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Am J Perinatol 2019; 36(09): 918-923
DOI: 10.1055/s-0038-1675620
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Longitudinal Measurements of Resting Energy Expenditure by Indirect Calorimetry in Healthy Term Infants during the First 2 Months of Life

Sourabh Verma
1   Division of Neonatology, Department of Pediatrics, NYU School of Medicine, New York, New York
,
Sean M. Bailey
1   Division of Neonatology, Department of Pediatrics, NYU School of Medicine, New York, New York
,
Pradeep V. Mally
1   Division of Neonatology, Department of Pediatrics, NYU School of Medicine, New York, New York
,
Heather B. Howell
1   Division of Neonatology, Department of Pediatrics, NYU School of Medicine, New York, New York
› Institutsangaben Funding The Stefan Bennett Fellowship Research Fund in Neonatology and KiDS of NYU provided funding for this study.
Weitere Informationen

Publikationsverlauf

30. Juli 2018

20. September 2018

Publikationsdatum:
10. November 2018 (online)

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Abstract

Objective To determine longitudinal measurements of resting energy expenditure (REE) by indirect calorimetry (IC) in healthy term infants during the first 2 months of life.

Study Design An outpatient prospective pilot study was performed in healthy term infants to estimate REE by measuring expired gas fractions of oxygen (O2) and carbon dioxide (CO2) with IC in a respiratory and metabolic steady state.

Results A total of 30 measurements were performed. Fourteen subjects completed measurements at both 1 and 2 months of life, and two subjects had only measurements made at 1 month of life. Mean REE values were 64.1 ± 12.7 and 58.4 ± 14.3 kcal/kg/d at 1 and 2 months of age, respectively. Mean O2 consumption and CO2 production measurements were 9.3 ± 2.0 and 7.7 ± 1.2 mL/kg/min and 8.1 ± 2.2 and 6.4 ± 1.1 mL/kg/min at 1 and 2 months of age, respectively.

Conclusion This pilot study demonstrates longitudinal measurements of REE by IC in healthy term infants during the first 2 months of life. We also demonstrate that, overall, there is consistency in REE values in this population, with a likely decrease in individual longitudinal measurements over the first 2 months of life.

Keywords

resting energy expenditure - indirect calorimetry - healthy term infants - nutrition
 

