title: Nutritional status, metabolic state and nutrient intake in children with bronchiolitis.
abstract: Nutrition has a coadjuvant role in the management of children with acute diseases. We aimed to examine nutritional status, macronutrient requirements and actual macronutrient delivery in bronchiolitis. The nutritional status was classified according to WHO criteria and resting energy expenditure (MREE) was measured using an indirect calorimeter. Bland-Altman analysis was used to examine the agreement between MREE and estimated energy expenditure (EEE) with standard equations. Based on the ratio MREE/EEE in relation to Schofield equation on admission, we defined the subjects' metabolic status. A total of 35 patients were enrolled and 46% were malnourished on admission, and 25.8% were hypermetabolic, 37.1% hypometabolic and 37.1% normometabolic. We performed a 24-h recall in 10 children and 80% were overfed (AEI: MREE >120%). Mean bias (limits of agreement) with MREE was 8.9 (-73.9 to 91.8%) for Schofield; 61.0 (-41 to 163%) for Harris-Benedict; and 9.9 (-74.4 to 94.2%) for FAO-WHO equation. Metabolism of infants with bronchiolitis is not accurately estimated by equations.
authors: a Pediatric Intensive Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Laboratorio di Statistica Medica, Biometria ed Epidemiologia 'G.A. Maccacaro' Department of Clinical Sciences and Community Health , University of Milan , Milan , Italy.
authors: V
authors: V
authors: De Cosmi
authors: b Division of Critical Care Medicine, Department of Anesthesiology, Perioperative, and Pain Medicine , Boston Children's Hospital, Boston, Massachusetts; Center for Nutrition, Boston Children's Hospital, Boston, Massachusetts; Harvard Medical School , Boston , MA , USA.
authors: N M
authors: NM
authors: Mehta
authors: c Pediatric Intermediate Care Unit, Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico , University of Milan , Milan , Italy.
authors: A
authors: A
authors: Boccazzi
authors: d Pediatric Emergency Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico , Milan , Italy.
authors: G P
authors: GP
authors: Milani
authors: e Pediatric Highly Intensive Care Unit, Department of Pathophysiology and Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico , University of Milan , Milan , Italy.
authors: S
authors: S
authors: Esposito
authors: c Pediatric Intermediate Care Unit, Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico , University of Milan , Milan , Italy.
authors: G
authors: G
authors: Bedogni
authors: c Pediatric Intermediate Care Unit, Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico , University of Milan , Milan , Italy.
authors: C
authors: C
authors: Agostoni
mesh_terms: D000208:Acute Disease; D001481:Basal Metabolism; D015992:Body Mass Index; D001988:Bronchiolitis / Q000150:complications*; D002153:Calorimetry, Indirect; D002675:Child, Preschool; D004032:Diet; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D004041:Dietary Fats / Q000008:administration & dosage; D004044:Dietary Proteins / Q000008:administration & dosage; D005260:Female; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000453:epidemiology*; D011939:Mental Recall; D009751:Nutritional Requirements; D009752:Nutritional Status; D015995:Prevalence; D011446:Prospective Studies
chemical_list: D004040:Dietary Carbohydrates; D004041:Dietary Fats; D004044:Dietary Proteins
keywords: Indirect calorimetry; energy expenditure; malnutrition; metabolism; nutrition