Firouzbakhsh S, Mathis R K, Dorchester W L, Oseas R S, Groncy P K, Grant K E, Finklestein J Z
Jonathan Jacques Children's Cancer Center, Memorial Miller Children's Hospital of Long Beach, CA 90801.
J Pediatr Gastroenterol Nutr. 1993 Feb;16(2):136-42. doi: 10.1097/00005176-199302000-00007.
The majority of equations used to predict values for basal metabolic rates (BMRs) are the result of indirect calorimetry measurements performed in the 1930s and 1950s. To assess the reliability of these equations in predicting the resting energy expenditure (REE) of the children in our community, indirect calorimetry was performed on 92 male and 107 female healthy children 2-3 h postprandial. Each individual was measured for a duration of 15-20 min. The data for analysis were obtained from 5-15 min steady-state periods. Subjects ranged in age from 5 to 16 years. The results were compared with BMRs calculated from the Harris-Benedict equation (Harris J, Benedict F. A biometric study of basal metabolism in man. Washington, DC: Carnegie Institute of Washington, publication no. 279, 1919.), the Food and Agriculture Organization/World Health Organization/United Nations University (FAO/WHO/UNU) equations, and the equations proposed by Schofield for use by the 1985 FAO/WHO/UNU Nutrition Committee. The values predicted by the FAO/WHO/UNU and Schofield equations were consistent with the measured resting values for all the children in the study population. Ninety-two children weighed between 90-110% of their ideal body weight. When the measured REE and estimated BMR were compared by gender and age in these children, the Schofield equations provided the best estimates. Ninety-four of the study subjects weighed > 110% of their ideal body weight. The predicted estimates by all equations were consistent with the measured values in this subgroup of the population. We conclude that the FAO/WHO/UNU and Schofield equations are reliable estimates of metabolic rate in healthy children when measurement of REE is not possible.
大多数用于预测基础代谢率(BMR)值的公式是20世纪30年代和50年代进行的间接热量测定法测量的结果。为了评估这些公式在预测我们社区儿童静息能量消耗(REE)方面的可靠性,对92名男性和107名女性健康儿童在餐后2 - 3小时进行了间接热量测定。每个个体测量时长为15 - 20分钟。用于分析的数据来自5 - 15分钟的稳态期。受试者年龄在5至16岁之间。将结果与根据哈里斯 - 本尼迪克特公式(哈里斯J,本尼迪克特F。人体基础代谢的生物统计学研究。华盛顿特区:华盛顿卡内基研究所,出版物编号279,1919年)、联合国粮食及农业组织/世界卫生组织/联合国大学(粮农组织/世卫组织/联合国大学)公式以及斯科菲尔德为1985年粮农组织/世卫组织/联合国大学营养委员会提出的公式计算出的BMR进行比较。粮农组织/世卫组织/联合国大学和斯科菲尔德公式预测的值与研究人群中所有儿童的测量静息值一致。92名儿童体重在其理想体重的90% - 110%之间。在这些儿童中,按性别和年龄比较测量的REE和估计的BMR时,斯科菲尔德公式提供了最佳估计。94名研究对象体重超过其理想体重的110%。所有公式的预测估计值与该人群亚组中的测量值一致。我们得出结论,当无法测量REE时,粮农组织/世卫组织/联合国大学和斯科菲尔德公式是健康儿童代谢率的可靠估计值。