  • References

  • 1 Wells JC. Energy metabolism in infants and children. Nutrition 1998; 14 (10) 817-820
    CrossrefPubMedGoogle Scholar
  • 2 Witte MK. Metabolic measurements during mechanical ventilation in the pediatric intensive care unit. Respir Care Clin N Am 1996; 2 (04) 573-586
    PubMedGoogle Scholar
  • 3 McClave SA, Taylor BE, Martindale RG. , et al; Society of Critical Care Medicine; American Society for Parenteral and Enteral Nutrition. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). J Parenter Enteral Nutr 2016; 40 (02) 159-211
    CrossrefPubMedGoogle Scholar
  • 4 Mehta NM, Bechard LJ, Dolan M, Ariagno K, Jiang H, Duggan C. Energy imbalance and the risk of overfeeding in critically ill children. Pediatr Crit Care Med 2011; 12 (04) 398-405
    CrossrefPubMedGoogle Scholar
  • 5 Mehta NM, Compher C. ; A.S.P.E.N. Board of Directors. A.S.P.E.N. Clinical Guidelines: nutrition support of the critically ill child. J Parenter Enteral Nutr 2009; 33 (03) 260-276
    CrossrefPubMedGoogle Scholar
  • 6 Singer P, Singer J. Clinical guide for the use of metabolic carts: indirect calorimetry--no longer the orphan of energy estimation. Nutr Clin Pract 2016; 31 (01) 30-38
    CrossrefPubMedGoogle Scholar
  • 7 Sion-Sarid R, Cohen J, Houri Z, Singer P. Indirect calorimetry: a guide for optimizing nutritional support in the critically ill child. Nutrition 2013; 29 (09) 1094-1099
    CrossrefPubMedGoogle Scholar
  • 8 da Rocha EE, Alves VG, da Fonseca RB. Indirect calorimetry: methodology, instruments and clinical application. Curr Opin Clin Nutr Metab Care 2006; 9 (03) 247-256
    CrossrefPubMedGoogle Scholar
  • 9 Soares FV, Moreira ME, Abranches AD, Ramos JR, Gomes Junior SC. Indirect calorimetry: a tool to adjust energy expenditure in very low birth weight infants. J Pediatr (Rio J) 2007; 83 (06) 567-560
    PubMedGoogle Scholar
  • 10 Haugen HA, Chan LN, Li F. Indirect calorimetry: a practical guide for clinicians. Nutr Clin Pract 2007; 22 (04) 377-388
    CrossrefPubMedGoogle Scholar
  • 11 Bauer J, Teufel U, Maser-Gluth C, Doege C. Effects of budesonide inhalation on energy expenditure, somatic growth and salivary cortisol levels in preterm infants with chronic lung disease. Horm Res 2009; 72 (03) 146-152
    CrossrefPubMedGoogle Scholar
  • 12 Berger I, Weintraub V, Dollberg S, Kopolovitz R, Mandel D. Energy expenditure for breastfeeding and bottle-feeding preterm infants. Pediatrics 2009; 124 (06) e1149-e1152
    CrossrefPubMedGoogle Scholar
  • 13 Lubetzky R, Mimouni FB, Dollberg S, Reifen R, Ashbel G, Mandel D. Effect of music by Mozart on energy expenditure in growing preterm infants. Pediatrics 2010; 125 (01) e24-e28
    CrossrefPubMedGoogle Scholar
  • 14 Cai W, Yu L, Lu C, Tang Q, Wan Y, Chen F. Normal value of resting energy expenditure in healthy neonates. Nutrition 2003; 19 (02) 133-136
    CrossrefPubMedGoogle Scholar
  • 15 Short KR, Teague AM, Fields DA, Lyons T, Chernausek SD. Lower resting energy expenditure and fat oxidation in Native American and Hispanic infants born to mothers with diabetes. J Pediatr 2015; 166 (04) 884-889
    CrossrefPubMedGoogle Scholar
  • 16 Lei TH, Lien R, Hsu JF, Chiang MC, Fu RH. Effect of body weight on temperature control and energy expenditure in preterm infants. Pediatr Neonatol 2010; 51 (03) 178-181
    CrossrefPubMedGoogle Scholar
  • 17 Schofield WN. Predicting basal metabolic rate, new standards and review of previous work. Hum Nutr Clin Nutr 1985; 39 (Suppl. 01) 5-41
    PubMedGoogle Scholar
  • 18 Bauer J, Werner C, Gerss J. Metabolic rate analysis of healthy preterm and full-term infants during the first weeks of life. Am J Clin Nutr 2009; 90 (06) 1517-1524
    CrossrefPubMedGoogle Scholar
  • 19 Moreira M, Soares F, Meio M, Abranches AD, Gomes Junior SC. Energy expenditure in very low birth weight newborns: a comparison between small and appropriate-for-gestational-age. Acta Paediatr 2010; 99 (05) 651-653
    CrossrefPubMedGoogle Scholar
  • 20 Nydegger A, Walsh A, Penny DJ, Henning R, Bines JE. Changes in resting energy expenditure in children with congenital heart disease. Eur J Clin Nutr 2009; 63 (03) 392-397
    CrossrefPubMedGoogle Scholar
  • 21 Freymond D, Schutz Y, Decombaz J, Micheli JL, Jéquier E. Energy balance, physical activity, and thermogenic effect of feeding in premature infants. Pediatr Res 1986; 20 (07) 638-645
    CrossrefPubMedGoogle Scholar
  • 22 Crouter SE, Antczak A, Hudak JR, DellaValle DM, Haas JD. Accuracy and reliability of the ParvoMedics TrueOne 2400 and MedGraphics VO2000 metabolic systems. Eur J Appl Physiol 2006; 98 (02) 139-151
    CrossrefPubMedGoogle Scholar
  • 23 Cooper JA, Watras AC, O'Brien MJ. , et al. Assessing validity and reliability of resting metabolic rate in six gas analysis systems. J Am Diet Assoc 2009; 109 (01) 128-132
    CrossrefPubMedGoogle Scholar
  • 24 Moreira ME, Vieira AA, Mendes Soares FV. , et al. Determining the least time required for measuring energy expenditure in premature neonates. J Perinat Med 2007; 35 (01) 71-75
    PubMedGoogle Scholar
  • 25 Summer SS, Pratt JM, Koch EA, Anderson JB. Testing a novel method for measuring sleeping metabolic rate in neonates. Respir Care 2014; 59 (07) 1095-1100
    CrossrefPubMedGoogle Scholar