The relationship between resting metabolic rate and quality of life is moderated by age and body composition in women: a cross-sectional study

Abstract Background Health-related quality of life (HRQOL) is related to body composition, which is also related to resting metabolic rate (RMR). RMR can be increased by exercise and diet interventions that are not dependent on changes in body composition, so a link between RMR and HRQOL may provide...

Full description

Bibliographic Details
Main Authors: Melissa J. Benton, Andrea M. Hutchins
Format: Article
Language:English
Published: BMC 2024-04-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-024-03085-0
_version_ 1827284112508977152
author Melissa J. Benton
Andrea M. Hutchins
author_facet Melissa J. Benton
Andrea M. Hutchins
author_sort Melissa J. Benton
collection DOAJ
description Abstract Background Health-related quality of life (HRQOL) is related to body composition, which is also related to resting metabolic rate (RMR). RMR can be increased by exercise and diet interventions that are not dependent on changes in body composition, so a link between RMR and HRQOL may provide interventions that directly improve HRQOL in women. Methods One hundred twenty women (median age 63.5 [IQR: 53.0–71.0] years) completed one-time measurement of body composition (multi-frequency bioelectrical impedance), RMR (handheld calorimetry), and HRQOL (RAND-36). Physical (PCS) and mental (MCS) composite scores were calculated for the RAND-36. Pearson correlations were used to identify relationships between RMR, body composition, and HRQOL. Variables at the p < .01 level were entered into multiple regression models. Results Median body mass index was 26.1 [IQR: 23.2–30.9] kg/m2 and median lean mass index was 16.1 [IQR: 14.6–17.3] kg/m2. Body composition consisted of fat mass (median 27.2 [IQR: 20.3–34.7] kg) and lean mass (median 42.7 [IQR: 38.2–46.9] kg). Median RMR was 1165.0 [IQR: 1022.5–1380.0] kcal/day. Median HRQOL scores were PCS (84.0 [IQR: 74.0–93.0]) and MCS (85.0 [IQR: 74.3–90.0]). RMR was not directly related to PCS, but was directly and negatively related to MCS (p = .002). RMR was significantly and positively related to body composition (lean mass: p < .001; fat mass: p < .001), body mass index (p = .005), and lean mass index (p < .001); but only fat mass (PCS: p < .001; MCS: p < .001) and body mass index (PCS: p < .001; MCS: p < .001) were related to HRQOL, although the relationship was negative. In addition, age was found to be significantly negatively related to RMR (p < .001) and PCS (p = .003). Regression models confirmed the moderating influence of age and body composition on the relationship between RMR and HRQOL. RMR, age, fat mass, and body mass index explained 24% (p < .001) of variance in PCS; and RMR, fat mass, and body mass index explained 15% (p < .001) of variance in MCS. Conclusion In women, the relationship between RMR and HRQOL is moderated by age and body composition. Understanding these pathways will allow clinicians and researchers to direct interventions more effectively.
first_indexed 2024-04-24T09:49:04Z
format Article
id doaj.art-ac90f8d6c1dc4903af1f78fdb50b8c30
institution Directory Open Access Journal
issn 1472-6874
language English
last_indexed 2024-04-24T09:49:04Z
publishDate 2024-04-01
publisher BMC
record_format Article
series BMC Women's Health
spelling doaj.art-ac90f8d6c1dc4903af1f78fdb50b8c302024-04-14T11:28:02ZengBMCBMC Women's Health1472-68742024-04-012411910.1186/s12905-024-03085-0The relationship between resting metabolic rate and quality of life is moderated by age and body composition in women: a cross-sectional studyMelissa J. Benton0Andrea M. Hutchins1Department of Nursing, University of Colorado Colorado SpringsDepartment of Human Physiology & Nutrition, University of Colorado Colorado SpringsAbstract Background Health-related quality of life (HRQOL) is related to body composition, which is also related to resting metabolic rate (RMR). RMR can be increased by exercise and diet interventions that are not dependent on changes in body composition, so a link between RMR and HRQOL