Size effects on metabolic rate include the effects of body size (biolo
gical) and sample size (methodological) and are to be found in cell, t
issue, and body calorimetry. The biological size effect, known as Klei
ber's rule and consisting of a metabolic reduction with increasing bod
y mass, is demonstrated by the size relationship of blood heat output
in several mammalian species (cellular level) and by the differing met
abolic behaviour of cardioplegic rat and dog heart samples (tissue lev
el). The methodological size effect, known as the crowding effect and
consisting of a metabolic decrease with increasing sample size, is dem
onstrated in human renal carcinoma cells (cellular level) and ischemic
rat liver samples (tissue level) and is explained by a simple mathema
tical simulation. With respect to body calorimetry, it is stressed tha
t metabolic size allometry may be temporarily inactivated in special b
iological adaptations (neonatal period, mammalian hibernation), and we
ight correction of metabolic rates may produce methodological problems
when mass differences are mainly due to varying body fat content (cir
cannual rhythms). In conclusion, careful size standardization is a pre
requisite of comparability in biomedical calorimetry.