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首页> 外文期刊>Kidney Research and Clinical Practice >Which Predictive Equation Of Resting Energy Expenditure Has The Best Agreement With Indirect Calorimetry In Elderly Patients On Hemodialysis?
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Which Predictive Equation Of Resting Energy Expenditure Has The Best Agreement With Indirect Calorimetry In Elderly Patients On Hemodialysis?

机译：哪个血液透析患者的静息能量消耗预测公式与间接量热法最吻合？

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As the incidence of elderly patients initiating dialysis has been increasing, there is a need to develop specialized care to them. According to the European Best Practice Guideline, the energy needs of hemodialysis (HD) patients should be estimated by multiplying the resting energy expenditure (REE), obtained by predictive equations, for the physical activity factor. The predictive equation that yields better agreement to the indirect calorimetry in elderly patients on HD has not been rated yet. We aimed to evaluate the agreement between indirect calorimetry (IC) and the predictive equations of Harris&Benedict (HB), Schofield and WHO/FAO 1985. Fifty-seven elderly patients (38 males (67%); 69+/-6 years) on HD were included. The REE (kcal/day) estimated by the equations were higher than that measured by IC: IC (1246 +/-288); HB (1443 +/-279); Schofield (1357 +/-232); WHO 1985 (1384 +/-226) (P<0.05). The HB equation had the lowest intraclass correlation coefficient (ICC), the highest mean difference from the REE measured by IC and a high frequency of overestimation (Table)
机译：随着开始透析的老年患者的发病率不断增加，有必要为他们提供专门的护理。根据《欧洲最佳实践指南》，应将血液透析（HD）患者的能量需求与身体活动因子乘以预测方程式得出的静息能量消耗（REE）相乘，以进行估算。尚无对老年患者HD的间接量热法能更好地达成共识的预测方程式。我们旨在评估间接量热法（IC）与Harris＆Benedict（HB），Schofield和WHO / FAO 1985的预测方程式之间的一致性。57例老年患者（38例男性（67％）; 69 +/- 6岁）于高清包括在内。由等式估算的REE（千卡/天）高于IC测量的REE：IC（1246 +/- 288）; HB（1443 +/- 279）;斯科菲尔德（1357 +/- 232）;世卫组织1985（1384 +/- 226）（P <0.05）。 HB方程具有最低的类内相关系数（ICC），与IC测得的REE的平均差最高，且被高估的频率很高（表）

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