may provide interventions that directly improve HRQOL in women. Methods One hundred twenty women (median age 63.5 [IQR: 53.0–71.0] years) completed one-time measurement of body composition (multi-frequency bioelectrical impedance), RMR (handheld calorimetry), and HRQOL (RAND-36). Physical (PCS) and mental (MCS) composite scores were calculated for the RAND-36. Pearson correlations were used to identify relationships between RMR, body composition, and HRQOL. Variables at the p < .01 level were entered into multiple regression models. Results Median body mass index was 26.1 [IQR: 23.2–30.9] kg/m2 and median lean mass index was 16.1 [IQR: 14.6–17.3] kg/m2. Body composition consisted of fat mass (median 27.2 [IQR: 20.3–34.7] kg) and lean mass (median 42.7 [IQR: 38.2–46.9] kg). Median RMR was 1165.0 [IQR: 1022.5–1380.0] kcal/day. Median HRQOL scores were PCS (84.0 [IQR: 74.0–93.0]) and MCS (85.0 [IQR: 74.3–90.0]). RMR was not directly related to PCS, but was directly and negatively related to MCS (p = .002). RMR was significantly and positively related to body composition (lean mass: p < .001; fat mass: p < .001), body mass index (p = .005), and lean mass index (p < .001); but only fat mass (PCS: p < .001; MCS: p < .001) and body mass index (PCS: p < .001; MCS: p < .001) were related to HRQOL, although the relationship was negative. In addition, age was found to be significantly negatively related to RMR (p < .001) and PCS (p = .003). Regression models confirmed the moderating influence of age and body composition on the relationship between RMR and HRQOL. RMR, age, fat mass, and body mass index explained 24% (p < .001) of variance in PCS; and RMR, fat mass, and body mass index explained 15% (p < .001) of variance in MCS. Conclusion In women, the relationship between RMR and HRQOL is moderated by age and body composition. Understanding these pathways will allow clinicians and researchers to direct interventions more effectively.https://doi.org/10.1186/s12905-024-03085-0Health-related quality of lifeRAND-36Physical composite scoreMental composite scoreResting metabolic rateBody composition
spellingShingle Melissa J. Benton
Andrea M. Hutchins
The relationship between resting metabolic rate and quality of life is moderated by age and body composition in women: a cross-sectional study
BMC Women's Health
Health-related quality of life
RAND-36
Physical composite score
Mental composite score
Resting metabolic rate
Body composition
title The relationship between resting metabolic rate and quality of life is moderated by age and body composition in women: a cross-sectional study
title_full The relationship between resting metabolic rate and quality of life is moderated by age and body composition in women: a cross-sectional study
title_fullStr The relationship between resting metabolic rate and quality of life is moderated by age and body composition in women: a cross-sectional study
title_full_unstemmed The relationship between resting metabolic rate and quality of life is moderated by age and body composition in women: a cross-sectional study
title_short The relationship between resting metabolic rate and quality of life is moderated by age and body composition in women: a cross-sectional study
title_sort relationship between resting metabolic rate and quality of life is moderated by age and body composition in women a cross sectional study
topic Health-related quality of life
RAND-36
Physical composite score
Mental composite score
Resting metabolic rate
Body composition
url https://doi.org/10.1186/s12905-024-03085-0
work_keys_str_mv AT melissajbenton therelationshipbetweenrestingmetabolicrateandqualityoflifeismoderatedbyageandbodycompositioninwomenacrosssectionalstudy
AT andreamhutchins therelationshipbetweenrestingmetabolicrateandqualityoflifeismoderatedbyageandbodycompositioninwomenacrosssectionalstudy
AT melissajbenton relationshipbetweenrestingmetabolicrateandqualityoflifeismoderatedbyageandbodycompositioninwomenacrosssectionalstudy
AT andreamhutchins relationshipbetweenrestingmetabolicrateandqualityoflifeismoderatedbyageandbodycompositioninwomenacrosssectionalstudy