The application of nutrition management and grasping the actual basal energy expenditure in patients with anorexia nervosa

DOI
  • Kawano Kumiko
    Department of Clinical Nutrition, Kohnodai Hospital, National Center for Global Health and Medicine
  • Seiwa Yoshino
    Department of Clinical Nutrition, Kohnodai Hospital, National Center for Global Health and Medicine
  • Nagasu Yuuko
    Department of Clinical Nutrition, Kohnodai Hospital, National Center for Global Health and Medicine
  • Kondou Jyunko
    Department of Clinical Nutrition, Kohnodai Hospital, National Center for Global Health and Medicine
  • Suzuki Tomoko
    Department of Clinical Nutrition, Kohnodai Hospital, National Center for Global Health and Medicine
  • Urakawa Yukiko
    Department of Nursing, Nutrition, Kohnodai Hospital, National Center for Global Health and Medicine
  • Toume Yoshiya
    Department of Clinical Laboratory, Nutrition, Kohnodai Hospital, National Center for Global Health and Medicine
  • Honma Hirokuni
    Department of Psychosomatic Medicine, Kohnodai Hospital, National Center for Global Health and Medicine
  • Yanai Hidekatsu
    Department of Internal Medicine, Kohnodai Hospital, National Center for Global Health and Medicine Clinical Research Center, Kohnodai Hospital, National Center for Global Health and Medicine
  • Ishikawa Toshio
    Department of Clinical Nutrition, Kohnodai Hospital, National Center for Global Health and Medicine Department of Psychosomatic Medicine, Kohnodai Hospital, National Center for Global Health and Medicine

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Other Title
  • 神経性無食欲症患者の基礎代謝量の実態把握と栄養管理への活用

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Abstract

This study was conducted to compare the calculated basal energy expenditure (BEE) values derived by two different equations, the Harris-Benedict equation (HBE), and the Dietary Reference Intake equation (DRI), in anorexia nervosa (AN) subjects with the actual BEE values measured using a CHESTAC-8800 (Chest M.I., Inc., Tokyo, Japan). There were 23 AN subjects in this study (13 restricting type (ANr), 10 binge-eating/purging type (ANbp), including 3 males and 20 females, aged from 18 to 57 years old). In the ANr subjects, the BEE values showed a wide range, from 300 kcal/day to 1,000 kcal/day, while the ANbp subjects showed a range of BEE values from 600 kcal/day to 1,000 kcal/day. In the ANr subjects, the BEE values calculated by the HBE equation showed statistically significant high values (P < 0.025), compared with the actual BEE values measured by the CHESTAC equipment. However, no statistically significant differences were demonstrated between the BEE values measured by the CHESTAC equipment and the BEE values calculated by the DRI equation. Likewise, in the ANbp subjects, the BEE values calculated by the HBE equation showed statistically significant high values (P < 0.025), compared with the actual BEE values measured by the CHESTAC equipment, but no statistically significant differences were demonstrated between the BEE values measured by the CHESTAC equipment and the BEE values calculated by the DRI equation. These results suggested that the DRI equation may be employed to derive valid BEE values in AN cases where actual values cannot be obtained using the CHESTAC equipment.

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