New measurements of energy expenditure and physical activity in chronic kidney disease.
The accurate estimation of total daily energy expenditure (TEE) in chronic kidney patients is essential to allow the provision of nutritional requirements; however, it remains a challenge to collect actual physical activity and resting energy expenditure in maintenance dialysis patients. The direct measurement of TEE by direct calorimetry or doubly labeled water cannot be used easily so that, in clinical practice, TEE is usually estimated from resting energy expenditure and physical activity. Prediction equations may also be used to estimate resting energy expenditure; however, their use has been poorly documented in dialysis patients. Recently, a new system called SenseWear Armband (BodyMedia, Pittsburgh, PA) was developed to assess TEE, but so far no data have been published in chronic kidney disease patients. The aim of this review is to describe new measurements of energy expenditure and physical activity in chronic kidney disease patients.
Mafra
Denise
D
Clinical Nutrition Department, Nutrition Faculty, Federal University Fluminense, Niterói, Brazil.
Deleaval
Patrick
P
Teta
Daniel
D
Cleaud
Christine
C
Perrot
Marie-Jo
MJ
Rognon
Severine
S
Thevenet
Muriel
M
Arkouche
Walid
W
Jolivot
Anne
A
Fouque
Denise
D
D004734:Energy Metabolism / Q000502:physiology*; D015444:Exercise / Q000502:physiology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000378:metabolism*; D015596:Nutrition Assessment; D009751:Nutritional Requirements; D011237:Predictive Value of Tests