naa a22 4500 510785719 CHVBK 20180411083301.0 cr unu---uuuuu 180411e20130101xx s 000 0 eng 10.1007/s12603-012-0387-3 doi (NATIONALLICENCE)springer-10.1007/s12603-012-0387-3 Simple kcal/kg formula is comparable to prediction equations for estimating resting energy expenditure in older cognitively impaired long term care residents [Elektronische Daten] [H. Silver, R. Wall, E. Hollingsworth, A. Pruitt, M. Shotwell, S. Simmons] Objective: Assessment of energy needs is a critical step in developing the nutrition care plan, especially for individuals unable to modulate their own energy intakes. The purpose of this study was to assess precision and accuracy of commonly used prediction equations in comparison to measured resting energy expenditure in a sample of "oldest old” adults residing in long term care (LTC). Subjects and Design: Resting energy expenditure (mREE) was measured by indirect calorimetry in 45 residents aged 86.1 ± 7.3 years, and compared to frequently used prediction equations (pREE): Mifflin St.Jeor, Harris Benedict, World Health Organization and Owen. Precision and accuracy were determined by concordance correlation coefficients and number of individuals within ± 10% of mREE. Bland Altman plots with linear dependence trends were constructed to visualize agreement. To complete analyses, the common 25 kcal/kg formula was assessed and alternative formulas were determined for best fit by regressing adjusted mREE on body weight. Results: mREE averaged 976.2 ± 190.3 kcal/day for females and 1260.0 ± 275.9 kcal/d for males. The strength of the relationships between pREE and mREE were only moderate (r = 0.41-0.72). In examining linear trends in the Bland Altman plots, significant systematic deviation from mREE was detected for all pREE. Two kcal/kg formulas were generated: 20.6 kcal/kg for females and 22.7 kcal/kg for males, which were not significantly different. Conclusion: None of the prediction equations adequately estimated energy needs in this sample of the "oldest old.” A simple formula using 21-23 kcal/kg may be a more practical and reliable method to determine energy needs in the LTC setting. Serdi and Springer-Verlag France, 2013 Long term care nationallicence older adult nationallicence energy expenditure nationallicence Silver H. Division of Gastroenterology, Hepatology & Nutrition, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA aut Wall R. Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA aut Hollingsworth E. Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA aut Pruitt A. Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA aut Shotwell M. Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA aut Simmons S. Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA aut The journal of nutrition, health & aging Springer-Verlag 17/1(2013-01-01), 39-44 1279-7707 17:1<39 2013 17 12603 https://doi.org/10.1007/s12603-012-0387-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-012-0387-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Silver H. Division of Gastroenterology, Hepatology & Nutrition, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA aut NATIONALLICENCE 700 1- Wall R. Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA aut NATIONALLICENCE 700 1- Hollingsworth E. Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA aut NATIONALLICENCE 700 1- Pruitt A. Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA aut NATIONALLICENCE 700 1- Shotwell M. Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA aut NATIONALLICENCE 700 1- Simmons S. Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/1(2013-01-01), 39-44 1279-7707 17:1<39 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer