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The measurement of resting metabolic rate in preschool children
Diane M Jackson1, Lucienne Pace, John R Speakman
1Division of Vascular Health, Rowett Research Institute, Greenburn Road, Bucksburn, Aberdeen AB21 9SB, Scotland. d.jackson@rowett.ac.uk
Insights
Resting metabolic rate (RMR) can be reliably measured in preschool children. Excluding initial minutes and movement artifacts provides the most accurate RMR estimates for this age group.
Area of Science:
- Pediatric physiology
- Metabolic research
- Child health
Background:
- Accurate measurement of resting metabolic rate (RMR) is crucial for assessing energy expenditure in children.
- Previous research has not established standardized protocols for RMR measurement in preschool-aged children.
Purpose of the Study:
- To evaluate the repeatability of RMR measurements in preschool children.
- To determine the optimal calculation protocol for RMR in this population.
Main Methods:
- RMR was measured three times over two weeks in 11 preschool children after an overnight fast.
- Repeated-measures ANOVA was used to assess measurement repeatability.
- Various calculation methods were compared to identify the most accurate protocol.
Main Results:
- RMR measurements demonstrated good repeatability (CV 6.8%) with no significant day-to-day differences.
- Excluding the initial 10 minutes and periods of significant movement yielded the lowest RMR values.
- This optimized method resulted in RMR measurements approximately 4% lower than those including movement and early data.
Conclusions:
- Resting metabolic rate measurement is feasible and repeatable in preschool children.
- Excluding the first 10 minutes and periods of large body movements is the recommended calculation protocol for RMR in this age group.
- A single RMR measurement using this protocol is sufficient for a reliable estimate.
Objective:
This study examined the repeatability of measuring resting metabolic rate (RMR) in preschool children and the effect of different calculation protocols.
Research Methods And Procedures:
Eleven children (4 females and 7 males) participated in the project. They were recruited through advertisements in local schools and community centers. Resting metabolic rate was measured on 3 occasions over a 2-week period, each after an overnight fast and each lasting approximately 20 to 25 minutes. Results were compared using repeated-measures ANOVA to check for repeatability, and a number of methods of calculating RMR were assessed.
Results:
Repeatability of RMR measurements was good (coefficient of variation of replicates, 6.8%), with no significant difference between days of measurement. The lowest RMR measurement was obtained when the first 10 minutes were excluded and periods during which large activity was observed were excluded. This measurement was, on average, 4% lower than averaging the measurements after the first 5 minutes, including body movements.
Discussion:
This study suggests that RMR can be measured in preschool children and that the best method for calculating RMR in these subjects is to exclude periods when large body movements occur and the first 10 minutes of the measurement period. Only a single measurement of RMR is needed to obtain a reliable estimate.
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