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Resting Energy Expenditure in the Parenterally Fed Pediatric Population With Crohn's Disease
Author(s) -
Cormier Kathryn,
Mager Diana,
Bannister Louise,
Fortin Marie,
Richards Helen,
Jackson Cheryl,
Pencharz Paul
Publication year - 2005
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607105029002102
Subject(s) - medicine , crohn's disease , intensive care medicine , resting energy expenditure , energy expenditure , population , parenteral nutrition , disease , pediatrics , environmental health
Background: Malnutrition is a common sequela of Crohn's disease (CD) and may result in reduced skeletal muscle function and growth retardation. Energy requirements of parenterally fed hospitalized pediatric patients with active CD were measured using indirect calorimetry, to assess whether Food Agriculture Organization (FAO)/World Health Organization (WHO)/United Nations University (UNU) equations provide appropriate estimations of energy requirements in this patient population. Methods: Twenty hospitalized patients with active CD fed exclusively via parenteral nutrition (PN) were investigated. A chart review and patient interviews were conducted to assess disease duration, location, laboratory parameters, and symptomology associated with CD. Disease severity was quantified using the Pediatric Crohn's Disease Activity Index. Each subject underwent indirect calorimetry, bioelectrical impedance analysis, and anthropometric assessment once the ordered PN met estimated macronutrient requirements of each patient (predicted resting energy expenditure × 1.3). Predicted resting energy expenditure (REE) was determined using the FAO/WHO/UNU equations. Results: REE showed a strong correlation with predicted REE ( r 2 = .73, p < .01). Conclusions: Measured REE did not significantly differ from predicted resting energy requirements. This indicates that REE for the parenterally fed pediatric patients with CD can be accurately predicted using the FAO/WHO/UNU equations.