Measured energy expenditure of tube-fed patients with severe neurodevelopment disabilities

Roland N. Dickerson; Rex O. Brown; Jane M. Gervasio; Emily B. Hak; Lawrence J. Hak; John E. Williams

doi:10.1080/07315724.1999.10718828

Measured energy expenditure of tube-fed patients with severe neurodevelopment disabilities

Roland N. Dickerson
, Rex O. Brown
, Jane M. Gervasio
, Emily B. Hak
, Lawrence J. Hak
, John E. Williams

Research output: Contribution to journal › Article › peer-review

Abstract

Objective : To determine measured resting energy expenditure (REE) of nonambulatory tube-fed patients with severe neurological neurodevelopmental disabilities.

Methods : Twenty patients were prospectively studied. Only steady state indirect calorimetry measurements were taken. All measurements were conducted using a canopy system. Nutritional needs were met entirely by enteral feedings via a permanent ostomy.

Results : REE was widely distributed from 16 kcals/kg/day to 39 kcals/kg/day. The mean REE (888 ±176 kcals/day) of the patients was significantly ( p < 0.01) lower than predicted as estimated by the Harris-Benedict equations (1081 ± 155 kcals/day) and World Health Organization equations (1194 ± 167 kcals/day). Fat-free mass (FFM) was the best parameter for predicting REE. Two predictive equations were developed that are not significantly biased and more precise (≤ 15% error) than conventional predictive formulas.

Conclusion : Conventional formulas for estimating energy expenditure are inaccurate and generally overestimate measured energy expenditure of nonambulatory patients with severe developmental disabilities.

Original language	American English
Journal	Scholarship and Professional Work – COPHS
Volume	18
Issue number	1
DOIs	https://doi.org/10.1080/07315724.1999.10718828
State	Published - Jan 1 1999

Keywords

REE
calorimetry
enteral nutrition
intellectual disability
metabolism
neurodevelopmental disabilities
neuromuscular disease
resting energy expenditure

Disciplines

Pharmacy and Pharmaceutical Sciences

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Measured energy expenditure of tube-fed patients with severe neurFinal published version, 606 KBLicense: Unspecified

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@article{b948376506264c6693310741165391f6,

title = "Measured energy expenditure of tube-fed patients with severe neurodevelopment disabilities",

abstract = " Objective : To determine measured resting energy expenditure (REE) of nonambulatory tube-fed patients with severe neurological neurodevelopmental disabilities. Methods : Twenty patients were prospectively studied. Only steady state indirect calorimetry measurements were taken. All measurements were conducted using a canopy system. Nutritional needs were met entirely by enteral feedings via a permanent ostomy. Results : REE was widely distributed from 16 kcals/kg/day to 39 kcals/kg/day. The mean REE (888 ±176 kcals/day) of the patients was significantly ( p < 0.01) lower than predicted as estimated by the Harris-Benedict equations (1081 ± 155 kcals/day) and World Health Organization equations (1194 ± 167 kcals/day). Fat-free mass (FFM) was the best parameter for predicting REE. Two predictive equations were developed that are not significantly biased and more precise (≤ 15\% error) than conventional predictive formulas. Conclusion : Conventional formulas for estimating energy expenditure are inaccurate and generally overestimate measured energy expenditure of nonambulatory patients with severe developmental disabilities.",

keywords = "REE, calorimetry, enteral nutrition, intellectual disability, metabolism, neurodevelopmental disabilities, neuromuscular disease, resting energy expenditure",

author = "Dickerson, \{Roland N.\} and Brown, \{Rex O.\} and Gervasio, \{Jane M.\} and Hak, \{Emily B.\} and Hak, \{Lawrence J.\} and Williams, \{John E.\}",

year = "1999",

month = jan,

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doi = "10.1080/07315724.1999.10718828",

language = "American English",

volume = "18",

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T1 - Measured energy expenditure of tube-fed patients with severe neurodevelopment disabilities

AU - Dickerson, Roland N.

AU - Brown, Rex O.

AU - Gervasio, Jane M.

AU - Hak, Emily B.

AU - Hak, Lawrence J.

AU - Williams, John E.

PY - 1999/1/1

Y1 - 1999/1/1

N2 - Objective : To determine measured resting energy expenditure (REE) of nonambulatory tube-fed patients with severe neurological neurodevelopmental disabilities. Methods : Twenty patients were prospectively studied. Only steady state indirect calorimetry measurements were taken. All measurements were conducted using a canopy system. Nutritional needs were met entirely by enteral feedings via a permanent ostomy. Results : REE was widely distributed from 16 kcals/kg/day to 39 kcals/kg/day. The mean REE (888 ±176 kcals/day) of the patients was significantly ( p < 0.01) lower than predicted as estimated by the Harris-Benedict equations (1081 ± 155 kcals/day) and World Health Organization equations (1194 ± 167 kcals/day). Fat-free mass (FFM) was the best parameter for predicting REE. Two predictive equations were developed that are not significantly biased and more precise (≤ 15% error) than conventional predictive formulas. Conclusion : Conventional formulas for estimating energy expenditure are inaccurate and generally overestimate measured energy expenditure of nonambulatory patients with severe developmental disabilities.

AB - Objective : To determine measured resting energy expenditure (REE) of nonambulatory tube-fed patients with severe neurological neurodevelopmental disabilities. Methods : Twenty patients were prospectively studied. Only steady state indirect calorimetry measurements were taken. All measurements were conducted using a canopy system. Nutritional needs were met entirely by enteral feedings via a permanent ostomy. Results : REE was widely distributed from 16 kcals/kg/day to 39 kcals/kg/day. The mean REE (888 ±176 kcals/day) of the patients was significantly ( p < 0.01) lower than predicted as estimated by the Harris-Benedict equations (1081 ± 155 kcals/day) and World Health Organization equations (1194 ± 167 kcals/day). Fat-free mass (FFM) was the best parameter for predicting REE. Two predictive equations were developed that are not significantly biased and more precise (≤ 15% error) than conventional predictive formulas. Conclusion : Conventional formulas for estimating energy expenditure are inaccurate and generally overestimate measured energy expenditure of nonambulatory patients with severe developmental disabilities.

KW - REE

KW - calorimetry

KW - enteral nutrition

KW - intellectual disability

KW - metabolism

KW - neurodevelopmental disabilities

KW - neuromuscular disease

KW - resting energy expenditure

UR - https://digitalcommons.butler.edu/cophs_papers/13

U2 - 10.1080/07315724.1999.10718828

DO - 10.1080/07315724.1999.10718828

M3 - Article

VL - 18

JO - Scholarship and Professional Work – COPHS

JF - Scholarship and Professional Work – COPHS

IS - 1

ER -

Measured energy expenditure of tube-fed patients with severe neurodevelopment disabilities

Abstract

Keywords

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