Measurement of resting energy expenditure in healthy children

Robin R Mellecker1, Alison M McManus

  • 1Institute of Human Performance, University of Hong Kong, Hong Kong, China. robinmel@hkusua.hku.hk

Insights

A 20-minute resting energy expenditure (REE) measurement using a face mask is recommended for children. This method offers greater accuracy and comfort, improving compliance for pediatric obesity research.

Area of Science:

  • Pediatric physiology
  • Metabolic research
  • Obesity studies

Background:

  • Childhood obesity is a growing concern, necessitating accurate measurement of resting energy expenditure (REE).
  • Current REE measurement protocols for children lack standardization, leading to variability in results.
  • This study addresses the need for reliable REE assessment methods in pediatric populations.

Purpose of the Study:

  • To evaluate the impact of measurement duration on REE in children.
  • To compare the effectiveness of a mask versus a mouthpiece/noseclip for REE measurement.
  • To identify the optimal protocol for accurate and comfortable REE assessment in children.

Main Methods:

  • Twenty-three healthy children (7-12 years) underwent two 35-minute indirect calorimetry protocols after a 12-hour fast.
  • Measurements were taken using either a face mask or a mouthpiece/noseclip.
  • Device comfort was rated on a 6-point scale.

Main Results:

  • No significant differences in REE were found between 10, 15, 20, 25, and 30 minutes of rest for either device.
  • The mask showed the least variation in energy expenditure (6% CV) after 20 minutes.
  • Children reported significantly less discomfort with the mask compared to the mouthpiece/noseclip.

Conclusions:

  • A 20-minute REE measurement protocol using a face mask is suggested for children.
  • This protocol may enhance patient compliance and practicality in pediatric research.
  • Standardizing REE measurement is crucial for advancing childhood obesity research.
Abstract

Related Concept Videos

Metabolic Rate01:25

Metabolic Rate

The human body is a powerhouse of energy, with every cell performing numerous functions that require energy. This energy production and consumption is measured by the metabolic rate, which quantifies the total heat generated by all the body's chemical reactions and mechanical work. This measurement helps to determine the rate of kilocalorie (kcal) consumption needed to fuel all ongoing activities.
The Basal Metabolic Rate (BMR) measures the energy expended at rest.
Several factors influence the...
Energy Balance01:19

Energy Balance

The human body gets energy from the three macronutrients: carbohydrates, proteins, and fats. Energy is released when the chemical bonds in the organic compounds present in the food are broken down. The energy content of food is measured in kilocalories (kcal), defined as the amount of heat required to raise the temperature of one kilogram of water by one degree Celsius. This value is determined by measuring the temperature change of the water surrounding a calorimeter after the complete...
Energy Budgets and Reproductive Strategies00:51

Energy Budgets and Reproductive Strategies

Organisms must balance energy intake with the energy required for growth, maintenance, and reproduction. These trade-offs result in a variety of survivorship and reproductive strategies, including semelparity and iteroparity. Semelparous species reproduce only once in their lifetime, often investing most available resources into that single reproductive event. Iteroparous species, by contrast, reproduce multiple times over their lifetimes, typically allocating fewer resources to any single...