Assessment of resting energy expenditure in pediatric mitochondrial diseases with indirect calorimetry. [artículo]
Por: Fiuza Luces, Carmen [Instituto de Investigación i+12] | Santos Lozano, Alejandro [Instituto de Investigación i+12] | García Silva, María Teresa [Unidad de Enfermedades Metabólicas y Mitocondriales] | Martín Hernández, Elena [Unidad de Enfermedades Metabólicas y Mitocondriales] | Quijada Fraile, Pilar [Pediatría] | Campos, P [Pediatría] | Arenas Barbero, Joaquín [Instituto de Investigación] | Lucía, Alejandro [Instituto de Investigación i+12] | Martín, Miguel Ángel [Instituto de investigación imas12] | Morán Jiménez, María Josefa [Instituto de Investigación i+12].
Colaborador(es): Instituto de Investigación imas12 | Servicio de Pediatría-Neonatología.
Tipo de material: ArtículoEditor: Clinical nutrition : official journal of the European Society of Parenteral and Enteral Nutrition, 2016Descripción: 35(6):1484-1489.Recursos en línea: Solicitar documento Resumen: Background & aims: Mitochondrial diseases (MD) are the most frequent inborn errors of metabolism. In affected tissues, MD can alter cellular oxygen consumption rate leading to potential decreases in whole-body resting energy expenditure (REE), but data on pediatric children are absent. We determined, using indirect calorimetry (IC), whole-body oxygen consumption (VO2), carbon dioxide production (VCO2), respiratory quotient (RQ) and REE in pediatric patients with MD and healthy controls. Another goal was to assess the accuracy of available predictive equations for REE estimation in this patient population. Methods: IC data were obtained under fasting and resting conditions in 20 MD patients and 27 age and gender-matched healthy peers. We determined the agreement between REE measured with IC and REE estimated with Schofield weight and FAO/WHO/UNU equations. Results: Mean values of VO2, VCO2 (mL·min-1·kg-1) or RQ did not differ significantly between patients and controls (P = 0.085, P = 0.055 and P = 0.626 respectively). Accordingly, no significant differences (P = 0.086) were found for REE (kcal·day-1 kg-1) either. On the other hand, although we found no significant differences between IC-measured REE and Schofield or FAO/WHO/UNU-estimated REE, Bland-Altman analysis revealed wide limits of agreement and there were some important individual differences between IC and equation-derived REE. Conclusions: VO2, VCO2, RQ and REE are not significantly altered in pediatric patients with MD compared with healthy controls. The energy demands of pediatric patients with MD should be determined based on IC data in order to provide the best possible personalized nutritional management for these children.Tipo de ítem | Ubicación actual | Signatura | Estado | Fecha de vencimiento |
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Artículo | PC17564 (Navegar estantería) | Disponible |
Navegando Hospital Universitario 12 de Octubre Estantes Cerrar el navegador de estanterías
Formato Vancouver:
Fiuza Luces C, Santos Lozano A, García Silva MT, Martín Hernández E, Quijada Fraile P, Marín Peiró M et al. Assessment of resting energy expenditure in pediatric mitochondrial diseases with indirect calorimetry. Clin Nutr. 2016 Dec;35(6):1484-1489.
PMID: 27105558
Contiene 27 referencias
Background & aims: Mitochondrial diseases (MD) are the most frequent inborn errors of metabolism. In affected tissues, MD can alter cellular oxygen consumption rate leading to potential decreases in whole-body resting energy expenditure (REE), but data on pediatric children are absent. We determined, using indirect calorimetry (IC), whole-body oxygen consumption (VO2), carbon dioxide production (VCO2), respiratory quotient (RQ) and REE in pediatric patients with MD and healthy controls. Another goal was to assess the accuracy of available predictive equations for REE estimation in this patient population.
Methods: IC data were obtained under fasting and resting conditions in 20 MD patients and 27 age and gender-matched healthy peers. We determined the agreement between REE measured with IC and REE estimated with Schofield weight and FAO/WHO/UNU equations.
Results: Mean values of VO2, VCO2 (mL·min-1·kg-1) or RQ did not differ significantly between patients and controls (P = 0.085, P = 0.055 and P = 0.626 respectively). Accordingly, no significant differences (P = 0.086) were found for REE (kcal·day-1 kg-1) either. On the other hand, although we found no significant differences between IC-measured REE and Schofield or FAO/WHO/UNU-estimated REE, Bland-Altman analysis revealed wide limits of agreement and there were some important individual differences between IC and equation-derived REE.
Conclusions: VO2, VCO2, RQ and REE are not significantly altered in pediatric patients with MD compared with healthy controls. The energy demands of pediatric patients with MD should be determined based on IC data in order to provide the best possible personalized nutritional management for these children.
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