Accuracy of Resting Energy Expenditure Estimation Equations in Polio Survivors.
Arch Phys Med Rehabil
; 104(3): 418-424, 2023 03.
Article
em En
| MEDLINE
| ID: mdl-36270514
ABSTRACT
OBJECTIVE:
To evaluate the accuracy of 4 equations validated for the general population to determine resting energy expenditure (REE) in polio survivors.DESIGN:
A descriptive, ambispective, single-center observational cohort study of minimal risk care.SETTING:
Tertiary university care hospital.PARTICIPANTS:
DATAPOL database of polio survivors followed up in a specialist department (N=298).INTERVENTIONS:
None. MAIN OUTCOMESMEASURES:
REE measurement by indirect calorimetry and estimated REE using 4 equations and comparing the values with indirect calorimetry. Analysis of correlations between measured REE and weight, height, and body mass index (BMI) and indicators of severity of polio sequelae.RESULTS:
Of the 298 polio cases in the database between January 2014 and May 2017, 41 were included (19 men and 22 women). Mean±SD BMI was 26.0±5.6 kg/m2 (56.1% below 25). Measured REE correlated significantly and positively with weight and weaker with BMI. Correlations between measured and estimated REE were strong (between 0.49 and 0.59); correlations were strongest for the simplified World Health Organization and the Harris and Benedict equations. However, the equations systematically overestimated REE by more than 20%, especially in men. We calculated a correction factor for the World Health Organization scale -340.3 kcal/d for women and -618.8 kcal/d for men.CONCLUSION:
Analysis of REE is important for polio survivors; The use of estimation equations could lead to the prescription of a nonadapted diet. We determined a correction factor that should be validated in prospective studies.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Poliomielite
/
Obesidade
Tipo de estudo:
Health_economic_evaluation
/
Observational_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article