scholarly journals Accuracy of Computed Equations for Predicting the Resting Energy Requirements in Patients with Generalized Secondary Peritonitis

2020 ◽  
Vol 16 (4) ◽  
pp. 32-39
Author(s):  
O. G. Sivkov
Keyword(s):  
Body Weight ◽  
Indirect Calorimetry ◽  
Predictive Accuracy ◽  
Resting Energy Expenditure ◽  
Ideal Body Weight ◽  
Secondary Peritonitis ◽  
Single Center Study ◽  
Lung Ventilator ◽  
Spss Software ◽  
Resting Energy

Nutritional support is central to prompt treatment of patients with generalized secondary peritonitis (GSP).These patients desperately need a simple and affordable solution to evaluate their daily energy need.Objective: to determine accuracy of estimating the Resting Energy Expenditure (REE) in GSP patients.Materials and methods. Study design: a prospective, single center study. The inclusion criteria: diagnosed GSP and stay at the Intensive Care Unit (ICU). Three treatment arms were formed. The first arm included all patients (n=61), the second arm included patients capable to breath spontaneously and adequately (n=29), and the third arm included patients on artificial ventilation (n=32). Reference values of REE were calculated by Indirect Calorimetry (IC) method using Engstrom Carestation Lung Ventilator and Metabolic (General Electric,USA). Six equations were used to predict REE values: Ideal Body Weight multiplied by 25 (IBWX25); Actual Body Weight multiplied by 25 (ABWX25); J. A. Harris, F. Benedict (HB); HB with corrective ratio 1.25 (HBX1.25); C. Ireton-Jones, 1992 (IJ); PennState, 2003 equation, in modification (PS). SPSS Software Package was used for statistical analysis of the results. The zero hypothesis was rejected at P<0.05.Results. In patients with GSP, the REE value determined by means of Indirect Calorimetry method was equal to 25.78±1.37 kcal/kg/day. If compared with Indirect Calorimetry results, predictive accuracy of calculation equations in the second and third arm, respectively, were as follows: IBWX25: 30 and 0%, HB: 36.7 and 9.9%, HBX1.25: 49.9 and 45.5%, IJ: 51.8 and 53.2%, ABWX25: 63.4 and 60.6%, PS (as determined in patients on mechanical ventilation only): 42.4%.Conclusion. Indirect Calorimetry method is the only accurate way of REE evaluation in GSP patients. ABWX25 and IJ showed the highest predictive accuracy. IBWX25 and HB had the lowest predictive accuracy.

Influences on Adrenaline-Induced Thermogenesis in Obese Women and Relationship to Cardiovascular Responses

1998 ◽  
Vol 94 (2) ◽  
pp. 121-127 ◽  
Author(s):  
Kevin M. Walsh ◽  
Calam Adams ◽  
Annemarie Sinclair ◽  
Eddie Leen ◽  
Michael E. J. Lean
Keyword(s):  
Blood Pressure ◽  
Body Weight ◽  
Cardiac Output ◽  
Energy Expenditure ◽  
Resting Energy Expenditure ◽  
Ideal Body Weight ◽  
Cardiovascular Responses ◽  
Fat Distribution ◽  
Obese Women ◽  
Resting Energy

1. In order to evaluate factors influencing thermogenesis in obesity, energy expenditure was measured before and during an adrenaline infusion (25 ng min−1 kg−1 ideal body weight for 30 min) in 22 obese females. 2. Thermogenic responses were related to body morphology, age and biochemistry. In addition, thermogenic responses were related to cardiovascular responses by simultaneously measuring blood pressure, pulse rate and cardiac output using Doppler sonography. 3. Resting energy expenditure was predicted by body weight, lean body mass and fat mass. 4. Adrenaline-induced thermogenesis was predicted by fasting insulin, low basal respiratory quotient and body fat. 5. There was a significant relationship between the cardiac output and thermogenic responses to adrenaline (r = 0.63 P < 0.015) but there was no relationship to the heart rate or blood pressure responses. For every 1% increase in energy expenditure, there was a 5% increase in cardiac output. 6. In conclusion, the factors predicting resting energy expenditure and adrenaline-induced thermogenesis are different. Increased lipid oxidation and central fat distribution (with hyperinsulinaemia) are associated with a greater thermogenic response. The proportionately greater cardiac output responses may have implications for thermogenic agents designed to induce weight loss.

scholarly journals The Diagnostic-Measurement Method—Resting Energy Expenditure Assessment of Polish Children Practicing Football

