Resting Energy Expenditure in the Parenterally Fed Pediatric Population With Crohn's Disease
| Autor: | Paul B. Pencharz, Louise Bannister, Marie Fortin, Cheryl Jackson, Diana R. Mager, Helen Richards, Kathryn Cormier |
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| Rok vydání: | 2005 |
| Předmět: |
Male
Parenteral Nutrition Pediatrics medicine.medical_specialty Adolescent 030309 nutrition & dietetics Medicine (miscellaneous) Disease Severity of Illness Index Enteral administration 03 medical and health sciences 0302 clinical medicine Crohn Disease Electric Impedance Humans Medicine Resting energy expenditure Child 0303 health sciences Crohn's disease Nutrition and Dietetics Anthropometry business.industry Nutritional Requirements Calorimetry Indirect Sequela medicine.disease Surgery Malnutrition Parenteral nutrition Child Preschool Body Composition Female 030211 gastroenterology & hepatology Basal Metabolism Energy Intake business Bioelectrical impedance analysis |
| Zdroj: | Journal of Parenteral and Enteral Nutrition. 29:102-107 |
| ISSN: | 1941-2444 0148-6071 |
| DOI: | 10.1177/0148607105029002102 |
| Popis: | Malnutrition is a common sequela of Crohn's disease (CD) and may result in reduced skeletal muscle function and growth retardation. Energy requirements of parenterally fed hospitalized pediatric patients with active CD were measured using indirect calorimetry, to assess whether Food Agriculture Organization (FAO)/World Health Organization (WHO)/United Nations University (UNU) equations provide appropriate estimations of energy requirements in this patient population.Twenty hospitalized patients with active CD fed exclusively via parenteral nutrition (PN) were investigated. A chart review and patient interviews were conducted to assess disease duration, location, laboratory parameters, and symptomology associated with CD. Disease severity was quantified using the Pediatric Crohn's Disease Activity Index. Each subject underwent indirect calorimetry, bioelectrical impedance analysis, and anthropometric assessment once the ordered PN met estimated macronutrient requirements of each patient (predicted resting energy expenditure x1.3). Predicted resting energy expenditure (REE) was determined using the FAO/WHO/UNU equations.REE showed a strong correlation with predicted REE (r(2) = .73, p.01).Measured REE did not significantly differ from predicted resting energy requirements. This indicates that REE for the parenterally fed pediatric patients with CD can be accurately predicted using the FAO/WHO/UNU equations. |
| Databáze: | OpenAIRE |
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