Ksiazyk J
Klinika Pediatrii, Instytut Matki i Dziecka, Kasprzaka 17a, 01-211, Warszawa, Poland.
Med Wieku Rozwoj. 2000 Jul-Sep;4(3):225-31.
The aim of the investigation was to assess resting energy expenditure (REE) and substrate utilisation rate in children with cystic fibrosis. Body mass coefficient was below normal limits in 2 out of 14 controls and in 9 out of 10 patients with cystic fibrosis (p < 0.001). REE and basal energy expenditure (BEE) in the patient group were respectively 52.2 +/- 8.7 kcal/kg and 45.7 +/- 8.9 kcal/kg (p < 0.006). REE/BEE ratios in relation to total body mass were 115.34 +/- 12.27% and 93.54 +/- 4.47% (p < 0.001). REE / BEE ratio in relation to lean body mass 102.95 +/- 11.5% and 92.94 +/- 5.74% (p < 0.007). Substrate oxidation rate in the patient group and control group (g/kg) were: glycogen: 4.13 +/- 2.32 and 1.91 +/- 0.81 (p < 0.004); fat: 2.76 +/- 1.39 and 1.51 +/- 0.59 (p < 0.006); protein: 1.98 +/- 0.45 and 1.32 +/- 0.40 (p < 0.001).
In children with cystic fibrosis, malnutrition was found with increase REE which resulted from higher substrate utilisation rate as compared with the control group.
本研究的目的是评估囊性纤维化患儿的静息能量消耗(REE)和底物利用率。14名对照组儿童中有2名以及10名囊性纤维化患者中有9名的体重系数低于正常范围(p < 0.001)。患者组的REE和基础能量消耗(BEE)分别为52.2±8.7千卡/千克和45.7±8.9千卡/千克(p < 0.006)。相对于总体重的REE/BEE比值分别为115.34±12.27%和93.54±4.47%(p < 0.001)。相对于去脂体重的REE/BEE比值分别为102.95±11.5%和92.94±5.74%(p < 0.007)。患者组和对照组的底物氧化率(克/千克)分别为:糖原:4.13±2.32和1.91±0.81(p < 0.004);脂肪:2.76±1.39和1.51±0.59(p < 0.006);蛋白质:1.98±0.45和1.32±0.40(p < 0.001)。
在囊性纤维化患儿中,发现存在营养不良,与对照组相比,底物利用率较高导致REE增加。