The Relation between the Basal Metabolic Rate and the Pulse-Pressure in Conditions of Disturbed Thyroid Function

QJM ◽  
1924 ◽  
Vol os-18 (69) ◽  
pp. 36-61 ◽  
Author(s):  
H. W. Davies ◽  
J. Eason
Author(s):  
Bahareh Nikooyeh ◽  
Nastaran Shariatzadeh ◽  
Ali Kalayi ◽  
Maliheh Zahedirad ◽  
Tirang R. Neyestani

Abstract. Some studies have reported inaccuracy of predicting basal metabolic rate (BMR) by using common equations for Asian people. Thus, this study was undertaken to develop new predictive equations for the Iranian community and also to compare their accuracy with the commonly used formulas. Anthropometric measures and thyroid function were evaluated for 267 healthy subjects (18–60 y). Indirect calorimetry (InCal) was performed only for those participants with normal thyroid function tests (n = 252). Comparison of predicted RMR (both kcal/d and kcal.kg.wt−1.d−1) using current predictive formulas and measured RMR revealed that Harris-Benedict and FAO/WHO/UNU significantly over-estimated and Mifflin-St. Jeor significantly under-estimated RMR as compared to InCal measurements. In stepwise regression analysis for developing new equations, the highest r2 (=0.89) was from a model comprising sex, height and weight. However, further analyses revealed that unlike the subjects under 30 y, the association between age and the measured RMR in subjects 30 y and plus was negative (r = −0.241, p = 0.001). As a result, two separate equations were developed for these two age groups. Over 80 percent of variations were covered by the new equations. In conclusion, there were statistical significant under- and over-estimation of RMR using common predictive equations in our subjects. Using the new equations, the accuracy of the calculated RMR increased remarkably.


1952 ◽  
Vol 8 (1) ◽  
pp. 1-10 ◽  
Author(s):  
M. REISS ◽  
C. P. HAIGH ◽  
R. E. HEMPHILL ◽  
R. MAGGS ◽  
JEAN M. REISS ◽  
...  

A method of estimating thyroid function with carrier-free radio-iodine which provides an arbitrary numerical scale of thyroid activity is described. It is suitable for investigating borderline thyroid dysfunction. The results on over 500 psychiatric patients are given in the form of histograms, and arbitrary limits of normality are defined on the basis of these results. While there is usually a correlation between the tracer method and the basal metabolic rate, cases exist in which increased thyroid activity, determined by the radio-active method, is associated with normal or subnormal b.m.r. and vice versa. This is explained as a disturbance of the sensitivity of body tissues to thyroid hormone. The significance of under-sensitivity to thyroid hormone and related problems is discussed, and the importance of considering peripheral sensitivity of the tissues of the body in evaluating an abnormal thyroid activity is emphasized.


2013 ◽  
Vol 39 (2) ◽  
pp. 80-85 ◽  
Author(s):  
Aaron Avivi ◽  
Eviatar Nevo ◽  
Keren Cohen ◽  
Nick Sotnichenko ◽  
Aleck Hercbergs ◽  
...  

1962 ◽  
Vol 41 (3) ◽  
pp. 457-473 ◽  
Author(s):  
Thomas Falkheden ◽  
Torsten Norin ◽  
Björn Sjögren ◽  
Bengt Skanse

ABSTRACT Thyroid function was studied before and after hypophysectomy in 30 patients (13 cases of metastatic mammary carcinoma, 12 cases of diabetes mellitus with retinopathy, and five cases of acromegaly). Attention was particularly focused on the relation of the changes produced in the basal metabolic rate (BMR) to the development of thyroid insufficiency. After hypophysectomy, hypothyroidism developed in all but six patients as judged from the postoperative levels of serum protein-bound iodine. However, a decrease in the BMR was observed postoperatively in all subjects. The effect of thyroid administration on the BMR was studied in 14 of the hypophysectomized patients. Thyroid therapy increased the BMR only moderately in most cases while restoration of the values to the preoperative level only occurred in one patient. It thus appears that the decreased BMR after hypophysectomy is not only dependent on thyroid insufficiency. The clinical manifestations of post-hypophysectomy hypothyroidism, were on the whole only slight and comprised mainly intolerance to cold and dryness of the skin. Myxoedema did not develop during an observation period up to 47 months after operation.


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