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Comparison of resting energy expenditure in bronchopulmonary dysplasia to predicted equation

L Bott1, L Béghin, C Marichez

  • 1Unité de Gastroentérologie, Hépatologie et Nutrition, Clinique de Pédiatrie, Hôpital Jeanne de Flandre, Lille, France.

European Journal of Clinical Nutrition
|June 29, 2006
PubMed

Insights

Resting energy expenditure (REE) prediction equations can help manage growth failure in children with bronchopulmonary dysplasia (BPD). The Harris-Benedict equation accurately estimated REE in BPD children, aiding nutritional support.

Area of Science:

  • Pediatric Nutrition
  • Respiratory Medicine
  • Metabolic Research

Background:

  • Children with bronchopulmonary dysplasia (BPD) often experience growth failure due to altered energy balance and increased resting energy expenditure (REE).
  • Accurate REE evaluation is crucial for effective nutritional management in these children.
  • Indirect calorimetry, the gold standard for REE measurement, is complex and time-consuming.

Purpose of the Study:

  • To assess the accuracy of various prediction equations for estimating REE in children with BPD.
  • To compare the performance of four established REE prediction equations against indirect calorimetry.

Main Methods:

  • Fifty-two children (aged 4-10 years) diagnosed with BPD and 30 healthy children were included.
  • Indirect calorimetry was used as the reference method to measure REE.
  • Four prediction equations (Schofield-W, Schofield-HW, Harris-Benedict, and FAO) were evaluated using Bland-Altman analysis.

Main Results:

  • The Harris-Benedict equation demonstrated the best agreement for predicting REE in children with BPD (mean difference: 15 kcal/day).
  • For healthy children, the Schofield-W equation showed the best agreement (mean difference: -2.9 kcal/day).
  • Prediction equations offer a practical alternative to indirect calorimetry, with minimal differences in outcomes.

Conclusions:

  • Prediction equations can be a valuable tool for managing REE in children with BPD.
  • The Harris-Benedict equation is recommended for estimating REE in pediatric BPD patients.
  • These equations simplify the nutritional assessment process for children with chronic lung disease.
Abstract

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