Predicted versus measured resting energy expenditure in patients requiring home parenteral nutrition

Ławiński, Michał; Singer, Pierre; Gradowski, Łukasz; Gradowska, Aleksandra; Bzikowska, Agnieszka; Majewska, K.

doi:10.1016/j.nut.2015.05.002

Cited by 15 publications

(16 citation statements)

References 23 publications

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“…Both were studies with critically-ill ICU patients. Evaluating patients with intestinal failure using parenteral nutrition at home, Ławiński et al 27 found a variability closer to that of our study (8% ± 7%), when evaluating two REE measures.…”

Section: Discussionsupporting

confidence: 85%

Daily variability of resting energy expenditure in acute kidney injury patients on dialysis

Góes¹,

Sanches²,

Balbi³

et al. 2017

Jornal Brasileiro De Nefrologia

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Variabilidade diária do gasto energético de repouso em pacientes com lesão renal aguda em tratamento dialítico Introdução: É imprescindível a correta estimativa do gasto energético de repouso (GER), que pode apresentar considerável variação diária no paciente crítico com lesão renal aguda (LRA). Objetivo: Avaliar a variabilidade diária do GER medido por calorimetria indireta (CI) em pacientes com LRA e indicação dialítica e identificar as variáveis clínicas associadas ao GER. Métodos: O GER foi medido no dia da indicação do procedimento dialítico e nos quatro dias subsequentes. Também foram avaliados parâmetros que podem influenciar o GER. As diferenças diárias foram analisadas pelo modelo linear generalizado para medidas repetidas, com distribuição gama, além da correlação de Spearman e regressão linear múltipla. Resultados: Foram 301 medidas de CI realizadas em 114 pacientes, com idade de 60,65 ± 16,9 anos e 68,4% do sexo masculino. O GER médio foi de 2081 ± 645 Kcal, com aumento no dia 5 (2270 ± 556 Kcal), quando comparado aos dias 2 e 3 (2022 ± 754; 2022 ± 660 kcal, respectivamente, p = 0,04); quando normalizado para peso, não houve diferença significante no GER (kcal/kg/dia) durante o acompanhamento. GER correlacionou-se positivamente com temperatura corporal, contagem total de leucócitos, proteína C reativa, volume minuto (VM), fração inspirada de oxigênio (FiO 2 ), aparecimento de nitrogênio ureico (UNA), peso corporal e estatura e inversamente com idade. Após a regressão linear múltipla, somente VM, FiO 2 e peso corporal e idade se correlacionaram independentemente. Conclusão: Pacientes com LRA dialíticos apresentam GER está-vel. O GER foi associado independentemente com FiO 2 , VM, peso e idade. Assim, requisitos ventilatórios precisam ser avaliados diariamente para que alterações necessárias na prescrição dietética sejam feitas. ResumoPalavras-chave: consumo de energia; lesão renal aguda; metabolismo energético. Introduction:It is needed for nutrition prescription correct estimate of resting energy expenditure (REE), which is a challenge given the possible daily variation in critically ill patients with acute kidney injury (AKI). Objective: To evaluate the daily variability of REE measured by indirect calorimetry (IC) in patients with AKI and dialysis indication and identify clinical variables associated with REE. Methods: The REE was measured on the time of dialysis indication and the subsequent four days. We also evaluated parameters that can influence the REE. The daily differences were analyzed by generalized linear model for repeated measures. We also used Spearman correlation and multiple linear regression. Results: There were 301 IC measurements in 114 patients, mean age of 60.65 ± 16.9 years and 68.4% were male. The average REE was 2081 ± 645 kcal, rising on day 5 (2270 ± 556 kcal) compared to the days 2 and 3 (2022 ± 754; 2022 ± 660 kcal, respectively, p = 0,04). When normalized to weight, there was no significant difference in REE (kcal/kg/day) during follow-up. REE was positively correlate...

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Section: Discussionsupporting

confidence: 85%

Daily variability of resting energy expenditure in acute kidney injury patients on dialysis

Góes¹,

Sanches²,

Balbi³

et al. 2017

Jornal Brasileiro De Nefrologia

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“…Predicted and measured BMR have been compared in various patient populations, but to our knowledge, only 1 recent study has investigated the accuracy of predicted BMR in patients with IF on HPN. In this study, Ławiński and coworkers 24 found that the Ireton‐Jones equation and the ESPEN 20‐kcal/kg/d recommendation provided the most accurate estimates of BMR. These results were not reproduced in the present study, in which the Ireton‐Jones equation overestimated the BMR, and the ESPEN 20‐kcal/kg/d recommendation underestimated the BMR.…”

Section: Discussionmentioning

confidence: 64%

Can We Rely on Predicted Basal Metabolic Rate in Patients With Intestinal Failure on Home Parenteral Nutrition?

Skallerup

Nygaard

Olesen

et al. 2016

J Parenter Enteral Nutr

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“…Another study by Lawinski et al . evaluated 76 patients with outpatient PN, documenting that, in cases with no IC, calculating the estimation using 0.84 MJ kg –1 (20 kcal kg −1 ) or the Ireton‐Jones equation may be a good option; however, the study focused on patients with malnutrition and intestinal failure . Boullata et al .…”

Section: Discussionmentioning

confidence: 99%

“…Another study by Lawinski et al (28) evaluated 76 patients with outpatient PN, documenting that, in cases with no IC, calculating the estimation using 0.84 MJ kg -1 (20 kcal kg À1 ) or the Ireton-Jones equation may be a good option; however, the study focused on patients with malnutrition and intestinal failure (28) . Boullata et al (7) retrospectively evaluated 395 hospitalised patients and concluded that the most accurate predictive equation was the Harris-Benedict (without adding stressors because they increased the error), although they did not accurately predict measures in 39% of the patients.…”

Section: Discussionmentioning

confidence: 99%

Accurate determination of energy requirements in hospitalised patients with parenteral nutrition

Quiroz-Olguín

Medina‐Vera

Serralde‐Zúñiga

et al. 2018

J Human Nutrition Diet

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In total, 116 patients were recruited with a mean (SD) age of 56.7 (13.8) years and body mass index of 21.3 (4.25) kg m . The diagnosis was medical in 52% of patients and surgical in 48%. The mean (SD) REEs of patients, according to IC, were: 6.11 (1.18) MJ [1461 (281) kcal]; and according to PEs: Mifflin, 5.07 (1.05) MJ [1212 (252) kcal]; Owen, 5.43 (0.72) MJ [1298 (172) kcal]; Harris-Benedict, 5.38 (0.85) MJ [1285 (204) kcal]; Ireton-Jones, 6.20 (1.69) MJ [1481 (403) kcal]; and short equation, 6.12 (0.92) MJ [1464 (220) kcal]. A comparison of the results obtained for the REE by IC and with PEs indicated that the short equation had less bias than the other equations, with an accuracy of 54% CONCLUSIONS: In hospitalised patients who receive PN, determination of the REE should ideally be made by IC. PEs are acceptable but not exact and so their estimation could overfeed or underfeed the patient.

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Predicted versus measured resting energy expenditure in patients requiring home parenteral nutrition

Cited by 15 publications

References 23 publications

Daily variability of resting energy expenditure in acute kidney injury patients on dialysis

Daily variability of resting energy expenditure in acute kidney injury patients on dialysis

Can We Rely on Predicted Basal Metabolic Rate in Patients With Intestinal Failure on Home Parenteral Nutrition?

Accurate determination of energy requirements in hospitalised patients with parenteral nutrition

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