ntroduction: Resting metabolic rate (RMR) is the largest component of daily energy
expenditure and is essential for maintaining energy balance during childhood growth.
Objective: This study evaluated the agreement between bioelectrical impedance analysis (BIA)
and common predictive equations for estimating RMR in Palestinian boys aged 6–9 years and
aimed to develop a population-specific equation based on fat-free mass (FFM).
Methodology: A total of 1,100 boys from 11 West Bank governorates were randomly selected.
Anthropometric measurements and RMR were assessed, and predictive equation estimates
were compared with BIA values.
Results: Mean RMR was 1117.65 kcal/day. The WHO (1985) equation showed the closest
agreement with BIA. FFM was a strong independent predictor of RMR, leading to the equation:
RMR (kcal/day) = 376.015 + (34.120 × FFM) (R² = 0.88).
Discussion: Growth and RMR values were within normal ranges, though differences from
international standards likely reflect genetic, nutritional, socioeconomic, climatic, and activity
factors.
Conclusion: The FFM-based equation offers a practical tool for monitoring growth, guiding
nutrition, and designing physical activity programs to prevent obesity and related diseases in
Palestinian children.
Keywords
Bioelectrical impedance analysis; boys; fat-free mass; resting metabolic rate; Palestine;
predictive equations.
