Estimating energy requirements in burned children: A new approach derived from measurements of resting energy expenditure

Michael I. Goran, Lyle Broemeling, David Herndon, Edward J. Peters, Robert R. Wolfe

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

We examined the determinants of resting energy expenditure (REE) in 127 observations in 56 burned children. Predicted basal energy expenditure (PBEE), body surface area (BSA), and body weight correlated significantly with REE (r2 = 0.76). Days postburn and burn size (% BSA burned) only accounted for 21%, and 24% of the variation in the elevation in REE above PBEE. The single most powerful predictor of REE was PBEE (REE = 1.29 X PBEE); addition of other variables did not improve the prediction. When our recently described activity factor of 1.2 for burn patients is used, the data predict that the average energy requirement to maintain energy balance is 1.55 X PBEE, which is significantly lower than commonly used recommendations, especially for larger burns. The energy required to ensure that 95% of patients achieve energy balance was (1.55 X PBEE) + (2.39 X PBEE0.75), approximately equal to 2 X PBEE. Because the equations presented are derived from measurements of energy expenditure, they represent the most valid approach to estimating energy requirements.

Original languageEnglish (US)
Pages (from-to)35-40
Number of pages6
JournalAmerican Journal of Clinical Nutrition
Volume54
Issue number1
StatePublished - Jul 1991
Externally publishedYes

Fingerprint

resting energy expenditure
energy requirements
energy expenditure
Energy Metabolism
energy balance
surface area
Body Surface Area
body size
Burns
body weight
prediction
energy

Keywords

  • Burns
  • Energy expenditure
  • Indirect calorimetry
  • Nutritional requirements

ASJC Scopus subject areas

  • Food Science
  • Medicine (miscellaneous)

Cite this

Estimating energy requirements in burned children : A new approach derived from measurements of resting energy expenditure. / Goran, Michael I.; Broemeling, Lyle; Herndon, David; Peters, Edward J.; Wolfe, Robert R.

In: American Journal of Clinical Nutrition, Vol. 54, No. 1, 07.1991, p. 35-40.

Research output: Contribution to journalArticle

Goran, Michael I. ; Broemeling, Lyle ; Herndon, David ; Peters, Edward J. ; Wolfe, Robert R. / Estimating energy requirements in burned children : A new approach derived from measurements of resting energy expenditure. In: American Journal of Clinical Nutrition. 1991 ; Vol. 54, No. 1. pp. 35-40.
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