Normal energy expenditure in the infant with presymptomatic cystic fibrosis

Bronstein, M.N., Davies, P.S.W., Hambidge, K.M. and Accurso, F.J. (1995) Normal energy expenditure in the infant with presymptomatic cystic fibrosis. Journal of Pediatrics, 126 1: 28-33. doi:10.1016/S0022-3476(95)70495-7


Author Bronstein, M.N.
Davies, P.S.W.
Hambidge, K.M.
Accurso, F.J.
Title Normal energy expenditure in the infant with presymptomatic cystic fibrosis
Journal name Journal of Pediatrics   Check publisher's open access policy
ISSN 0022-3476
1097-6833
Publication date 1995-01
Sub-type Article (original research)
DOI 10.1016/S0022-3476(95)70495-7
Volume 126
Issue 1
Start page 28
End page 33
Total pages 6
Place of publication St. Louis, Mo. U.S.A.
Publisher Mosby
Language eng
Subject 1103 Clinical Sciences
1114 Paediatrics and Reproductive Medicine
Abstract To investigate whether a fundamental lesion in energy metabolism is a feature of cystic fibrosis, we measured total energy expenditure using the doubly labeled water technique in 19 infants with presymptomatic cystic fibrosis (0.8 to 6.6 months of age) identified through newborn screening. Total energy expenditure data collected in a cohort of healthy infants by the same method were used for comparison. Energy balance studies were additionally performed in 10 of the infants with cystic fibrosis. Total energy expenditure levels in infants with cystic fibrosis, expressed as either kilocalories per day or kilocalories per kilogram of fat free mass per day, did not differ from control levels. When expressed on the basis of body weight (in kilocalories per kilogram per day), expenditure levels in infants with cystic fibrosis were greater (p < 0.05) than control levels. No differences in expenditure were observed between those infants who were homozygous (n = 10) for the ΔF508 mutation and the heterozygous infants (n = 7), regardless of how expenditure was expressed. Assessment of energy balance indicated that infants with cystic fibrosis grow at a normal rate for metabolizable energy intakes similar to those reported for healthy infants. We conclude that there are no differences in energy expenditure between infants with presymptomatic cystic fibrosis and healthy infants, once differences in body composition are taken into account. This finding indicates that the primary cystic fibrosis defect is not an energy-requiring one.
Keyword Body-composition
Young-children
Growth
Gene
Management
Nutrition
Birth
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Wed, 08 Sep 2010, 09:31:13 EST