Resting energy expenditure of children attending a rehabilitation programme following head injury

Littlewood, R., Trocki, O., Shepherd, R. W. and Shepherd, K. (2001) Resting energy expenditure of children attending a rehabilitation programme following head injury. Pediatric Rehabilitation, 4 2: 51-54. doi:10.1080/13638490026412


Author Littlewood, R.
Trocki, O.
Shepherd, R. W.
Shepherd, K.
Title Resting energy expenditure of children attending a rehabilitation programme following head injury
Journal name Pediatric Rehabilitation   Check publisher's open access policy
ISSN 1464-5270
1363-8491
Publication date 2001
Sub-type Article (original research)
DOI 10.1080/13638490026412
Volume 4
Issue 2
Start page 51
End page 54
Total pages 4
Editor David Johnson
Elise Rivlin
Donald G. Stein
Place of publication London, England
Publisher Taylor and Francis Ltd
Collection year 2001
Language eng
Subject C1
321019 Paediatrics
730204 Child health
Abstract Statement of purpose: Increased resting energy expenditure following head injury is well documented, but whether this increase extends into rehabilitation and whether this is affected by changes in body composition have not been studied. The aim of this study was to determine whether children attending a rehabilitation program following head injury had altered energy expenditure and body composition. Methods: Measurements of resting energy expenditure by indirect calorimetry were performed in 21 head injured children (mean age 10.2±3.8 years). Measurement of body composition was performed using total body potassium. Results: Measured resting energy expenditure values were widely distributed, ranging from 52.3-156.4% of predicted values, yet the mean percentage predicted using Schofield weight, Schofield weight and height and World Health Organization predictive equations were 97.5%, 97.4% and 98.6%, respectively. Mean percentage of expected total body potassium for weight, height and age for head injured children were 85.1 ± 15.5%, 89.1 ± 14.1% and 86.9 ± 15.9%, thus all showed significant depletion. Conclusions: During rehabilitation, using predictive equations to estimate resting energy expenditure in this group revealed a small bias on average but very large bias at the individual level. Head injured children had altered resting energy expenditure and body composition.
Keyword Children
Energy expenditure
Energy requirements
Head injury
Pediatric
Rehabilitation
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Tue, 14 Aug 2007, 15:06:21 EST