RESUMO
ABSTRACT Objective To investigate the applicability of predictive equations for resting energy expenditure (REE) in obese individuals with obstructive sleep apnea (OSA) and the effects of OSA severity on REE. Materials and methods Twenty-nine obese men, 41.5 ± 7 years old, with moderate and severe OSA were recruited. All subjects were submitted to a clinical polysomnography, body composition, and indirect calorimetry measurements. REE was also predicted by three different equations: Harris and Benedict (1919), Cunningham (1990), and DRI (2002). Results No effects of OSA severity on REE were found. The measured REE (2416.0 ± 447.1 kcal/day) and the REE predicted by equations were different from each other (F = 2713.88; p < 0.05): Harris and Benedict (2128.0 ± 245.8 kcal/day), Cunningham (1789.1 ± 167.8 kcal/day) and DRI (2011.1 ± 181.4 kcal/day). Pearson correlations showed a moderate positive correlation between the REE measured and predicted by all equations. Conclusion Our findings suggest that predictive equations for REE underestimate the energy expenditure in obese patients with sleep apnea. Also, no effects of OSA severity on REE were found.
Assuntos
Humanos , Masculino , Adulto , Pessoa de Meia-Idade , Descanso/fisiologia , Algoritmos , Apneia Obstrutiva do Sono/metabolismo , Metabolismo Energético/fisiologia , Obesidade/fisiopatologia , Obesidade/metabolismo , Valores de Referência , Fatores de Tempo , Índice de Gravidade de Doença , Composição Corporal/fisiologia , Calorimetria Indireta/métodos , Antropometria , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Análise de Variância , Polissonografia , Apneia Obstrutiva do Sono/fisiopatologiaRESUMO
É apresentado um caso de reconstruçäo do lábio através de retalho miocutâneo do platisma, suas complicaçöes e resultados alcançados. Säo citados detalhes da técnica operatória para a preservaçäo da vascularizaçäo do retalho