Energy expenditure in overweight, asthmatic adolescents

indirect calorimetry and prediction equations

Authors

  • Franceliane Jobim BENEDETT Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Programa de Pós-Graduação em Saúde da Criança do Adolescente.
  • Vera Lúcia BOSA Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Curso de Nutrição, Departamento de Pediatria e Puericultura.
  • Helena Teresinha MOCELIN Hospital da Criança Santo Antônio, Serviço de Pneumologia Pediátrica.
  • Juliana PALUDO Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Programa de Pós-Graduação em Saúde da Criança do Adolescente.
  • Elza Daniel de MELLO Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Curso de Nutrição, Departamento de Pediatria e Puericultura
  • Gilberto Bueno FISCHER Hospital da Criança Santo Antônio, Serviço de Pneumologia Pediátrica.

Keywords:

Asthma, Indirect calorimetry, Energy metabolism, Obesity, Adolescent health

Abstract

Objective
This study compared the energy expenditure measured by indirect calorimetry with that estimated by prediction equations in asthmatic and non-asthmatic adolescents.
Methods
This was a cross-sectional study with 69 adolescents aged 10 to 18 years. Three paired groups were compared (overweight, asthmatic adolescents, normal weight, asthmatic adolescents and overweight, non-asthmatic adolescents). Energy expenditure was estimated by indirect calorimetry and prediction equations.
Results
Each group consisted of 23 adolescents (10 females), with an average age of M=12.4, SD=2.4 years. In the group of overweight, asthmatic adolescents, the resting energy expenditure was M=1550.2, SD=547.2kcal/day; in the group of normal weight asthmatic adolescents, the resting energy expenditure was M=1540.8, SD=544.2kcal/day; and in the group of overweight, non-asthmatic adolescents, the resting energy expenditure was M=1697.2 SD=379.8kcal/day. The results were similar among groups even when adjusted for lean and fat mass (f=0.186; p=0.831). The total energy expenditure was also similar among groups, except that the Harris-Benedict formula underestimated the energy expenditure in normal weight asthmatic adolescents and overweight, non-asthmatic adolescents.
Conclusion
The resting energy expenditure was not statistically different among groups of asthmatic and non-asthmatic adolescents, even when adjusted for lean mass and fat mass. For all three groups, the predictive equations were useful for estimating the resting energy expenditure and total energy expenditure.

References

Beuther AD, Sutherland ER. Overweight, obesity, and incident asthma: a meta-analysis of prospective epidemiologic studies. Am J Respir Crit Care Med. 2007; 175(7):661-6.

Ford E. The epidemiology of obesity and asthma. J Allergy Clin Immunol. 2005; 115(5):897-909.

Camilo DF, Ribeiro JD, Toro ADC, Baracat ECE, Barros Filho AAB. Obesidade e asma: associação ou coincidência? J Pediatr (Rio de Janeiro). 2010; 86(1):6-14.

Matarese LE. Indirect calorimetry: technical aspects. J Am Diet Assoc. 1997; 97 (2):154-60.

Zeitlin SR, Bond S, Wootton S, Gregson RK, Radford M. Increased resting energy expenditure in childhood asthma: does this contribute towards growth failure? Arch Dis Child. 1992; 67(11): 1366-69.

Chen Y, Dales R, Krewski D. Leisure-time energy expenditure in asthmatics and non-asthmatics. Respir Med. 2001; 95(1):13-8

Van Mil EG, Westerterp KR, Kester AD, Saris WH. Energy metabolism in relation to body composition and gender in adolescents. Arch Dis Child. 2001; 85(1):73-8.

Solé D, Vanna AT, Yamada E, Rizzo MC, Naspitz CK. International study of asthma and allergies in childhood (ISAAC) written questionnaire: validation of the asthma component among Brazilian children. J Investig Allergol Clin Immunol. 1998; 8(6):376-82.

Must A, Dallal GE, Dietz WH. Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) and triceps skinfold thickness. Am J Clin Nutr. 1991; 53(4):839.

World Health Organization. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007; 85:660-7.

