Littlewood R A, Trocki O, Shepherd R W, Shepherd K
Statewide Paediatric Rehabilitation Service, Royal Children's Hospital, Herston, Brisbane, Australia.
Pediatr Rehabil. 2000 Apr-Jun;4(2):51-5. doi: 10.1080/13638490026412.
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.
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.
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.
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.
头部受伤后静息能量消耗增加已有充分记录，但这种增加是否会持续到康复阶段以及是否受身体成分变化的影响尚未得到研究。本研究的目的是确定头部受伤后参加康复项目的儿童的能量消耗和身体成分是否发生了改变。
对21名头部受伤儿童（平均年龄10.2±3.8岁）进行间接测热法测量静息能量消耗。使用全身钾测量法进行身体成分测量。
测得的静息能量消耗值分布广泛，范围为预测值的52.3%-156.4%，然而，使用斯科菲尔德体重、斯科菲尔德体重和身高以及世界卫生组织预测方程预测的平均百分比分别为97.5%、97.4%和98.6%。头部受伤儿童体重、身高和年龄对应的预期全身钾平均百分比分别为85.1±15.5%、89.1±14.1%和86.9±15.9%，因此均显示出明显的消耗。
在康复期间，使用预测方程估算该组儿童的静息能量消耗，平均显示出较小的偏差，但在个体水平上偏差很大。头部受伤儿童的静息能量消耗和身体成分发生了改变。
