Abstract:
UNLABELLED:Nutritional management is essential in anorexia nervosa (AN), although nutrient replenishment must be done progressively to prevent the occurrence of re-alimentation syndrome. OBJECTIVE:to compare resting enengy expenditure (REE) by means of indirect calorimetry and by different equations in AN female patients. MATERIAL AND METHODS:we studied 21 women admitted for AN (DSM-IV), mean age 17 years (SD 5.9), range 12-34 years. Admission stay was 55.1 +/- 20.7 days (21-91). Initial nutritional assessment included anthropometrics (BMJ, TSF, SSE, MAC, MAMC) and tetrapolar bioimpedance (HoltainBC). Indirect calorimetry (IC) was done after overnight fasting (Deltatrac II MBM-200). In 9 patients, the same study was repeated before hospital discharge. We compared REE (Kcal/24 h) measured by IC with that obtained by several equations [Fleish, Harris- Benedict, FAO, Schofield-HW (SHW), Schebendach] through the intraclass correlation coefficient (ICC) and the Bland-Altman method. RESULTS:Nutritional status significantly improved during hospital admission. Fifty percent of the recovered weight was fat mass. REE significantly increased during admission. The equations overestimated REE as compared to IC (p < 0.05), except for the Schebendach equation that underestimated REE. The agreement between direct measurement of REE by IC and its estimation through equations was poor [Fleish (ICC = 0.21); HB (ICC = 0.21), SHW (ICC = 0.19), Schebendach (ICC = 0.15)]. Through the Bland-Altman method, we observed that there was a variable bias between IC and equations, with a clinically acceptable agreement for REW values of around 1200 Kcal/day. CONCLUSIONS:1) In our study we obtained a poor agreement between REW values measured by indirect calorimetry and those estimated by equations. 2) Through the Bland-Altman method, we observed that all equations present a variable bias as for IC, the agreement being clinically acceptable for REE values of around 1200 Kcal/day. 3) Thus, indirect calorimetry seems to be a very useful tool to calculate the energy requirements of anorexia nervosa patients.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
Cuerda Compés MC,Ruiz Sancho A,Moreno Rengel C,Iriondo Martínez MT,Velasco Gimeno C,Bretón Lesmes I,Camblor Alvarez M,García Peris Psubject
Has Abstractpub_date
2005-11-01 00:00:00pages
371-7issue
6eissn
0212-1611issn
1699-5198journal_volume
20pub_type
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
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journal_title:Nutricion hospitalaria
pub_type: 临床试验,杂志文章
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更新日期:1993-12-01 00:00:00
abstract:OBJECTIVE:To design a self-reported semi-quantitative questionnaire of frequency of food intake (QFFI) to assess the usual intake of foods and macronutrients of the academic community from the University of Antioquia (UoA). METHODOLOGY:The design of the questionnaire was done by reviewing and analyzing previous studie...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112011000600021
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
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journal_title:Nutricion hospitalaria
pub_type: 临床试验,杂志文章
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析
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journal_title:Nutricion hospitalaria
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pub_type: 杂志文章
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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更新日期:2014-12-17 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112011000400033
更新日期:2011-07-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.29.5.7421
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pub_type: 杂志文章
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更新日期:2019-07-01 00:00:00
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pub_type: 临床试验,杂志文章
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.4.8281
更新日期:2015-04-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112011000300014
更新日期:2011-05-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2014.30.5.8088
更新日期:2014-09-17 00:00:00
abstract:INTRODUCTION:In recent years, several investigations have related -hydroxy--methylbutyrate (HMB) to a reduced muscle proteolysis and to an increase in muscle mass. Therefore, a number of studies focused on the cellular and molecular mechanisms regulating these effects have been carried out. AIMS:The objectives of th...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.3305/nh.2015.31.2.8437
更新日期:2014-11-27 00:00:00
abstract:INTRODUCTION:Hypertension is a health problem that is of national importance. It is a major risk factor for the occurrence of atherosclerosis and cardiovascular, cerebrovascular and renal diseases that are leading or among the leading causes of mortality and morbidity as in ours, as in the most developed and less devel...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.973
更新日期:2017-02-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.1.8876
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abstract:INTRODUCTION:Type 2 Diabetes Mellitus is a serious health problem. In the year 2030 it will affect 366 million people around the world. OBJECTIVE:Evaluate the effectiveness of a mixed intervention and reducing the amount and seriousness of acute complications in diabetics from our Health Area. MATERIALS AND METHOD:Pr...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2012.27.6.6151
更新日期:2012-11-01 00:00:00
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pub_type: 杂志文章
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