Accuracy of Predictive Equations for Energy Expenditure in Mexicans Living With HIV/AIDS With and Without Antiretroviral Therapy
| Autor: | Gustavo Reyes-Terán, Yetlanezi Vargas-Infante, Iván Armando Osuna-Padilla, Adriana Aguilar-Vargas, Andrea Villazon-De la Rosa, Yuria Ablanedo-Terrazas |
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| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Adult Male medicine.medical_specialty Intraclass correlation Population Human immunodeficiency virus (HIV) Medicine (miscellaneous) HIV Infections medicine.disease_cause 03 medical and health sciences Acquired immunodeficiency syndrome (AIDS) medicine Humans Resting energy expenditure Medical nutrition therapy education Mexico education.field_of_study 030109 nutrition & dietetics Nutrition and Dietetics business.industry Malnutrition Reproducibility of Results medicine.disease Antiretroviral therapy Cross-Sectional Studies Energy expenditure Anti-Retroviral Agents Physical therapy Female business Energy Metabolism Demography |
| Zdroj: | JPEN. Journal of parenteral and enteral nutrition. 42(2) |
| ISSN: | 1941-2444 |
| Popis: | INTRODUCTION Determination of the resting energy expenditure (REE) is essential for planning nutrition therapy in patients with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) to help to improve their nutrition status. We aim to evaluate the agreement and accuracy of prediction equations that estimate the REE in a Mexican population with a diagnosis of HIV/AIDS with and without antiretroviral therapy (ART). METHODS A cross-sectional study in Mexican patients with HIV/AIDS with and without ART. Weight, height, and body composition measured with dual-energy x-ray absorptiometry were evaluated. The REE was determined with indirect calorimetry and estimated using the Mifflin-St Jeor (MSJ), Harris-Benedict (HB), Schofield 1 and 2, Cunningham, Melchior 91, Melchior 93, and Batterham equations. The Bland-Altman method assessed agreement between the real and estimated values, and the percent difference between these values was used to assess the prediction accuracy. RESULTS Sixty-five adults without ART and 102 adults with ART were included. The mean REE (kcal/kg) was 24.8 ± 2.4 and 23.8 ± 3.6 in patients without and with ART, respectively. Good agreement and reliability were observed in the HB (intraclass correlation coefficient [ICC], 0.75; P < .05), Batterham (ICC, 0.79; P < .05), Schofield 1 (ICC, 0.74; P < .05), and Schofield 2 (ICC, 0.78; P < .05) results in individuals without ART. In individuals with ART, good agreement and reliability were observed with the HB equation (ICC, 0.76; P < .05). The MSJ equation showed good agreement with poor reliability (ICC, 0.05; P < .05). CONCLUSION The equations with the best agreement and accuracy were Schofield 2, Batterham, and HB in individuals without ART and HB and MSJ in the population with ART. |
| Databáze: | OpenAIRE |
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