mis-diagnosis.

Artifacts↗

Prediction of drafted-triathlon race time from submaximal laboratory testing in elite triathletes.

PURPOSE AND METHODS: To determine which physiological variables accurately predict the race time of an Olympic-distance International Triathlon undertaken in drafted conditions, 8 elite triathletes underwent both maximal and submaximal laboratory and field physiological testing: a 400-m maximal swim test; an incremental treadmill test; an incremental cycling test; 30 min of cycling followed by 20 min of running (C-R); and 20 min of control running (R) at the exact same speed variations as in running in C-R. Blood samples were drawn to measure venous lactate concentration after the 400-m swim and the cycle and run segments of C-R. During the maximal cycling and running exercises, data were collected using an automated breath-by-breath system. RESULTS: The only parameters correlated with the overall drafted-triathlon time were lactate concentration noted at the end of the cycle segment (r = 0.83, p < 0. 05) and the distance covered during the running part of the submaximal C-R test (r = 0.92, p < 0. 01). Stepwise multiple regression analysis revealed a highly significant (r = 0.96, p < 0.02) relationship between predicted race time (from laboratory measures) and actual race time, using the following calculation: Predicted Triathlon Time (s) = 1.128 (distance covered during R of C-R [m]) + 38.8 ([lactate] at the end of C in C-R) + 13,338. The high R2 value of 0.93 indicated that, taken together, these two laboratory measures could account for 93% of the variance in race times during a drafted triathlon. CONCLUSION: Complementing previous studies, this study demonstrates that different parameters seem to be reliable for predicting performance in drafted vs. nondrafted Olympic-triathlon races. It also demonstrates that, for elite triathletes competing in a drafted Olympic-distance triathlon, performance is accurately predicted from the results of submaximal laboratory measures.

Adult↗

Potential impact of vancomycin pulmonary distribution on treatment outcomes in patients with methicillin-resistant Staphylococcus aureus pneumonia.

Vancomycin as the drug of choice for treatment of methicillin-resistant Staphylococcus aureus (MRSA) pneumonia has been called into question on the basis of therapeutic failures. In patients with MRSA pneumonia, treatment failures are probably due to the complex interplay of variables affecting the host-antimicrobial-pathogen interrelationship. However, it has been suggested that decreased penetration of vancomycin into the lungs may contribute. This review explores physiochemical and physiologic variables that affect pulmonary penetration and describes methods used in quantifying pulmonary vancomycin concentrations. Most important, findings are evaluated in the clinical context of the chemotherapeutic options available for treatment of MRSA pneumonia. The possibility of increased serum vancomycin concentrations as a method to optimize current treatment outcomes is also explored.

Anti-Bacterial Agents↗

[Instruments for quantitative methods of nursing research].

Instruments for quantitative nursing research are a mean to objectify and measure a variable or a phenomenon in the scientific research. There are direct instruments to measure concrete variables and indirect instruments to measure abstract concepts (Burns, Grove, 1997). Indirect instruments measure the attributes by which a concept is made of. Furthermore, there are instruments for physiologic variables (e.g. for the weight), observational instruments (Check-lists e Rating Scales), interviews, questionnaires, diaries and the scales (Check-lists, Rating Scales, Likert Scales, Semantic Differential Scales e Visual Anologue Scales). The choice to select an instrument or another one depends on the research question and design. Instruments research are very useful in research both to describe the variables and to see statistical significant relationships. Very carefully should be their use in the clinical practice for diagnostic assessment.

Humans↗

Intra-abdominal hypertension--implications for the intensive care physician.