Diagnostics ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 340
Author(s):  
Edyta Łuszczki ◽  
Anna Bartosiewicz ◽  
Katarzyna Dereń ◽  
Maciej Kuchciak ◽  
Łukasz Oleksy ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Composition ◽  
Energy Expenditure ◽  
Muscle Mass ◽  
Indirect Calorimetry ◽  
Energy Demand ◽  
Body Height ◽  
Resting Energy Expenditure ◽  
Blood Pressure Monitor ◽  
Resting Energy

Establishing the amount of energy needed to cover the energy demand of children doing sport training and thus ensuring they achieve an even energy balance requires the resting energy expenditure (REE) to be estimated. One of the methods that measures REE is the indirect calorimetry method, which may be influenced by many factors, including body composition, gender, age, height or blood pressure. The aim of the study was to assess the correlation between the resting energy expenditure of children regularly playing football and selected factors that influence the REE in this group. The study was conducted among 219 children aged 9 to 17 using a calorimeter, a device used to assess body composition by the electrical bioimpedance method by means of segment analyzer and a blood pressure monitor. The results of REE obtained by indirect calorimetry were compared with the results calculated using the ready-to-use formula, the Harris Benedict formula. The results showed a significant correlation of girls’ resting energy expenditure with muscle mass and body height, while boys’ resting energy expenditure was correlated with muscle mass and body water content. The value of the REE was significantly higher (p ≤ 0.001) than the value of the basal metabolic rate calculated by means of Harris Benedict formula. The obtained results can be a worthwhile suggestion for specialists dealing with energy demand planning in children, especially among those who are physically active to achieve optimal sporting successes ensuring proper functioning of their body.

scholarly journals 87: Resting Energy Expenditure Measured by Indirect Calorimetry for Optimizing Nutrient Balance in Postsurgical Infants

2015 ◽  
Vol 20 (5) ◽  
pp. e65-e66
Author(s):  
SG Albersheim ◽  
NN Rao ◽  
TJ Risbud ◽  
B McRae ◽  
H Osiovich ◽  
...  
Keyword(s):  
Energy Expenditure ◽  
Indirect Calorimetry ◽  
Nutrient Balance ◽  
Resting Energy Expenditure ◽  
Resting Energy

Longitudinal Measurements of Resting Energy Expenditure by Indirect Calorimetry in Healthy Term Infants during the First 2 Months of Life

2018 ◽  
Vol 36 (09) ◽  
pp. 918-923
Author(s):  
Sourabh Verma ◽  
Sean M. Bailey ◽  
Pradeep V. Mally ◽  
Heather B. Howell
Keyword(s):  
Pilot Study ◽  
Energy Expenditure ◽  
Indirect Calorimetry ◽  
Resting Energy Expenditure ◽  
Co2 Production ◽  
Term Infants ◽  
Longitudinal Measurements ◽  
Expired Gas ◽  
Carbon Dioxide Co2 ◽  
Resting Energy

Objective To determine longitudinal measurements of resting energy expenditure (REE) by indirect calorimetry (IC) in healthy term infants during the first 2 months of life. Study Design An outpatient prospective pilot study was performed in healthy term infants to estimate REE by measuring expired gas fractions of oxygen (O2) and carbon dioxide (CO2) with IC in a respiratory and metabolic steady state. Results A total of 30 measurements were performed. Fourteen subjects completed measurements at both 1 and 2 months of life, and two subjects had only measurements made at 1 month of life. Mean REE values were 64.1 ± 12.7 and 58.4 ± 14.3 kcal/kg/d at 1 and 2 months of age, respectively. Mean O2 consumption and CO2 production measurements were 9.3 ± 2.0 and 7.7 ± 1.2 mL/kg/min and 8.1 ± 2.2 and 6.4 ± 1.1 mL/kg/min at 1 and 2 months of age, respectively. Conclusion This pilot study demonstrates longitudinal measurements of REE by IC in healthy term infants during the first 2 months of life. We also demonstrate that, overall, there is consistency in REE values in this population, with a likely decrease in individual longitudinal measurements over the first 2 months of life.

scholarly journals Simplified equation for resting energy expenditure in a population of elderly chileans compared to indirect calorimetry

NFS Journal ◽  
2018 ◽  
Vol 13 ◽  
pp. 23-29 ◽  
Author(s):  
Orietta Segura-Badilla ◽  
Ashuin Kammar-García ◽  
Obdulia Vera-López ◽  
Patricia Aguilar-Alonso ◽  
Martin Lazcano-Hernández ◽  
...  
Keyword(s):  
Energy Expenditure ◽  
Indirect Calorimetry ◽  
Resting Energy Expenditure ◽  
Resting Energy
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