Energy expenditure and intake in COPD: The extent of unnoticed unbalance by predicting REE

Panaiotis Finamore; Greta Lattanzi; Claudio Pedone; Stella Poci; Antonio Alma; Simone Scarlata; Davide Onofrio Fontana; Yeganeh Manon Khazrai; Raffaele Antonelli Incalzi

doi:10.1016/j.rmed.2022.106951

Energy expenditure and intake in COPD: The extent of unnoticed unbalance by predicting REE

Respir Med. 2022 Sep:201:106951. doi: 10.1016/j.rmed.2022.106951. Epub 2022 Aug 9.

Authors

Panaiotis Finamore¹, Greta Lattanzi², Claudio Pedone³, Stella Poci³, Antonio Alma³, Simone Scarlata³, Davide Onofrio Fontana³, Yeganeh Manon Khazrai², Raffaele Antonelli Incalzi³

Affiliations

¹ Unit of Geriatrics, Campus Bio-Medico University and Teaching Hospital, Rome, Italy. Electronic address: p.finamore@unicampus.it.
² Unit of Food Science and Human Nutrition, Campus Bio-Medico University and Teaching Hospital, Rome, Italy.
³ Unit of Geriatrics, Campus Bio-Medico University and Teaching Hospital, Rome, Italy.

PMID: 35963031
DOI: 10.1016/j.rmed.2022.106951

Abstract

Undernourishment is promoted by an unbalance between energy expenditure and intake. Resting energy expenditure (REE) in chronic obstructive pulmonary disease (COPD) is commonly predicted using the Harris-Benedict (HB) and the Angelillo-Moore (AM) formulas, however no study has investigated to which extent COPD patients with an energy unbalance go unnoticed when REE is predicted rather than measured with indirect calorimetry. This study demonstrates that 66% and 25% of negatively unbalanced patients go unnoticed when using HB and AM, respectively, urging to discourage the use of REE predicting formulas in clinical practice, at least in cases at risk of undernourishment.

Keywords: COPD; Energy expenditure measurements; Indirect calorimetry.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Calorimetry, Indirect
Energy Metabolism
Humans
Malnutrition*
Pulmonary Disease, Chronic Obstructive*
Rest