Evaluating the predictive factors of resting energy expenditure and validating predictive equations for Chinese obese

Lin Zhang1, Ran Chen1, Rong Li1

  • 1Department of Children Health Care, Chilren's hospital affiliated with Nanjing medical university, 72 Guangzhou Road, Nanjing, 210008, China.

Insights

Resting energy expenditure (REE) is lower in obese children and linked to age, BMI, and fat-free mass. New predictive equations show 62% accuracy for estimating REE in obese youth.

Area of Science:

  • Pediatric Endocrinology
  • Human Physiology
  • Nutritional Science

Background:

  • Resting energy expenditure (REE) is crucial for metabolic health in children.
  • Accurate REE prediction is vital, especially for pediatric obesity management.
  • Existing predictive equations may lack precision in diverse populations.

Purpose of the Study:

  • To identify predictive factors for REE in Chinese school-age children.
  • To assess the accuracy of established REE prediction equations.
  • To evaluate predictive accuracy specifically within the obese pediatric population.

Main Methods:

  • Recruited 248 Chinese children (7-13 years) including obese and non-obese groups.
  • Measured REE using indirect calorimetry (IC) and body composition via bioelectrical impedance.
  • Estimated REE using ten published equations and developed a new predictive model.

Main Results:

  • Obese children exhibited lower REE per kilogram (REE/kg) compared to non-obese peers.
  • Age, BMI standard deviation score (BMISDS), and fat-free mass (FFM) significantly predicted REE/kg.
  • A new regression equation demonstrated 62.16% accuracy for predicting REE in obese subjects.

Conclusions:

  • Obese children have reduced REE/kg, influenced by age, BMISDS, and FFM.
  • A novel predictive equation shows potential for estimating energy needs in pediatric obesity.
  • Further validation in larger cohorts is recommended for refined energy requirement estimations.
Abstract

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