Energy balance in children and young adults receiving haemodialysis for chronic renal failure

This study was designed to determine the contribution of energy expenditure to the energy imbalance seen in uraemic children. Resting energy expenditure (REE) was measured using open-circuit indirect calorimetry in eight uraemic haemodialysed subjects aged 9.3-20.4 years and in 10 healthy children....

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Bibliographic Details
Published in:Clinical nutrition (Edinburgh, Scotland) Scotland), 1995-12, Vol.14 (6), p.341-347
Main Authors: TOUNIAN, P, SALAUN, J. F, BENSMAN, A, MELCHIOR, J. C, VEINBERG, F, MORGANT, G, FONTAINE, J. L, GIRARDET, J. P
Format: Article
Language:English
Subjects:
Biological and medical sciences
Medical sciences
Nephrology. Urinary tract diseases
Nephropathies. Renovascular diseases. Renal failure
Renal failure
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Summary:This study was designed to determine the contribution of energy expenditure to the energy imbalance seen in uraemic children. Resting energy expenditure (REE) was measured using open-circuit indirect calorimetry in eight uraemic haemodialysed subjects aged 9.3-20.4 years and in 10 healthy children. Linear correlations between REE and both body weight and fat-free mass as measured by anthropometry were found in both controls and uraemic subjects (respectively: r = 0.76 and r = 0.88 for body weight and r = 0.73 and r = 0.90 for fat-free mass). Measured REE in uraemic patients was not different from the value predicted by using actual body weight and fat-free mass in the regression equation of REE on body weight and fat-free mass in controls (paired t test: p = 0.70 and p = 0.19 respectively). These data suggest that the energy imbalance seen in uraemic children is not due to increased energy expenditure and is therefore probably due to decreased food intake.
ISSN:0261-5614
1532-1983