1. Purpose and Explanation of the Test
Your resting metabolic rate (RMR)
is the number of calories you burn while you are resting and not exerting
yourself in any way. Because RMR typically accounts for 60 to 70 percent of a
person's total daily energy expenditure, knowing your RMR can be useful when
formulating an individualized nutrition and weight management plan. Before your
RMR test, you must not participate in any strenuous exercise for 24 hours and
must fast overnight for about 12 hours. The test is typically done in the
morning. You will lie quietly at rest in a dimly lit room for about 30 minutes.
A breathing mask will be placed over your mouth and nose and you will breathe
in room air as normal. Tubes from the breathing mask are connected to a
computerized device that analyzes the air you exhale.
2. Attendant Risks and Discomforts
Rarely, people feel claustrophobic
and cannot tolerate wearing the breathing mask. To the best of our knowledge
there are no known health risks associated with an RMR
evaluation. However, it is conceivable that you could acquire an infection by
breathing through a breathing mask that is not clean. To minimize the
possibility of this extremely remote risk, you will be provided with your own
breathing mask that you should keep for future tests. There may be risks
associated with making the dietary changes outlined in your report including,
but not limited to, an increased risk for gallstones and, for persons with
certain chronic illnesses, a worsening of your medical condition.
3. Responsibilities of the Participant
The results of your RMR test may
not be accurate if you did not follow the instructions for preparing for the
test. The accuracy of your results can also be affected by certain medications,
medical conditions, acute infections and, for females,
pregnancy, breast feeding and menstruation. You should notify the testing staff
if you feel that any of these conditions apply to you. During the test you
should try not to fall asleep, but should be comfortable and as relaxed as
possible. You should try to lie as still as possible in one position while
breathing normally throughout the test. You should immediately report any
unusual feelings that are of concern to the test staff.
4. Benefits to be Expected
Your RMR test results will be used
to help formulate an individualized nutrition plan for you. A great deal is
known about the topic of RMR and its role in nutrition and weight management.
However, much remains to be learned. You will be provided with recommendations
based on our interpretation of the existing knowledge at this time. If your
doctor or registered dietitian has provided you with nutrition and/or physical
activity guidelines different than what is provided in the report you receive
after your RMR test, discuss the report with your doctor or registered
dietitian before implementing our recommendations.
5. Inquiries
Any questions about the procedures
used in the RMR test or the results of your test are encouraged. If you have
any concerns or questions, please ask us for further explanations.
6. Use of Test Results
The information that is obtained
during RMR testing will be treated as privileged and confidential. It is not to
be released or revealed to any person except your referring physician without
your written consent. The information obtained, however, may be used for
statistical analysis or scientific purposes with your right to privacy
retained.
7. Freedom of Consent
I hereby consent to voluntarily
engage in an RMR test to help formulate an individualized nutrition and/or
weight management plan for me. My permission to perform this RMR rest is given
voluntarily. I do hereby waive, release and forever discharge New Leaf™ Health
& Fitness Products/In The Zone Fitness and its officers, agents, employees,
representatives, executors, and all others from any and all responsibilities or
liability for injuries or damages resulting from my participation in any
activities recommended or supervised by New Leaf Health & Fitness Products/In
The Zone Fitness. I do also hereby release all of those mentioned and any
others acting upon their behalf from any responsibility or liability for any
injury or damage to myself, including those caused by the negligent act of
omission of any of those mentioned or others acting on their behalf or in any
way arising out of or connected with my participation in any activities of New
Leaf Health & Fitness Products/In The Zone Fitness.
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