COPD 患者的能量消耗和摄入：通过预测 REE 来发现未被注意到的失衡程度。

Energy expenditure and intake in COPD: The extent of unnoticed unbalance by predicting REE.

机构信息

Unit of Geriatrics, Campus Bio-Medico University and Teaching Hospital, Rome, Italy.

Unit of Food Science and Human Nutrition, Campus Bio-Medico University and Teaching Hospital, Rome, Italy.

出版信息

Respir Med. 2022 Sep;201:106951. doi: 10.1016/j.rmed.2022.106951. Epub 2022 Aug 9.

DOI:10.1016/j.rmed.2022.106951

PMID:35963031

Abstract

Undernourishment is promoted by an unbalance between energy expenditure and intake. Resting energy expenditure (REE) in chronic obstructive pulmonary disease (COPD) is commonly predicted using the Harris-Benedict (HB) and the Angelillo-Moore (AM) formulas, however no study has investigated to which extent COPD patients with an energy unbalance go unnoticed when REE is predicted rather than measured with indirect calorimetry. This study demonstrates that 66% and 25% of negatively unbalanced patients go unnoticed when using HB and AM, respectively, urging to discourage the use of REE predicting formulas in clinical practice, at least in cases at risk of undernourishment.

摘要

营养不良是由能量消耗和摄入之间的不平衡引起的。慢性阻塞性肺疾病（COPD）患者的静息能量消耗（REE）通常使用 Harris-Benedict（HB）和 Angelillo-Moore（AM）公式进行预测，但尚无研究调查在使用间接测热法而非预测公式测量 REE 时，能量不平衡的 COPD 患者中有多少被忽视。这项研究表明，当使用 HB 和 AM 时，分别有 66%和 25%的负平衡患者被忽视，这促使我们在临床实践中至少在有营养不良风险的情况下，不鼓励使用 REE 预测公式。