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Comparison of resting energy expenditure in bronchopulmonary dysplasia to predicted equation.

Abstract

OBJECTIVE

Children with bronchopulmonary dysplasia (BPD) often suffer from growth failure because of disturbances in energy balance with an increase of resting energy expenditure (REE). Evaluation of REE is a useful tool for nutritional management. Indirect calorimetry is an elective method for measuring REE, but it is time consuming and requires rigorous procedure. The objective of this study was to test accuracy of prediction equation to evaluate REE in BPD children.

PATIENTS AND METHODS

Fifty-two children aged 4-10 years with BPD (30 boys and 22 girls) and 30 healthy lean children (20 boys and 10 girls) were enrolled. In this study, indirect calorimetry was compared to four prediction equations (Schoffield-W, Schoffield-HW, Harris-Benedict and Food and Agriculture Organization equation) using Bland-Altman pair wise comparison.

RESULTS

The Harris-Benedict equation was the best equation to predict REE in children with BPD, and Schoffield-W was the best in healthy children. For the children with chronic lung disease of prematurity the Harris-Benedict equation showed the lowest mean predicted REE-REE measured by indirect calorimetry difference (difference = 15 kcal/day; limits of agreement -266 and 236 kcal/day; 95% confidence interval for the bias -207 to 177 kcal/day), and graphically, the best agreement. For the group of healthy children, it was the Schofield-W equation (-2.9 kcal/day; limits of agreement -275 and 269 kcal/day; 95% confidence interval for the bias -171 to 165 kcal/day), and graphically, the best agreement.

CONCLUSION

Differences in prediction equation are minimal compared to calorimetry. Prediction equation could be useful in the management of children with BPD.

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  • Authors+Show Affiliations

    ,

    Unité de Gastroentérologie, Hépatologie et Nutrition, Clinique de Pédiatrie, Hôpital Jeanne de Flandre, Lille, France.

    , ,

    Source

    MeSH

    Basal Metabolism
    Bronchopulmonary Dysplasia
    Calorimetry, Indirect
    Child
    Child, Preschool
    Cohort Studies
    Energy Metabolism
    Female
    Humans
    Infant, Newborn
    Male
    Mathematics
    Predictive Value of Tests
    Reference Values
    Reproducibility of Results

    Pub Type(s)

    Comparative Study
    Journal Article

    Language

    eng

    PubMed ID

    16804557

    Citation

    Bott, L, et al. "Comparison of Resting Energy Expenditure in Bronchopulmonary Dysplasia to Predicted Equation." European Journal of Clinical Nutrition, vol. 60, no. 11, 2006, pp. 1323-9.
    Bott L, Béghin L, Marichez C, et al. Comparison of resting energy expenditure in bronchopulmonary dysplasia to predicted equation. Eur J Clin Nutr. 2006;60(11):1323-9.
    Bott, L., Béghin, L., Marichez, C., & Gottrand, F. (2006). Comparison of resting energy expenditure in bronchopulmonary dysplasia to predicted equation. European Journal of Clinical Nutrition, 60(11), pp. 1323-9.
    Bott L, et al. Comparison of Resting Energy Expenditure in Bronchopulmonary Dysplasia to Predicted Equation. Eur J Clin Nutr. 2006;60(11):1323-9. PubMed PMID: 16804557.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Comparison of resting energy expenditure in bronchopulmonary dysplasia to predicted equation. AU - Bott,L, AU - Béghin,L, AU - Marichez,C, AU - Gottrand,F, Y1 - 2006/06/28/ PY - 2006/6/29/pubmed PY - 2007/1/24/medline PY - 2006/6/29/entrez SP - 1323 EP - 9 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 60 IS - 11 N2 - OBJECTIVE: Children with bronchopulmonary dysplasia (BPD) often suffer from growth failure because of disturbances in energy balance with an increase of resting energy expenditure (REE). Evaluation of REE is a useful tool for nutritional management. Indirect calorimetry is an elective method for measuring REE, but it is time consuming and requires rigorous procedure. The objective of this study was to test accuracy of prediction equation to evaluate REE in BPD children. PATIENTS AND METHODS: Fifty-two children aged 4-10 years with BPD (30 boys and 22 girls) and 30 healthy lean children (20 boys and 10 girls) were enrolled. In this study, indirect calorimetry was compared to four prediction equations (Schoffield-W, Schoffield-HW, Harris-Benedict and Food and Agriculture Organization equation) using Bland-Altman pair wise comparison. RESULTS: The Harris-Benedict equation was the best equation to predict REE in children with BPD, and Schoffield-W was the best in healthy children. For the children with chronic lung disease of prematurity the Harris-Benedict equation showed the lowest mean predicted REE-REE measured by indirect calorimetry difference (difference = 15 kcal/day; limits of agreement -266 and 236 kcal/day; 95% confidence interval for the bias -207 to 177 kcal/day), and graphically, the best agreement. For the group of healthy children, it was the Schofield-W equation (-2.9 kcal/day; limits of agreement -275 and 269 kcal/day; 95% confidence interval for the bias -171 to 165 kcal/day), and graphically, the best agreement. CONCLUSION: Differences in prediction equation are minimal compared to calorimetry. Prediction equation could be useful in the management of children with BPD. SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/16804557/Comparison_of_resting_energy_expenditure_in_bronchopulmonary_dysplasia_to_predicted_equation_ L2 - http://dx.doi.org/10.1038/sj.ejcn.1602463 DB - PRIME DP - Unbound Medicine ER -