Total energy expenditure among children with motor, intellectual, visual, and hearing disabilities: a doubly labeled water method

Ohwada, Hiroko; Nakayama, Takeo; Ishikawa-Takata, Kazuko; Iwasaki, Naoko; Kanaya, Yuki; Tanaka, Shigeho

doi:10.1038/s41430-021-00885-7

Cited by 4 publications

(4 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of the included studies, 260 (96%) had <100 participants, whereas 253 (93%) had <50 participants. Only 7 disease categories had participant cohorts >100: cystic fibrosis ( n = 236 [ 23 ]; n = 134 [ 24 ]); developmental disability ( n = 256 [ 25 ]); eating disorders ( n = 181 [ 26 ]); endocrine ( n = 292 [ 27 ]); neurological conditions ( n = 236 [ 23 ]; n = 131 [ 28 ]); neuromuscular disease ( n = 122 [ 22 ]); and other, mixed, and unstratified cohort ( n = 236 [ 23 ]; n = 398 [ 29 ]). Age of participants ranged from birth to 18 y.…”

Section: Resultsmentioning

confidence: 99%

Describing Energy Expenditure in Children with a Chronic Disease: A Systematic Review

Luo,

Davidson,

O’Brien

et al. 2024

Advances in Nutrition

View full text Add to dashboard Cite

Section: Resultsmentioning

confidence: 99%

Describing Energy Expenditure in Children with a Chronic Disease: A Systematic Review

Luo,

Davidson,

O’Brien

et al. 2024

Advances in Nutrition

View full text Add to dashboard Cite

“…Intervention studies in the IDD population, besides being limited, have different approaches and lack meta-analysis studies to identify which exercise prescription has the greatest effects on the variables assessed A possible justification for the lack of significant differences in the remaining variables of body composition may be due to the fact that variables such as diet/calorie intake were not controlled in the present study, although being known that the average value of calories intake is higher in the IDD population ( Hoey et al, 2017 ). Also, individuals with IDD (namely, Down Syndrome) have been shown to have total energy expenditure values lower than those without disability ( Polfuss et al, 2018 ; Ohwada et al, 2021 ), which negatively affects the ratio of caloric intake to energy expended ( Polfuss et al, 2018 ). Future approaches should take the balance of calorie intake (nutrition) and energy expenditure (physical activity and basal metabolism) into consideration, in the sense that intake should not exceed expenditure.…”

Section: Discussionmentioning

confidence: 99%

Effects of a 24-week exercise program on anthropometric, body composition, metabolic status, cardiovascular response, and neuromuscular capacity, in individuals with intellectual and developmental disabilities

et al. 2023

View full text Add to dashboard Cite

Introduction: The prevalence of overweight and obesity has increased in the last decades, including in people with Intellectual and Developmental Disabilities (IDD). This is even more concerning when it is globally accepted that a low physical condition contributes to the deterioration of functionality and increases the risk of developing chronic diseases during life, with effective implications for health and well-being. The aim of the present study is to investigate the effects of two physical exercise intervention programs on institutionalized individuals with IDD.Methods: Twenty-one adults with IDD (43.04 ± 11.18 years) were split by convenience into three groups: i) an indoor training group (IG; N = 7; 24-week machine-based gym intervention), ii) an outdoor training group (OG; N = 7; 24-week outdoor intervention with low-content materials), and iii) a control group (CG; N = 7). Assessed outcomes included indicators of health and neuromuscular capacity. The ShapiroWilk (n < 50) and Levene tests were used to verify data normality and homoscedasticity. A Kruskal-Walli test was performed to understand if there were differences between the groups. For comparison purposes and to assess hypothetical differences between groups, the Wilcoxon signed-rank test and the Friedman test were used. The respective effect size was calculated, and the significance level was defined at 0.05.Results/Discussion: There was a difference in fat mass in OG (initial ≠ intermediate; Bonferroni corrected: t = 2.405; p = 0.048; W = 0.08 and initial ≠ final moments; Bonferroni corrected: t = 2.405; p = 0.048; W = 0.08). Indoor intervention programs seem to be more effective than outdoor intervention programs for reducing heart rate rest (t = −2.912; p = 0.011; W = −0.104) when compared with CG.Conclusion: A low-cost outdoor intervention in contact with nature appears to be more effective for fat mass reduction. The results for heart rate variability are not clear and robust. Finally, an indoor intervention using weight-training machines appears to be a good method to promote neuromuscular capacity.

show abstract

“…For example, the root-mean-squared error between the measured REE using indirect calorimetry and predicted REE from the Harris-Benedict equation was 185.2 kcal/day in patients with SMID aged over 18 years [19]. The doubly labeled water method, a gold standard for measuring total energy expenditure (TEE), revealed that the TEE was lowest in children aged 6-15 years with motor disabilities [20]. In this study, the mean daily energy and protein intakes were 24 kcal/kg/actual BW/day and 1.1 g/kg/actual BW/day, respectively.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Vitamin K2 Supplementation on PIVKA-II Levels in Patients with Severe Motor and Intellectual Disabilities Undergoing Long-Term Tube Feeding

Ohmori,

Kato,

Shirai

et al. 2023

Nutrients

View full text Add to dashboard Cite

Nutritional support is essential for patients with severe motor and intellectual disabilities (SMID) to ensure the smooth provision of medical care. These patients often require long-term tube feeding with enteral formulas, potentially leading to deficiencies in vitamins and trace elements. Additionally, frequent antibiotic use for infections often disrupts gut microbiota, inhibiting vitamin K2 production by intestinal bacteria. We assessed the serum protein induced by vitamin K absence or antagonists-II (PIVKA-II) and undercarboxylated osteocalcin (ucOC) levels to assess the vitamin K status in 20 patients with SMID (median age: 44.1 years, 11 men and 9 women) undergoing long-term tube feeding for durations ranging from 3 to 31 years. Thirteen (65%) and nine (45%) patients had elevated PIVKA-II (<40 mAU/mL) and serum ucOC levels (reference value < 4.50 ng/mL), respectively. Dietary vitamin K1 intake did not differ between patients with and without elevated PIVKA-II levels. Vitamin K2 supplementation for 3 months decreased serum PIVKA-II levels near those within the reference range. Approximately half of the patients with SMID on tube feeding had subclinical vitamin K deficiency. Further studies are needed to ascertain if long-term vitamin K2 supplementation effectively prevents vitamin K deficiency-induced hypercoagulation, osteoporosis, and vascular calcification in patients with SMID.

show abstract

Total energy expenditure among children with motor, intellectual, visual, and hearing disabilities: a doubly labeled water method

Cited by 4 publications

References 30 publications

Describing Energy Expenditure in Children with a Chronic Disease: A Systematic Review

Describing Energy Expenditure in Children with a Chronic Disease: A Systematic Review

Effects of a 24-week exercise program on anthropometric, body composition, metabolic status, cardiovascular response, and neuromuscular capacity, in individuals with intellectual and developmental disabilities

The Effect of Vitamin K2 Supplementation on PIVKA-II Levels in Patients with Severe Motor and Intellectual Disabilities Undergoing Long-Term Tube Feeding

Contact Info

Product

Resources

About