Krick J, Murphy P E, Markham J F, Shapiro B K
Kennedy Institute, Baltimore, Maryland 21205.
Dev Med Child Neurol. 1992 Jun;34(6):481-7. doi: 10.1111/j.1469-8749.1992.tb11468.x.
This study compared two methods of calculating the energy needs of children with CP: the traditional method, using RDA for chronological age; and the Krick method, which calculates the BMR and includes factors for muscle tone, movement or level of activity, and energy requirements for normal and catch-up growth. 30 tube-fed children, aged between nine months and 18 years, who were inpatients for longer than one week at the Kennedy Institute, were reviewed. 14 were female. They were weighed at admission and discharge to evaluate the rate of growth; calorie prescriptions at discharge were based on the clinical course. The Krick method was found to be a more potent predictor of the discharge prescription than the RDA method.
传统方法,即使用按实际年龄计算的推荐膳食摄入量(RDA);以及克里克方法,该方法计算基础代谢率(BMR),并纳入肌张力、运动或活动水平以及正常生长和追赶生长的能量需求等因素。对30名年龄在9个月至18岁之间、在肯尼迪研究所住院超过一周的经鼻饲管喂养的儿童进行了回顾性研究。其中14名为女性。在入院和出院时对他们进行称重以评估生长速率;出院时的热量处方基于临床病程。结果发现,与RDA方法相比,克里克方法能更有效地预测出院处方。