title: Components of total energy expenditure in free-living elderly men (over 75 years of age): measurement, predictability and relationship to quality-of-life indices.
abstract: Current recommendations for energy requirements in the elderly are based on assumed levels of physical activity relative to BMR (1.5 x BMR). The main aim of the present study was to establish whether these recommendations might be applicable to a randomly-selected group of free-living elderly men (all over 75 years of age). BMR was measured by indirect calorimetry and total energy expenditure (TEE) by the doubly-labelled-water technique. Further aims included evaluating the applicability of a variety of BMR prediction equations and whether assessed quality of life reflected any measured indices of energy expenditure. The mean value for daily energy requirement was found to be 1.5 x BMR (89 J/kg per min) but with substantial inter-individual variation (sd 0.2 x BMR; 14 J/kg per min). The bias between measured TEE and TEE estimated (1.5 x BMR) from the various BMR predictions varied according to which equation was used (-10- + 8% of the mean) with substantial 95% limits of agreement (28-30% of the mean). TEE and physical activity plus thermogenesis (TEE-BMR) were positively related to activities of daily living, but no relationships were apparent between these and perceived quality of life. It is concluded that, despite considerable inter-individual variability, national recommendations for energy requirements of elderly people are applicable to this randomly-selected group of free-living men over 75 years of age but that substantial variation exists when attempts are made to estimate TEE from measurements or predictions of BMR.
authors.affiliation: MRC Dunn Clinical Nutrition Centre, Cambridge.
authors.forename: N J
authors.initials: NJ
authors.lastname: Fuller
authors.forename: M B
authors.initials: MB
authors.lastname: Sawyer
authors.forename: W A
authors.initials: WA
authors.lastname: Coward
authors.forename: P
authors.initials: P
authors.lastname: Paxton
authors.forename: M
authors.initials: M
authors.lastname: Elia
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001481:Basal Metabolism / Q000502:physiology*; D001833:Body Temperature Regulation; D001835:Body Weight; D002153:Calorimetry, Indirect; D004734:Energy Metabolism / Q000502:physiology*; D006801:Humans; D007553:Isotope Labeling; D008297:Male; D011788:Quality of Life