Frisancho AR. Anthropometric standards for the assessment of growth and nutritional status. Ann Arbor: The University of Michigan Press; 1990. p.48-53.

Lohman TG, Roche AF, Martorrel R. Anthropometric standardization reference manual. Books, Champagne(IL): Books Human Kinetic; 1988.

Frisancho AR. New norms of upper limb fat and muscle areas for assessment of nutritional status. Am J Clin Nutr. 1981; 34(11):2540-45.

Tanner JM. Growth at adolescence. 2nd ed. Oxford: Blackwell Scientific Publications; 1962.

Slaughter MH, Lohman TG, Boileau RA, Horswill CA, Stillman RJ, Bemben DA. Skinfold equations for estimation of body fatness in children and youth. Hum Biol. 1988; 60(5):709-23.

Global Initiative for Asthma. The Global Strategy for Asthma Management and Prevention (updated 2007); the updated Pocket Guides and the complete list of references examined by the Committee are available on the GINA website. [cited 2008 Feb 20]. Available from:

Weir JB. New methods for calculating metabolic rate with special reference to protein metabolism. J Physiol. 1949; 109(1-2):1-9.

Maffeis C, Chiocca E, Zaffanello M, Golinelli M, Pinelli L, Boner AL. Energy intake and energy expenditure in prepubertal males with asthma. Eur Respir J. 1998; 12(1):123-9.

Hoher JH, Teixeira PJZ, Hertz FT, Moreira JS. A comparison between ventilation modes: how does activity level affect energy expenditure estimates? J Parenter Enteral Nutr. 2008; 32(2):176-83.

Farinatti PTV. A Brazilian-Portuguese version of the compendium of physical activities: a contribution to exercise physiology researchers and professionals. Rev Bras Fisiol Exerc. 2003; 2(2): 117-208.

Tounian PNC, Dumas N, Veinberg F, Girardet JP. Resting energy expenditure and substrate utilization rate in children with constitutional leanness or obesity. Clin Nutr. 2003; 22(4):353-57.

Arend EE, Fischer GB, Debiasi M, Schmid H. Inhaled corticosteroid treatment and growth of asthmatic children seen at outpatient clinics. J Pediatr. 2006; 82(3):197-203.

Dietz WH. Critical periods for the development of obesity. Am J Clin Nutr. 1994; 59(5):955-9.

Fett C, Fett WCR, Marchini JS. Gasto energético de repouso medido vs. estimado e relação com a composição corporal de mulheres. Arq Bras Endocrinol Metab. 2006; 50(6):1050-8.

Schneider P, Meyer F. As equações de predição da taxa metabólica basal são apropriadas para adolescentes com sobrepeso e obesidade? Rev Bras Med Esporte. 2005; 11(3):93-6.

Rodrigues G, Moreno LA, Sarría A, Fleta J, Bueno M. Resting energy expenditure in children and adolescents: agreement between calorimetry and prediction equations. Clin Nutr. 2000; 21(3):255-60.

Schofield WN. Predicting basal metabolic rate, new standards and review of previous work. Hum Nutr Clin Nutr. 1985; 39c(1):5-41.

World Health Organization. Energy and protein requirements. Report of a joint FAO/WHO/UNU expert consultation. Geneva: World Health Organization; 1985. (WHO Technical Report Series 724).

Harris JA, Benedict FG. A Biometric study of basal metabolism in man. Boston: Carnegie Institution of Washington; 1919.

Institute of Medicine of the National Academies. Dietary reference intakes for energy. Washington (DC): National Academy Press; 2002.

National Research Council. Recommended dietary allowances. Washington (DC): National Academy Press; 1989.

Published

2023-08-23

How to Cite

BENEDETT, F. J., BOSA, V. L., MOCELIN, H. T. ., PALUDO, J. ., MELLO, E. D. de ., & FISCHER, G. B. . (2023). Energy expenditure in overweight, asthmatic adolescents: indirect calorimetry and prediction equations. Brazilian Journal of Nutrition, 24(1). Retrieved from https://periodicos.puc-campinas.edu.br/nutricao/article/view/9266

Issue

Section

ORIGINAL ARTICLE