Nutritional status, metabolic state and nutrient intake in children with bronchiolitis

V. De Cosmi, N. M. Mehta, A. Boccazzi, G. P. Milani, S. Esposito, G. Bedogni, C. Agostoni

Research output: Contribution to journalArticle

Abstract

Nutrition has a coadjuvant role in the management of children with acute diseases. We aimed to examine nutritional status, macronutrient requirements and actual macronutrient delivery in bronchiolitis. The nutritional status was classified according to WHO criteria and resting energy expenditure (MREE) was measured using an indirect calorimeter. Bland–Altman analysis was used to examine the agreement between MREE and estimated energy expenditure (EEE) with standard equations. Based on the ratio MREE/EEE in relation to Schofield equation on admission, we defined the subjects’ metabolic status. A total of 35 patients were enrolled and 46% were malnourished on admission, and 25.8% were hypermetabolic, 37.1% hypometabolic and 37.1% normometabolic. We performed a 24-h recall in 10 children and 80% were overfed (AEI: MREE >120%). Mean bias (limits of agreement) with MREE was 8.9 (−73.9 to 91.8%) for Schofield; 61.0 (−41 to 163%) for Harris–Benedict; and 9.9 (−74.4 to 94.2%) for FAO-WHO equation. Metabolism of infants with bronchiolitis is not accurately estimated by equations.

Original languageEnglish
Pages (from-to)378-383
Number of pages6
JournalInternational Journal of Food Sciences and Nutrition
Volume68
Issue number3
DOIs
Publication statusPublished - 2017

Keywords

  • energy expenditure
  • Indirect calorimetry
  • malnutrition
  • metabolism
  • nutrition

ASJC Scopus subject areas

  • Food Science

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