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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.
Background:
To study the predictive factors of resting energy expenditure (REE) and evaluate the accuracy of predicted equations with indirect calorimeter (IC) in Chinese school-age children, particularly for the obese population.
Methods:
Recruited children were from the department of child healthcare in Nanjing children's hospital during July 2014-September 2015. Anthropometric parameters and body composition were measured by bioelectrical impedance. Measured REE was assessed by IC. Predicted REE was estimated using ten published equations.
Results:
248 children aged 7-13 years were recruited, including 148 obese [body mass index standard deviation score (BMISDS) = 2.48 ± 0.91] and 100 non-obese (BMISDS = - 0.96 ± 1.08). The unit mass of REE (REE/kg) in obese group (29.06 ± 5.74) was lower than that in non-obese group (37.51 ± 6.56). The stepwise regression showed that age, BMISDS and fat-free mass (FFM) had a major impact on REE/kg as the regression equation: Y = 54.41 - 1.36 × X1 - 2.25 × X2 - 0.16 × X3 (Y REE/kg, X1 age, X2 BMISDS, X3 FFM; R = 0.633, R2 = 0.401, P < 0.01). The accuracy of predicted REE in obese subjects was 62.16% by the new predictive equations.
Conclusions:
The REE/kg in obese children was lower and closely correlated with age, BMISDS and FFM. It is necessary to validate the new predictive equation in a larger sample to estimate energy requirements, particularly for children with obesity.
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