Comparison of three different measurement methods to determine resting energy expenditure in patients with decompensated hepatitis B cirrhosis.
10.3760/cma.j.cn501113-20210906-00455
- Author:
Wen WANG
1
;
Yan Hua ZHANG
2
;
Ting Ting YANG
1
;
Ning LI
3
;
Qian Kun LUO
4
;
Tao QIN
4
;
Lei LEI
5
Author Information
1. Department of Nutrition, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou 450000, China.
2. Department of Nutrition, The Second People's Hospital of Shizuishan, Shizhuishan 753000, China.
3. College of Food Science and Technology, Henan Agricultural University, Zhengzhou 450046, China.
4. Department of Hepatobiliary and Pancreatic Surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou 450000, China.
5. Department of Gastroenterology, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou 450000, China.
- Publication Type:Journal Article
- Keywords:
Liver cirrhosis;
Nutritional support;
Rest energy expenditure;
Sarcopenia
- MeSH:
Humans;
Male;
Female;
Energy Metabolism;
Liver Cirrhosis/metabolism*;
Calorimetry, Indirect/methods*;
Hospitalization
- From:
Chinese Journal of Hepatology
2023;31(1):65-69
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To compare the differences to determine resting energy expenditure (REE) measured with indirect calorimetry and REE predicted by formula method and body composition analyzer in patients with decompensated hepatitis B cirrhosis, so as to provide theoretical guidance for the implementation of precision nutrition intervention. Methods: Patients with decompensated hepatitis B cirrhosis who were admitted to Henan Provincial People's Hospital from April 2020 to December 2020 were collected. REE was determined by the body composition analyzer and the H-B formula method. Results: were analyzed and compared to REE measured by the metabolic cart. Results A total of 57 cases with liver cirrhosis were included in this study. Among them, 42 were male, aged (47.93 ± 8.62) years, and 15 were female aged (57.20 ± 11.34) years. REE measured value in males was (1 808.14 ± 201.47) kcal/d, compared with the results calculated by the H-B formula method and the measured result of body composition, and the difference was statistically significant (P = 0.002 and 0.003, respectively). REE measured value in females was (1 496.60 ± 131.28) kcal/d, compared with the results calculated by the H-B formula method and the measured result of body composition, and the difference was statistically significant (P = 0.016 and 0.004, respectively). REE measured with the metabolic cart had correlation with age and area of visceral fat in men (P = 0.021) and women (P = 0.037). Conclusion: Metabolic cart use will be more accurate to obtain resting energy expenditure in patients with decompensated hepatitis B cirrhosis. Body composition analyzer and formula method may underestimate REE predictions. Simultaneously, it is suggested that the effect of age on REE in H-B formula should be fully considered for male patients, while the area of visceral fat may have a certain impact on the interpretation of REE in female patients.
