Title

The major components of human energy balance during chronic β-adrenergic blockade

Document Type

Article

Date of Original Version

1-1-2000

Abstract

Purpose: The authors compare the major components of energy balance - dietary food intake, resting metabolic rate, and physical energy expenditure - in patients receiving β-blocking medications and healthy controls. Methods: The authors recruited subjects who were receiving β-blocking agents (n = 22) from local hospitals and clinics. Twenty-two healthy controls were matched to each patient based on age, weight, and gender. Resting metabolic rates were determined using indirect calorimetry. Three-day dietary intakes and physical activity assessments were analyzed. Results: There were no between-group differences in calories ingested or self-reported physical activity patterns. However, resting metabolic rates were lower in the beta-blocked subjects (β-blocked = 1,541 ± 464 kcals/day; controls = 1,817 ± 426 kcals/day; P < 0.05). Conclusions: β-adrenergic blockade causes a reduction in resting metabolic rate. Therefore, β-blocked individuals should increase physical activity, decrease dietary intake, or both to maintain daily energy balance and prevent weight gain that accompanies a reduction in metabolic rate.

Publication Title

Journal of Cardiopulmonary Rehabilitation

Volume

20

Issue

4

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