基于生物电阻抗分析的成人骨骼肌量与基础代谢率的关联分析
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洛阳市中心医院

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Correlation between adult skeletal muscle mass and basal metabolic rate based on bioelectrical impedance analysis
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Luoyang Central Hospital

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    目的 基于生物电阻抗分析(bioelectrical impedance analysis,BIA)分析成人骨骼肌量(skeletal muscle mass,SMM)与基础代谢率(basal metabolic rate,BMR)的关联。方法 连续收集2024年1月至2025年12月于洛阳市中心医院营养门诊完成InBody720检查的270例成人检测数据。暴露变量为SMM,结局变量为BMR。根据SMM三分位数将研究对象分为低、中、高三组。通过单因素及多因素线性回归估计SMM对BMR的效应值,并按性别、年龄、体质指数(body mass index,BMI)、肥胖度及体脂率(body fat percentage,BFP)等进行亚组分析。结果 SMM与BMR在未校正模型中呈明显正相关(β=35.6,95%CI:35.4~35.7),控制性别与年龄后β 升至36.0(95%CI:35.8~36.2);继续控制身高、BFP和内脏脂肪面积(visceral fat area,VFA)后β 为34.0(95%CI:33.5~34.5)。高SMM组的BMR较低SMM组高出215.3 kcal/d。亚组分析显示各分层内SMM的β 估计值接近,关联方向未发生改变。结论 在本研究人群中,SMM与BMR存在独立的正向关联,其效应未受性别或体型指标的干扰,提示SMM在基础代谢调控中发挥关键作用。

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    Objective To analyze the correlation between skeletal muscle mass (SMM) and basal metabolic rate (BMR) in adult based on bioelectrical impedance analysis (BIA). Methods The data of 270 adults who completed the InBody720 examination in the nutrition clinic of Luoyang Central Hospital from January 2024 to December 2025 were collected continuously. The exposure variable was SMM, and the outcome variable was BMR. According to the SMM tertiles, the subjects were divided into three groups: low, medium and high. The effect value of SMM on BMR was estimated by univariate and multivariate linear regression, and subgroup analysis was performed by gender, age, body mass index (BMI), obesity degree and body fat percentage (BFP). Results There was a significant positive correlation between SMM and BMR in the uncorrected model (β=35.6, 95%CI: 35.4?35.7). After controlling for gender and age, β increased to 36.0 (95%CI: 35.8?36.2); after controlling for height, BFP and visceral fat area (VFA), β was 34.0 (95%CI: 33.5? 34.5). The BMR of the high SMM group was 215.3 kcal/d higher than that of the low SMM group. Subgroup analysis showed that the β estimates of SMM in each layer were close, and the correlation direction did not change. Conclusion In this study, there is an independent positive correlation between SMM and BMR, and its effect is not interfered by gender or body shape index, suggesting that SMM plays a key role in basal metabolic regulation.

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赵永飞,田俊梅.基于生物电阻抗分析的成人骨骼肌量与基础代谢率的关联分析[J].生物医学工程学进展,2026,(4):128-132

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  • 收稿日期:2026-07-06
  • 最后修改日期:2026-07-19
  • 录用日期:2026-07-21
  • 在线发布日期: 2026-10-20
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