Total energy expenditure in burned children using the doubly labeled water technique

Journal Article · Mon Oct 01 00:00:00 EDT 1990 · American Journal of Physiology; (USA)

OSTI ID:6170699

Goran, M I; Peters, E J; Herndon, D N; Wolfe, R R ^[1]

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1. Shriners Burns Institute, Galveston, TX (USA)

Total energy expenditure (TEE) was measured in 15 burned children with the doubly labeled water technique. Application of the technique in burned children required evaluation of potential errors resulting from nutritional intake altering background enrichments during studies and from the high rate of water turnover relative to CO2 production. Five studies were discarded because of these potential problems. TEE was 1.33 +/- 0.27 times predicted basal energy expenditure (BEE), and in studies where resting energy expenditure (REE) was simultaneously measured, TEE was 1.18 +/- 0.17 times REE, which in turn was 1.16 +/- 0.10 times predicted BEE. TEE was significantly correlated with measured REE (r2 = 0.92) but not with predicted BEE. These studies substantiate the advantage of measuring REE to predict TEE in severely burned patients as opposed to relying on standardized equations. Therefore we recommend that optimal nutritional support will be achieved in convalescent burned children by multiplying REE by an activity factor of 1.2.

• OSTI ID: 6170699
• Journal Information: American Journal of Physiology; (USA), Vol. 259:4 Pt 1; ISSN 0002-9513
• Country of Publication: United States
• Language: English

Related Subjects

59 BASIC BIOLOGICAL SCIENCES
CHILDREN
BURNS
CARBON DIOXIDE
DOUBLE LABELLING
HEAVY WATER
ISOTOPE DILUTION
METABOLISM
RECOMMENDATIONS
AGE GROUPS
CARBON COMPOUNDS
CARBON OXIDES
CHALCOGENIDES
HYDROGEN COMPOUNDS
INJURIES
ISOTOPE APPLICATIONS
LABELLING
OXIDES
OXYGEN COMPOUNDS
TRACER TECHNIQUES
WATER
550501* - Metabolism- Tracer Techniques
550901 - Pathology- Tracer Techniques