García-Contreras Andrea A, Vásquez-Garibay Edgar M, Romero-Velarde Enrique, Ibarra-Gutierrez Ana I, Troyo-Sanroman Rogelio
Instituto de Nutrición Humana. Universidad de Guadalajara..
Instituto de Nutrición Humana. Universidad de Guadalajara. Hospital Civil de Guadalajara Dr. Juan I. Menchaca, México..
Nutr Hosp. 2015 May 1;31(5):2062-9. doi: 10.3305/nh.2015.31.5.8588.
To analyze the total energy expenditure (TEE) and resting energy expenditure (REE) in children with cerebral palsy (CP) and moderate or severe malnutrition during nutritional recovery.
In an intervention study, thirteen subjects with CP (10 females and 3 males with a mean age of 9y11m ± 2y3m), level V of the Gross Motor Function Classification System and moderate or severe malnutrition were included. Eight were fed by nasogastric tube and five by gastrostomy. They were compared with 57 healthy participants (31 females and 26 males with mean age of 8y7m ± 10m). Anthropometric measurements, body composition and energy expenditure by bioelectrical impedance analysis (BIA) and indirect calorimetry (IC) were performed in both groups.
TEE and REE were higher in healthy children than in children with CP in kcal/d and kcal/cm/d but were lower in kcal/kg/d (p <0.001). Intensive nutritional support for four weeks in children with CP produced a significant increase in energy expenditure.
TEE and REE, in children with CP, are lower than in healthy children. Estimating the REE in children with CP and malnutrition is better performed in kcal/kg/d than in kcal/cm/d. Fat-free mass (FFM) is a good predictor of the REE in healthy children and children with CP.
分析脑瘫（CP）合并中度或重度营养不良患儿营养恢复期间的总能量消耗（TEE）和静息能量消耗（REE）。
在一项干预研究中，纳入了13名CP患儿（10名女性，3名男性，平均年龄9岁11个月±2岁3个月），这些患儿为粗大运动功能分级系统V级且合并中度或重度营养不良。其中8名通过鼻胃管喂养，5名通过胃造口术喂养。将他们与57名健康参与者（31名女性，26名男性，平均年龄8岁7个月±10个月）进行比较。对两组均进行人体测量、身体成分分析以及通过生物电阻抗分析（BIA）和间接测热法（IC）测定能量消耗。
健康儿童的TEE和REE以千卡/天和千卡/厘米/天计高于CP患儿，但以千卡/千克/天计则低于CP患儿（p<0.001）。对CP患儿进行四周的强化营养支持使能量消耗显著增加。
CP患儿的TEE和REE低于健康儿童。对于CP合并营养不良患儿，以千卡/千克/天计估算REE比以千卡/厘米/天计更好。去脂体重（FFM）是健康儿童和CP患儿REE的良好预测指标。
