Measured Energy Expenditure of Tube-Fed Patients with Severe Neurodevelopmental Disabilities
Roland N. Dickerson, PharmD, BCNSP, CNS, FACN,
Rex O. Brown, PharmD, BCNSP, FACN,
Jane G. Gervasio, PharmD, BCNSP,
Emily B. Hak, PharmD, BCNSP,
Lawrence J. Hak, PharmD, BCNSP and
John E. Williams, MD
Department of Clinical Pharmacy and Department of Pediatrics, University of Tennessee (J.E.W.), Memphis
Arlington Developmental Center, Arlington, Tennessee
Fig. 1. Distribution of measured resting energy expenditure measurements of nonambulatory tube-fed patients with severe neurodevelopmental disabilities.
Fig. 2. Comparison between predicted energy expenditure as assessed by the Harris Benedict equations and measured resting energy expenditure. The dashed-dotted line represents the line of unity whereby predicted energy expenditure equals measured energy expenditure. Closed circles depict adult patients whereas adolescents are represented by the open circles.
Fig. 3. Comparison between predicted energy expenditure as assessed by the World Health Organization equations and measured resting energy expenditure. The dashed-dotted line represents the line of unity whereby predicted energy expenditure equals measured energy expenditure. Closed circles depict adult patients whereas adolescents are represented by the open circles.
Fig. 4. Relationship between measured energy expenditure and fat-free mass. Closed circles depict adult patients whereas adolescents are represented by the open circles. The equation for the regression line that is representative for the entire population is y=15.8*x+460 (r=0.70, p<0.001).