Obese Japanese adults with type 2 diabetes have higher basal metabolic rates than non-diabetic adults

J Nutr Sci Vitaminol (Tokyo). 2011;57(5):348-54. doi: 10.3177/jnsv.57.348.

Abstract

Several cross-sectional studies in Pima Indians and Caucasians have indicated that obese individuals with type 2 diabetes have a higher basal metabolic rate (BMR) than healthy, obese individuals. However, no study has investigated this comparison in Japanese subjects, who are known to be susceptible to type 2 diabetes due to genetic characteristics. Thirty obese Japanese adults with pre-type 2 diabetes (n=7) or type 2 diabetes (n=13) or without diabetes (n=10) participated in this study. BMR was measured using indirect calorimetry. The relationships between residual BMR (calculated as measured BMR minus BMR adjusted for fat-free mass, fat mass, age, and sex) and biomarkers including fasting glucose, glycosylated hemoglobin (HbA(1c)), fasting insulin, homeostasis model assessment of insulin resistance (HOMA-R), triglycerides, and free fatty acids were examined using Pearson's correlation. BMR in diabetic subjects adjusted for fat-free mass, fat mass, age, and sex was 7.1% higher than in non-diabetic subjects. BMR in diabetic subjects was also significantly (p<0.05) higher than in non-diabetic subjects. There was a significant correlation between residual BMR and fasting glucose (r=0.391, p=0.032). These results indicate that in the Japanese population, obese subjects with type 2 diabetes have higher BMR compared with obese non-diabetic subjects. The fasting glucose level may contribute to these differences.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Basal Metabolism*
  • Biomarkers / blood
  • Blood Glucose / analysis
  • Body Mass Index
  • Calorimetry, Indirect
  • Diabetes Mellitus, Type 2 / complications*
  • Female
  • Glycated Hemoglobin / analysis
  • Humans
  • Japan
  • Male
  • Middle Aged
  • Obesity / blood
  • Obesity / complications*
  • Obesity / ethnology
  • Obesity / metabolism*
  • Prediabetic State / complications
  • Sex Characteristics

Substances

  • Biomarkers
  • Blood Glucose
  • Glycated Hemoglobin A
  • hemoglobin A1c protein, human