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Energy expenditure in early infancy

Published online by Cambridge University Press:  09 March 2007

Peter. S. W. Davies
Affiliation:
MRC Dunn Nutrition Unit, Downhams Lane, Milton Road, Cambridge CB4 1XJ
G. Ewing
Affiliation:
MRC Dunn Nutrition Unit, Downhams Lane, Milton Road, Cambridge CB4 1XJ
A. Lucas
Affiliation:
MRC Dunn Nutrition Unit, Downhams Lane, Milton Road, Cambridge CB4 1XJ
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Abstract

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The measurement of energy expenditure has wide applications in clinical and scientific studies. Ethical and practical problems, however, have limited the acquisition of information on total energy expenditure in infancy. The doubly-labelled-water technique, recently validated for use in infants, has now been used to measure, non-invasively, total energy expenditure in a cohort of forty-one normal, full-term infants at or close to 1·5, 3 and 6 months of age. Mean total energy expenditure was 270, 280 and 330 kJ/kg per d at these ages. Centiles for total energy expenditure in early infancy are presented; it is suggested such data are most appropriately expressed as kJ/√ (kg body-weight per d). These findings will be of importance in the re-evaluation of energy requirements in infancy and in the study of lesions in energy metabolism in disease states at this age.

Type
Energy Metabolism
Copyright
Copyright © The Nutrition Society 1989

References

REFERENCES

Black, A.E., Prentice, A.M. & Coward, W.A. (1986). Use of food quotients to predict respiratory quotients for the doubly-labelled water method of measuring energy expenditure. Human Nutrition: Clinical Nutrition 40C, 381391.Google Scholar
Coward, W.A. (1988). The doubly-labelled water (2H218O) method: principles and practice. Proceedings of the Nutrition Society 47, 209218.CrossRefGoogle ScholarPubMed
Davies, P.S.W., Cole, T.J. & Lucas, A. (1989). Adjusting energy expenditure for body weight in early infancy. European Journal of Clinical Nutrition (In the press).Google ScholarPubMed
Department of Health and Social Security (1979). Recommended daily amounts of food energy and nutrients for groups of people in the United Kingdom. Report on Health and Social Subjects no. 15. London: H.M. Stationery Office.Google Scholar
Fomon, S.J. (1974). Infant Nutrition, 2nd ed. Philadelphia: W. B. Saunders.Google Scholar
Fomon, S.J., Haschke, F., Ziegler, E.E. & Nelson, S.E. (1982). Body composition of reference children from birth to age 10 years. American Journal of Clinical Nutrition 35, 11691175.CrossRefGoogle ScholarPubMed
Healy, M.J.R. (1974). Notes on the statistics of growth standards. Annals of Human Biology 1, 4146.CrossRefGoogle ScholarPubMed
Jones, P.J.H., Winthrop, A.L., Schoeller, D.A., Filler, R.M., Swyer, P.R., Smith, J. & Heim, T. (1988). Evaluation of doubly labelled water for measuring energy expenditure during changing nutrition. American Journal of Clinical Nutrition 47, 799804.CrossRefGoogle ScholarPubMed
Jones, P.J.H., Winthrop, A.L., Schoeller, D.A., Swyer, P.R., Smith, J., Filler, R.M. & Heim, T. (1987). Validation of doubly labelled water for assessing energy expenditure in infants. Pediatric Research 21, 242246.CrossRefGoogle ScholarPubMed
Lucas, A., Ewing, G., Roberts, S.B. & Coward, W.A. (1987). How much energy does the breast-fed infant consume and expend? British Medical Journal 295, 7577.Google Scholar
Prentice, A.M., Lucas, A., Vasquez-Velasquez, L., Davies, P.S.W. & Whitehead, R.G. (1988). Are current dietary guidelines for young children a prescription for overfeeding? Lancet ii, 10661069.CrossRefGoogle Scholar
Roberts, S.B., Coward, W.A., Ewing, G., Savage, J., Cole, T.J. & Lucas, A. (1988 a). Effect of weaning or accuracy of doubly labelled water method in infants. American Journal of Physiology 254, R622R627.Google ScholarPubMed
Roberts, S.B., Coward, W.A., Schlingenseipen, K.H., Nohna, V. & Lucas, A. (1986). Comparison of the doubly labelled water (2H218O) method with indirect calorimetry and a nutrient balance study for simultaneous determination of energy expenditure, water intake and metabolizable energy intake in preterm infants. American Journal of Clinical Nutrition 44, 315322.CrossRefGoogle Scholar
Roberts, S.B., Savage, J., Coward, W.A., Chew, B. & Lucas, A. (1988 b). Energy expenditure and intake in infants born to lean and overweight mothers. New England Journal of Medicine 318, 461466.CrossRefGoogle ScholarPubMed
Shepherd, R.W., Holt, T.L., Vasquez-Velasquez, L., Coward, W.A., Prentice, A. & Lucas, A. (1988). Increased energy expenditure in young children with cystic fibrosis. Lancet i, 13001303.CrossRefGoogle Scholar
Tanner, J.M. (1973). Physical growth and development. In Textbook of Paediatrics, pp. 224292. [Forfar, J.O. and Arneil, G.C., editors]. Edinburgh: Churchill Livingstone.Google Scholar
Weir, J. B.de V. (1949). New method for calculating metabolic rate with special reference to protein metabolism. Journal of Physiology 109, 19.CrossRefGoogle ScholarPubMed