Evidence map›Paper›PMID 31410443›Full record

ArticleThe American journal of clinical nutrition2019

Quantifying energy expenditure in childhood: utility in managing pediatric metabolic disorders.

Laura P E Watson, Katherine S Carr, Michelle C Venables, Carlo L Acerini, Greta Lyons, Carla Moran, Peter R Murgatroyd, Krishna Chatterjee

Open access · hybridAbstract read
In one paragraph

Article in The American journal of clinical nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Laura P E WatsonNational Institute for Health Research (NIHR) Cambridge Clinical Research Facility, Addenbrooke's Hospital, Cambridge, United Kingdom.
Katherine S CarrNational Institute for Health Research (NIHR) Cambridge Clinical Research Facility, Addenbrooke's Hospital, Cambridge, United Kingdom.
Michelle C VenablesNutrition Surveys and Studies, Medical Research Council (MRC) Elsie Widdowson Laboratory, Cambridge, United Kingdom.
Carlo L AceriniDepartment of Pediatrics, University of Cambridge, Addenbrooke's Hospital, Cambridge, United Kingdom.
Greta LyonsUniversity of Cambridge Metabolic Research Laboratories, Wellcome Trust-MRC Institute of Metabolic Science, Addenbrooke's Hospital, Cambridge, United Kingdom.
Carla MoranUniversity of Cambridge Metabolic Research Laboratories, Wellcome Trust-MRC Institute of Metabolic Science, Addenbrooke's Hospital, Cambridge, United Kingdom.
Peter R MurgatroydNational Institute for Health Research (NIHR) Cambridge Clinical Research Facility, Addenbrooke's Hospital, Cambridge, United Kingdom.
Krishna ChatterjeeUniversity of Cambridge Metabolic Research Laboratories, Wellcome Trust-MRC Institute of Metabolic Science, Addenbrooke's Hospital, Cambridge, United Kingdom.
University of Cambridge · GBNational Institute for Health Research · GBMRC Human Nutrition Research · GB

Funding

Medical Research Council MC_U105960384Medical Research Council MC_UP_A090_1005Wellcome Trust 095564/Z/11/ZWellcome Trust 210755/Z/18/Z
6 · The paper itself

Abstract

backgroundEnergy expenditure prediction equations are used to estimate energy intake based on general population measures. However, when using equations to compare with a disease cohort with known metabolic abnormalities, it is important to derive one's own equations based on measurement conditions matching the disease cohort.

objectiveWe aimed to use newly developed prediction equations based on a healthy pediatric population to describe and predict resting energy expenditure (REE) in a cohort of pediatric patients with thyroid disorders.

methodsBody composition was measured by DXA and REE was assessed by indirect calorimetry in 201 healthy participants. A prediction equation for REE was derived in 100 healthy participants using multiple linear regression and z scores were calculated. The equation was validated in 101 healthy participants. This method was applied to participants with resistance to thyroid hormone (RTH) disorders, due to mutations in either thyroid hormone receptor β or α (β: female n = 17, male n = 9; α: female n = 1, male n = 1), with deviation of REE in patients compared with the healthy population presented by the difference in z scores.

resultsThe prediction equation for REE = 0.061 * Lean soft tissue (kg) - 0.138 * Sex (0 male, 1 female) + 2.41 (R2 = 0.816). The mean ± SD of the residuals is -0.02 ± 0.44 kJ/min. Mean ± SD REE z scores for RTHβ patients are -0.02 ± 1.26. z Scores of -1.69 and -2.05 were recorded in male (n = 1) and female ( n = 1) RTHα patients.

conclusionsWe have described methodology whereby differences in REE between patients with a metabolic disorder and healthy participants can be expressed as a z score. This approach also enables change in REE after a clinical intervention (e.g., thyroxine treatment of RTHα) to be monitored.

Indexed as

Energy MetabolismAdolescentBasal MetabolismBody CompositionChildFemaleHumansMaleMetabolic DiseasesPrediabetic StateThyroid Hormone Resistance Syndromedual-energy X-ray absorptiometryhealthy boys and girlsindirect calorimetryresistance to thyroid hormoneresting energy expenditure prediction equations

Identifiers

PMID31410443
PMCPMC6821543
OpenAlexW2967529944

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.