Nutritional status and energy expenditure in children pre-bone-marrow-transplant

M White; A J Murphy; Y Hastings; J Shergold; Jeanine Young; C Montgomery; Peter S W Davies; L Lockwood

doi:10.1038/sj.bmt.1704891

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Nutritional status and energy expenditure in children pre-bone-marrow-transplant

Journal article

Peer reviewed

Nutritional status and energy expenditure in children pre-bone-marrow-transplant

M White, A J Murphy, Y Hastings, J Shergold, Jeanine Young, C Montgomery, Peter S W Davies and L Lockwood

Bone Marrow Transplantation, Vol.35(8), pp.775-779

2005

DOI: https://doi.org/10.1038/sj.bmt.1704891

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Abstract

Clinical Sciences

children

nutritional status

resting energy expenditure

body cell mass

The aims of this study were to establish the nutritional status of children pre-BMT and to determine whether predictive methods of assessing nutritional status and resting energy expenditure (REE) are accurate in this population. We analysed the body cell mass (BCM) (n=26) and REE (n=24) in children undergoing BMT. BCM was adjusted for height (BCM/HTp) and expressed as a Z score to represent nutritional status. To determine whether body mass index (BMI) was indicative of nutritional status in children undergoing BMT, BMI Z scores were compared to the reference method of BCM/HTp Z scores. Schofield predictive equations of basal metabolic rate (BMR) were compared to measured REE to evaluate the accuracy of the predictive equations. The mean BCM/HTp Z score for the subject population was -1.091.28. There was no significant relationship between BCM/HTp Z score and BMI Z score (r=0.34; P>0.05); however there was minimal difference between measured REE and predicted BMR (bias=-11149 kcal/day). The results of this study demonstrate that children undergoing BMT may have suboptimal nutritional status and that BMI is not an accurate indication of nutritional status in this population. However, Schofield equations were found to be suitable for representing REE in children pre-BMT.

Details

Title: Nutritional status and energy expenditure in children pre-bone-marrow-transplant
Authors: M White (Author) - Royal Children's Hospital, Brisbane
A J Murphy (Author) - University of Queensland
Y Hastings (Author) - Royal Children's Hospital, Brisbane
J Shergold (Author) - Royal Children's Hospital, Brisbane
Jeanine Young (Author) - Royal Children's Hospital, Brisbane
C Montgomery (Author) - Royal Children's Hospital, Brisbane
Peter S W Davies (Author) - University of Queensland
L Lockwood (Author) - Royal Children's Hospital, Brisbane
Publication details: Bone Marrow Transplantation, Vol.35(8), pp.775-779
Publisher: Nature Publishing Group
Date published: 2005
DOI: 10.1038/sj.bmt.1704891
ISSN: 0268-3369
Organisation Unit: School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99449055302621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Biophysics; Hematology; Immunology; Oncology; Transplantation

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