Comparación del gasto energético en reposo determinado mediante calorimetría indirecta y estimado mediante fórmulas predictivas en mujeres con grados de obesidad I a III / Comparison of resting energy expenditure determined by indirect calorimetry and estimated by predictive formulas in women with obesity degrees I to III
Nutr. hosp
; 28(2): 357-364, mar.-abr. 2013. tab
Article
in Spanish
| IBECS
| ID: ibc-115761
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Introducción:
La determinación del gasto energético en reposo (GER) se calcula cotidianamente a partir de fórmulas predictivas aunque el resultado varía dependiendo de la población.Objetivo:
Comparar la determinación del GER mediante calorimetría indirecta y mediante las ecuaciones Harris-Benedict (HB), Mifflin (MF), Organización Mundial de la Salud (OMS), "Institute of Medicine" (IOM), Fórmula Rápida (FR) y Valencia (VA) en mujeres con grados de obesidad I a III.Métodos:
Mujeres adultas mestizas mexicanas se incluyeron en el estudio y formaron 3 grupos a partir del índice de masa corporal (IMC). Obesidad grado I (IMC 30,034,9; n = 42), grado II (IMC 35,0-39,9; n = 38) y grado III (IMC > 40; n = 41). Se determinó el GER mediante calorimetría indirecta y mediante las ecuaciones antes señaladas. ANOVA de Kruskal-Wallis y la prueba de Dunn's se emplearon para el análisis estadístico (p < 0,05 se aceptó como diferencia).Resultados:
No se observó diferencia estadística entre los valores de las fórmulas HB, OMS y VA respecto a la CI. La concordancia obtenida de dichas fórmulas fue 63%, 67% y 64%, respectivamente, al analizar los datos en un solo grupo de obesidad. Asimismo, las fórmulas IOM, ER y MF mostraron diferencia estadística significativa versus la CI, siendo la concordancia 58%, 53% y 54%, respectivamente. En el grado III de obesidad la concordancia de VA (78%) y FR (71%) fue la mayor obtenida.Discusión:
Las fórmulas HB, OMS y VA fueron las mejores para estimar el GER en mujeres mexicanas con IMC > 30. En el grado III VA y FR muestran el mejor desempeño (AU)ABSTRACT
Introduction:
The determination of resting energy expenditure (REE) is calculated in clinical practices by predictive formulas; however the result varies among the population due to several factors.Objective:
To compare the REE determination by indirect calorimetry and by Harris-Benedict (HB), Mifflin (MF), World Health Organization (WHO), Institute of Medicine (IOM), "Formula Rápida" (FR) and Valencia (VA) formulas, in women with obesity grades I to III.Methods:
Mexican mestizo adult women were included in the study and stratified in three groups according to their body mass index (BMI). Grade I obesity (BMI 30.034.9, n = 42), grade II (BMI 35.0-39.9, n = 38) and grade III (BMI > 40, n = 41). REE was determined by indirect calorimetry and by the aforementioned equations. Kruskal-Wallis ANOVA and Dunn's test were used for statistical comparison and p < 0.05 was accepted as a statistical difference.Results:
There were no statistical difference between the REE values estimated by formulas HB, WHO and VA regarding the CI. The accuracy obtained from these formulas was 63%, 67% and 64%, respectively, when data were analyzed in a single group. The IOM, ER and MF formulas showed statistically significant difference versus the CI and their accuracy were 58%, 53%, and 54%, respectively. In grade III obesity VA (78%) and FR (71%) accuracy were the highest obtained.Discussion:
HB, WHO and VA formulas were the best to estimate REE in Mexican women with BMI > 30. In obesity grade III FR and VA formulas showed the best performance (AU)
Full text:
Available
Collection:
National databases
/
Spain
Health context:
SDG3 - Health and Well-Being
Health problem:
Target 3.8 Achieve universal access to health
Database:
IBECS
Main subject:
Calorimetry, Indirect
/
Energy Metabolism
/
Obesity
Type of study:
Health economic evaluation
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
Language:
Spanish
Journal:
Nutr. hosp
Year:
2013
Document type:
Article
Institution/Affiliation country:
Universidad Iberoamericana Ciudad de México/México