Littlewood Robyn A, Trocki Orrawin, Shepherd Ross W, Shepherd Karin, Davies Peter S W
Queensland Paediatric Rehabilitation Service, Royal Children's Hospital, Herston, Queensland 4029, Australia.
Pediatr Rehabil. 2003 Jan-Mar;6(1):31-7. doi: 10.1080/1363849031000097817.
Myelomeningocele is a complex disease often complicated by obesity for reasons not well understood. The objectives of this study were to determine body composition and energy expenditure of children with MMC.
Resting energy expenditure (REE), body composition and anthropometry were measured in 19 children with MMC (12 M, 7 F). Total energy expenditure (TEE) was estimated using a 3-day activity record. Energy intake (EI) was measured in seven children (5 M, 2 F) with MMC. Data were then compared with predicted values.
Mean REE (n = 19) was 4680 +/- 1452 kJ/day (96.1 +/- 18.1% of predicted REE). The range was large (45.8-125.7% of predicted REE). TEE (n = 7) was 4344 +/- 2376 kJ/day, hence only 73 34% of predicted TEE. EI (n = 7) was 6560 +/- 1329 kJ/day, approximating a normal energy requirement. Overall, BCM was lower than expected values.
REE in children with MMC is variable when compared to predicted values. TEE was found to be lower in children with MMC than predicted values and EI was similar to predicted values in this group of seven children. BCM is reduced in children with MMC when compared to expected values.
脊髓脊膜膨出是一种复杂疾病，常并发肥胖，但其原因尚不清楚。本研究的目的是确定脊髓脊膜膨出患儿的身体成分和能量消耗。
对19名脊髓脊膜膨出患儿（12名男性，7名女性）进行静息能量消耗（REE）、身体成分和人体测量。使用3天活动记录估计总能量消耗（TEE）。对7名脊髓脊膜膨出患儿（5名男性，2名女性）测量能量摄入（EI）。然后将数据与预测值进行比较。
平均REE（n = 19）为4680 +/- 1452千焦/天（为预测REE的96.1 +/- 18.1%）。范围较大（为预测REE的45.8 - 125.7%）。TEE（n = 7）为4344 +/- 2376千焦/天，因此仅为预测TEE的73 - 34%。EI（n = 7）为6560 +/- 1329千焦/天，接近正常能量需求。总体而言，身体细胞质量低于预期值。
与预测值相比，脊髓脊膜膨出患儿的REE存在差异。发现脊髓脊膜膨出患儿的TEE低于预测值，而在这7名患儿中EI与预测值相似。与预期值相比，脊髓脊膜膨出患儿的身体细胞质量降低。
