Evidence map›Paper›PMID 40948858›Full record

ArticleFrontiers in nutrition2025

Metabolic adaptation fluctuates with different prediction equations: a secondary analysis based on a weight-loss clinical trial.

Molian Tang, Jialu Wang, Yi Xiang, Renying Xu

Abstract read
In one paragraph

Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Molian TangDepartment of Clinical Nutrition, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Jialu WangDepartment of Clinical Nutrition, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yi XiangDepartment of Clinical Nutrition, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Renying XuDepartment of Clinical Nutrition, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Metabolic adaption (MA) might be of clinical relevance in weight loss management. However, it is unclear whether resting metabolic rate (RMR) reduction in weight loss reflects true MA or fat free mass (FFM) loss. Methods: We re-analyzed the data based on a weight loss trial of 131 patients (aged 33.3 ± 6.7 years) with overweight/obesity. Anthropometric data, body composition, daily physical activity, sleep hour and dietary intake were collected for every 4 weeks (baseline, week 4, 8, 12, and 16). The linear mixed model was used to evaluate the absolute change in RMR and adjusted RMR [aRMR = RMR (kcal) divided by FFM (kg)] with two different equations (Katch-McArdle-determined vs. BIA-determined) for every 4 weeks after adjustment of age, sex, daily physical activity, sleep hours, dietary intake, and baseline FFM and fat mass (FM). Results: Following the 16-week intervention, a significant reduction was observed in body weight [β: -5.6 kg; 95% Confidence Interval (CI): -6.3 kg, -5.0 kg], BMI (β: -2.3 kg/m Conclusion: The use of different prediction equations might account for variations in MA in this study. The results highlight the importance of preserving FFM during weight loss, thus to prevent reductions in RMR.

Indexed as

bioelectric impedance analysis (BIA)Katch-McArdlemetabolic adaption (MA)resting metabolic rate (RMR)weight management

Identifiers

PMID40948858
PMCPMC12425712

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.