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The basal metabolic rate accounts for about 70% of the daily calorie expenditure by individuals. It is influenced by several factors. In humans, BMR typically declines by 1–2% per decade after age 20, mostly due to loss of fat-free mass, [3] although the variability between individuals is high. [4]
Mild calorie restriction may be beneficial for pregnant women to reduce weight gain (without weight loss) and reduce perinatal risks for both the mother and child. [11] [12] For overweight or obese individuals, calorie restriction may improve health through weight loss, although a gradual weight regain of 1–2 kg (2.2–4.4 lb) per year may occur.
[10] [18] When used in routine care, there is evidence that VLCDs achieve average weight loss at 1 year around 10 kilograms (22 lb) [19] or about 4% more weight loss over the short term. [20] VLCDs can achieve higher short-term weight loss compared to other more modest or gradual calorie restricted diets , and the maintained long-term weight ...
Instead, the body fat percentage, which is the complement, is computed, and is typically 10–40%. The lean body mass (LBM) has been described as an index superior to total body weight for prescribing proper levels of medications and for assessing metabolic disorders, as body fat is less relevant for metabolism .
Wishnofsky conducted a review of previous observations and experiments on weight loss and weight gain, and stated his conclusions in a paper he published in 1958. [4] Thus, according to the Wishnofsky Rule, eating 500 fewer calories than one needs per day should result in a loss of about a pound per week.
But it is important to recognise that women need at least 9% more body fat than men to live a normal healthy life. [2] Data from the 2003–2006 NHANES survey showed that fewer than 10% of American adults had a "normal" body fat percentage (defined as 5–20% for men and 8–30% for women). [3]