The respiratory quotient (RQ or respiratory coefficient) is a dimensionless number used in calculations of basal metabolic rate (BMR) when estimated from carbon dioxide production. It is calculated from the ratio of carbon dioxide produced by the body to oxygen consumed by the body, when the body is in a steady state. Such measurements, like measurements of oxygen uptake, are forms of indirect calorimetry. It is measured using a respirometer. The respiratory quotient value indicates which macronutrients are being metabolized, as different energy pathways are used for fats, carbohydrates, and proteins. If metabolism consists solely of lipids, the respiratory quotient is approximately 0.7, for proteins it is approximately 0.8, and for carbohydrates it is 1.0. Most of the time, however, energy consumption is composed of both fats and carbohydrates. The approximate respiratory quotient of a mixed diet is 0.8. Some of the other factors that may affect the respiratory quotient are energy balance, circulating insulin, and insulin sensitivity. It can be used in the alveolar gas equation.
Respiratory exchange ratio The respiratory exchange ratio (RER) is the ratio between the metabolic production of carbon dioxide (CO2) and the uptake of oxygen (O2). The ratio is determined by comparing exhaled gases to room air. Measuring this ratio is equal to RQ only at rest or during mild to moderate aerobic exercise without the accumulation of lactate. The loss of accuracy during more intense anaerobic exercise is among others due to factors including the bicarbonate buffer system. The body tries to compensate for the accumulation of lactate and minimize the acidification of the blood by expelling more CO2 through the respiratory system. The RER can exceed 1.0 during intense exercise. A value above 1.0 cannot be attributed to the substrate metabolism, but rather to the aforementioned factors regarding bicarbonate buffering. Calculation of RER is commonly done in conjunction with exercise tests such as the VO2 max test. This can be used as an indicator that the participants are nearing exhaustion and the limits of their cardio-respiratory system. An RER greater than or equal to 1.0 is often used as a secondary endpoint criterion of a VO2 max test.
Calculation The respiratory quotient (RQ) is the ratio: RQ = CO2 eliminated / O2 consumed where the term "eliminated" refers to carbon dioxide (CO2) removed from the body in a steady state. In this calculation, the CO2 and O2 must be given in the same units, and in quantities proportional to the number of molecules. Acceptable inputs would be either moles, or else volumes of gas at standard temperature and pressure. Many metabolized substances are compounds containing only the elements carbon, hydrogen, and oxygen. Examples include fatty acids, glycerol, carbohydrates, deamination products, and ethanol. For complete oxidation of such compounds, the chemical equation is CxHyOz + (x + y/4 - z/2) O2 → x CO2 + (y/2) H2O and thus metabolism of this compound gives an RQ of x/(x + y/4 - z/2). For glucose, with the molecular formula, C6H12O6, the complete oxidation equation is C6H12O6 + 6 O2 → 6 CO2 + 6 H2O. Thus, the RQ= 6 CO2/ 6 O2=1. For oxidation of a fatty acid molecule, namely palmitic acid:
23 O 2 + C 16 H 32 O 2 → 16 C O 2 + 16 H 2 O + 129 A T P {\displaystyle 23\ \mathrm {O} _{2}+\mathrm {C} _{16}\mathrm {H} _{32}\mathrm {O} _{2}\to 16\ \mathrm {CO} _{2}+16\ \mathrm {H} _{2}\mathrm {O} +129\ \mathrm {ATP} }
R E R = V C O 2 V O 2 = 16 C O 2 23 O 2 ≈ 0.7 {\displaystyle \mathrm {RER} ={\frac {\mathrm {VCO} _{2}}{\mathrm {VO} _{2}}}={\frac {16\ \mathrm {CO} _{2}}{23\ \mathrm {O} _{2}}}\approx 0.7}
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