2015, Number 3
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Acta Pediatr Mex 2015; 36 (3)
Equations to estimate resting energy expenditure in school children from Mexico City. A diagnostic accuracy study
Becerril-Sánchez ME, Flores-Reyes M, Ramos-Ibáñez N, Ortiz-Hernández L
Language: Spanish
References: 30
Page: 147-157
PDF size: 774.12 Kb.
ABSTRACT
Introduction: There are different prediction equations for estimating
resting energy expenditure (REE) in children. However, there is not
consensus on which it is the most appropriate for use in Mexican pediatric
population.
Objective: To know the correlation of REE measured by indirect calorimetry
with different estimates from prediction equations in a group
of school children from Mexico City.
Material and method: A cross-sectional study with schoolchildren aged
6 to 12 years (n = 63) was carried out. REE was measured by indirect
calorimetry, which was used as reference to assess the accuracy of the
prediction equations of Schofield, FAO/WHO, Tverskaya and Harris-
Benedict. To assess the agreement between measured TEE and prediction
equations, intra-class correlation coefficients (r) were estimated.
Results: In the total population the four equations overestimated REE,
average differences were from 12.1 a 97.5 kcal. The equations that had
the highest agreement with the measured TEE were Schofield and FAO/
WHO (
r = 0.74), whereas Tverskaya and Harris-Benedict had the lowest
(
r = 0.64). Agreement was lower in younger children, especially with
the equations of Harris-Benedict (
r = 0.33) and Tverskaya (
r = 0.47).
Conclusions: Although it is required more research on the convenience
of using prediction equations of TEE in the Mexican pediatric population,
our results showed that the equations of FAO/WHO or Schofield
are more appropriate.
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