Does a Fever Burn Calories? And If So, How Many?

A fever is an elevated body temperature, typically a response to illness or infection. It indicates the body’s immune system is actively working to combat a perceived threat, such as viruses or bacteria. Many wonder if a fever influences the body’s calorie expenditure. This article explores the metabolic changes that occur during a fever and how this impacts the body’s energy use.

Fever’s Metabolic Impact

During a fever, the body’s internal “thermostat,” located in the hypothalamus, resets to a higher temperature. This adjustment triggers a series of physiological responses aimed at increasing heat production and conserving heat. The immune system, actively combating infection, requires substantial energy, contributing to an elevated metabolic rate.

The body initiates processes like vasoconstriction, which reduces heat loss from the skin, and shivering, which generates heat through muscle contractions. These actions, along with an increased heart rate and breathing rate, demand more energy. The accelerated metabolic activity supports the production and increased activity of immune cells, such as phagocytes and lymphocytes, and boosts the synthesis of antibodies and cytokines, which fight off pathogens.

Quantifying Calorie Expenditure

A fever directly impacts the body’s basal metabolic rate (BMR), the energy expended at rest to maintain basic bodily functions. For every 1 degree Celsius (1°C) rise in body temperature, the basal metabolic rate increases by approximately 10% to 15%.

While this represents a notable increase in energy expenditure, it is modest in the context of overall daily calorie needs. For an individual with a basal metabolic rate of 1500-2000 calories per day, a fever might lead to an additional burn of a few hundred calories. This increase is a consequence of the body working harder to fight illness, not an amount for intentional weight management.

Fever and Weight Loss Misconceptions

Despite increased calorie expenditure during a fever, it is inaccurate to view it as a healthy or viable strategy for weight loss. Any weight reduction experienced during an illness accompanied by fever is primarily attributed to factors other than fat loss. A major contributor to temporary weight decrease is fluid loss due to increased sweating and elevated breathing rates.

Additionally, the body may experience muscle breakdown as it seeks energy sources, particularly if appetite is reduced and nutritional intake is insufficient. During illness, the body can become catabolic, breaking down muscle protein to provide amino acids for immune function and as an emergency energy source. This type of weight loss is not beneficial for health and is rapidly regained once the individual recovers and resumes normal eating and hydration habits.

Supporting Your Body During Fever

When experiencing a fever, supporting the body’s natural defenses is important for recovery. Adequate rest allows the body to conserve energy and direct it towards fighting the infection. Physical activity can further raise body temperature and should be avoided.

Maintaining proper hydration is also important, as fever increases fluid loss through sweating and respiration. Drinking plenty of clear fluids like water, broth, or rehydration solutions helps prevent dehydration and supports the body’s cooling mechanisms. Even with reduced appetite, consuming easily digestible, nutritious foods provides the necessary fuel for immune function. Medical attention should be sought for high or prolonged fevers, or if accompanied by concerning symptoms such as severe headache, stiff neck, difficulty breathing, or confusion.