Ability of commonly used prediction equations to predict resting energy expenditure in children with inflammatory bowel disease

Hill, Rebecca J., Lewindon, Peter J., Withers, Geoffrey D., Connor, Frances L., Ee, Looi C., Cleghorn, Geoffrey J. and Davies, Peter S.W. (2011) Ability of commonly used prediction equations to predict resting energy expenditure in children with inflammatory bowel disease. Inflammatory Bowel Diseases, 17 7: 1587-1593.


Author Hill, Rebecca J.
Lewindon, Peter J.
Withers, Geoffrey D.
Connor, Frances L.
Ee, Looi C.
Cleghorn, Geoffrey J.
Davies, Peter S.W.
Title Ability of commonly used prediction equations to predict resting energy expenditure in children with inflammatory bowel disease
Journal name Inflammatory Bowel Diseases  (ERA 2012 Listed)    (ERA 2010 Rank A)   Check publisher's open access policy
Publication date 2011-07
Sub-type Article
Year available 2010
DOI 10.1002/ibd.21518
Volume number 17
Issue number 7
ISSN 1078-0998
1536-4844
Start page 1587
End page 1593
Total pages 7
Place of publication Hagerstown, MD , U.S.A.
Publisher Wiley
Collection year 2011
Language eng
Formatted abstract Background:
Paediatric onset inflammatory bowel disease (IBD) may cause alterations in energy requirements and invalidate the use of standard prediction equations. Our aim was to evaluate four commonly used prediction equations for resting energy expenditure (REE) in children with IBD.

Methods:
Sixty-three children had repeated measurements of REE as part of a longitudinal research study yielding a total of 243 measurements. These were compared with predicted REE from Schofield, Oxford, FAO/WHO/UNU, and Harris–Benedict equations using the Bland–Altman method.

Results:
Mean (±SD) age of the patients was 14.2 (2.4) years. Mean measured REE was 1566 (336) kcal per day compared with 1491 (236), 1441 (255), 1481 (232), and 1435 (212) kcal per day calculated from Schofield, Oxford, FAO/WHO/UNU, and Harris–Benedict, respectively. While the Schofield equation demonstrated the least difference between measured and predicted REE, it, along with the other equations tested, did not perform uniformly across all subjects, indicating greater errors at either end of the spectrum of energy expenditure. Smaller differences were found for all prediction equations for Crohn's disease compared with ulcerative colitis.

Conclusions:
Of the commonly used equations, the equation of Schofield should be used in pediatric patients with IBD when measured values are not able to be obtained. (Inflamm Bowel Dis 2010;)
Keyword Crohn's disease
ulcerative colitis
Resting energy expenditure
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 4 November, 2010.

Document type: Journal Article
Sub-type: Article
Collections: Official 2011 Collection
School of Medicine Publications
 
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Created: Mon, 06 Dec 2010, 14:21:48 EST by Lisa Hennell on behalf of School of Medicine