INTRODUCTION: Intra-abdominal hypertension is becoming increasingly recognised in intensive care patients. The objective of this paper was to review the modern published literature to establish a representative consensus view of the incidence, causes, pathophysiology, management and outcome of intra-abdominal hypertension. METHODS: A computerised MEDLINE search from 1966 to November 2000 was conducted using the Medical Subject Heading and textwords "abdominal", "compartment syndromes", "intra-abdominal" and "hypertension" and "pressure". The references of recent articles were checked for additional relevant citations. Papers were independently assessed for relevance by authors SJR and GMJ using a data collection format. Data were assessed qualitatively and papers detailing physiologic variables, effects of decompression and outcome were abstracted in table form. CONCLUSIONS: Intra-abdominal hypertension exists when intra-abdominal pressure exceeds 10 to 12 mmHg as physiological aberrations are manifest above this pressure. Incidence is 5% to 40% in high-risk surgical patients. Pathophysiological changes caused by intra-abdominal hypertension include effects on the gastrointestinal, cardiovascular, renal, respiratory and central nervous systems. An association between intra-abdominal hypertension and subsequent multiple organ failure has been repeatedly shown, although causation remains unproven. Monitoring intra-abdominal pressure (IAP) by measuring urinary bladder pressure is easy and accurate. However, it is unclear what level of intra-abdominal pressure requires intervention (decompression), or what length of time intra-abdominal hypertension can be tolerated before significant end organ damage occurs. In the absence of good outcome data, expert consensus is that an acute increase of IAP to above 20 to 25 mmHg and/or evidence of abdominal compartment syndrome warrants urgent decompression. While some progress has been made in describing and managing this clinical entity, further studies are needed to fully understand the clinical implications and confirm appropriate management of this condition.

Abdomen↗

Prediction of serum testosterone before and after an exercise program using physiological and personality variables.

This study investigated the relationships between serum testosterone level and selected physiological and personality variables in 58 males (21-61 years) before and after a four month physical fitness program consisting of jogging, calisthenics, and recreational activities. Physical fitness scores were obtained for each subject using a regression equation. Serum testosterone was determined using a radioimmunoassay technique. The multiple correlation was used to determine the relationship between serum testosterone and 19 independent variables consisting of age, height, and weight, and percent lean body weight, systolic and diastolic blood pressures, ten factors from the Cattell 16 PF and the three scales of the Eysenck Personality Inventory. A stepwise linear regression was used to identify the predictive power of each of the independent variables. The subjects improved significantly in physical fitness (p < 0.01). The multiple correlations both at the pre-test (R=0.77; R2=0.59) and post-test (R=0.67; R2=0.46) were significant at the 0.01 level. Neuroticism, factors dealing with emotional stability, aggression, and intelligence were powerful predictors initially. Similar results were obtained at the post-test except for the addition of percent lean as a powerful predictor and the absence of factors dealing with intelligence and aggression. The emergence of percent lean was seen to reflect changes in body composition associated with testosterone secretion. The absence of aggression at the post-test was interpreted in light of free catecholamine excretion associated with habitual exercise.

Adult↗

Physiological and biochemical variables associated with body fat loss in overweight women.

During a weight loss study conducted on a metabolic unit, five women lost an average of 8.7 +/- 0.7 kg of body fat mass (FM) with a 12 week treatment of low energy diet plus exercise. Another group of five women lost 4.4 +/- 0.7 kg FM with a 12 week treatment of an adequate diet plus exercise. Within each treatment, the amount of FM lost varied by approximately 2-fold. To explain the variability in FM loss, we tested its association by multiple regression analysis with several physiological and biochemical measurements obtained during a 2 week stabilization period or early in the treatment period. The variable most closely correlated with FM loss was plasma free fatty acid levels following exercise (EX-FFA). This variable alone accounted for 79 percent of the variation in FM loss. EX-FFA was simple to measure and was repeatedly correlated with FM loss, whether FFA values of the first exercise test or EX-FFA values obtained later in the experimental period were used. Of the physiological variables tested, the rate of fat calories expended in response to a test meal was correlated with FM loss and accounted for 71 percent of the variation. Upon subsequent testing, however, this relationship was not repeatable. When a treatment group designation (dummy-coded variable) was added to the regression analysis, the rate of fat calories expended at rest (FATRMR) was related to FM loss. Together, FATRMR and the dummy-coded variable accounted for 87 percent of the variation in FM loss. In a separate multiple regression equation, the combination of EX-FFA and the dummy-coded variable also accounted for 87 percent of the variation in FM loss. Further evaluation of these relationships is required to determine if EX-FFA or FATRMR would be useful as predictors of FM loss under conditions of weight loss where individuals are living freely in the community and consuming a variety of diets.

Adipose Tissue↗