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Resting energy expenditure in clinical pediatrics: measured versus prediction equations.

Abstract

OBJECTIVE

To evaluate the use of resting energy expenditure (REE) prediction equations compared with measured REE in children referred for REE to aid clinical care.

SUBJECTS

One hundred two patients, aged 0.2 to 20.5 years, 55% female, with a nutritional diagnosis of failure to thrive (76%), obesity (19%), or other (5%).

METHODS

We measured REE by indirect calorimetry and compared with prediction equations: Food and Agriculture/World Health Organization/United Nations University (FAO/WHO/UNU) equation, Harris-Benedict (H-B) equation, and two equations from Schofield, one using weight (SCHO-WT) and one using weight and height (SCHO-HTWT).

RESULTS

The SCHO-HTWT equation more closely predicted measured REE (100% +/- 19%), compared with the WHO equation (99% +/- 22%), the SCHO-WT equation, (99% +/- 21%), and the H-B equation (92% +/- 25%). The SCHO-HTWT equation was the best at predicting REE for obese subjects (95% +/- 17%), for those with failure to thrive (101% +/- 20%), and for children from birth to 3 years of age (101% +/- 23%). Nevertheless, the prediction equations closely predicted REE in only about 40% of subjects.

CONCLUSION

These findings suggest that the SCHO-HTWT equation predicts REE in children with clinical nutritional problems better than equations that use weight alone. In view of the wide variability in REE measurements, however, we believe that REE should be measured in patients for whom knowledge of caloric expenditure is required for clinical care.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Division of Gastroenterology and Nutrition, Children's Hospital of Philadelphia, PA 19104.

    , ,

    Source

    The Journal of pediatrics 127:2 1995 Aug pg 200-5

    MeSH

    Basal Metabolism
    Calorimetry, Indirect
    Child
    Energy Metabolism
    Evaluation Studies as Topic
    Failure to Thrive
    Female
    Humans
    Male
    Mathematics
    Obesity
    Predictive Value of Tests
    Reference Standards
    Reference Values
    Time Factors

    Pub Type(s)

    Comparative Study
    Journal Article
    Research Support, Non-U.S. Gov't
    Research Support, U.S. Gov't, P.H.S.

    Language

    eng

    PubMed ID

    7636642

    Citation

    Kaplan, A S., et al. "Resting Energy Expenditure in Clinical Pediatrics: Measured Versus Prediction Equations." The Journal of Pediatrics, vol. 127, no. 2, 1995, pp. 200-5.
    Kaplan AS, Zemel BS, Neiswender KM, et al. Resting energy expenditure in clinical pediatrics: measured versus prediction equations. J Pediatr. 1995;127(2):200-5.
    Kaplan, A. S., Zemel, B. S., Neiswender, K. M., & Stallings, V. A. (1995). Resting energy expenditure in clinical pediatrics: measured versus prediction equations. The Journal of Pediatrics, 127(2), pp. 200-5.
    Kaplan AS, et al. Resting Energy Expenditure in Clinical Pediatrics: Measured Versus Prediction Equations. J Pediatr. 1995;127(2):200-5. PubMed PMID: 7636642.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Resting energy expenditure in clinical pediatrics: measured versus prediction equations. AU - Kaplan,A S, AU - Zemel,B S, AU - Neiswender,K M, AU - Stallings,V A, PY - 1995/8/1/pubmed PY - 1995/8/1/medline PY - 1995/8/1/entrez SP - 200 EP - 5 JF - The Journal of pediatrics JO - J. Pediatr. VL - 127 IS - 2 N2 - OBJECTIVE: To evaluate the use of resting energy expenditure (REE) prediction equations compared with measured REE in children referred for REE to aid clinical care. SUBJECTS: One hundred two patients, aged 0.2 to 20.5 years, 55% female, with a nutritional diagnosis of failure to thrive (76%), obesity (19%), or other (5%). METHODS: We measured REE by indirect calorimetry and compared with prediction equations: Food and Agriculture/World Health Organization/United Nations University (FAO/WHO/UNU) equation, Harris-Benedict (H-B) equation, and two equations from Schofield, one using weight (SCHO-WT) and one using weight and height (SCHO-HTWT). RESULTS: The SCHO-HTWT equation more closely predicted measured REE (100% +/- 19%), compared with the WHO equation (99% +/- 22%), the SCHO-WT equation, (99% +/- 21%), and the H-B equation (92% +/- 25%). The SCHO-HTWT equation was the best at predicting REE for obese subjects (95% +/- 17%), for those with failure to thrive (101% +/- 20%), and for children from birth to 3 years of age (101% +/- 23%). Nevertheless, the prediction equations closely predicted REE in only about 40% of subjects. CONCLUSION: These findings suggest that the SCHO-HTWT equation predicts REE in children with clinical nutritional problems better than equations that use weight alone. In view of the wide variability in REE measurements, however, we believe that REE should be measured in patients for whom knowledge of caloric expenditure is required for clinical care. SN - 0022-3476 UR - https://www.unboundmedicine.com/medline/citation/7636642/Resting_energy_expenditure_in_clinical_pediatrics:_measured_versus_prediction_equations_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3476(95)70295-4 DB - PRIME DP - Unbound Medicine ER -