Amyotrophic Lateral Sclerosis Clinical Trial
Official title:
Increased Resting Energy Expenditure Compared to Six Predictive Theoretical Equations in Amyotrophic Lateral Sclerosis: a Study Versus Controls
Introduction: About 50-60% of Amyotrophic Lateral Sclerosis (ALS) is characterized by
hypermetabolism, defined as 10% or more excess resting energy expenditure (REE) compared to
theoretical values. Harris and Benedict's (HB) formula is the equation mainly used to predict
REE, but others are also applied in current practice. The present study aimed to assess REE
in ALS patients compared to control populations and to compare six formulas commonly used to
predict REE.
Nutritional assessments were performed in ALS patients and in two control populations without
hypermetabolism: healthy elderly people (control 1) and patients with non-restrictive-eating
disorders (control 2). Weight, height and body composition (by bioimpedance analysis) were
assessed.
EE was measured (mREE) by indirect calorimetry and calculated (cREE) using HB 1919 and 1984,
World Schofield, De Lorenzo, Johnstone and Mifflin formulas. Mann-Whitney and Chi2 tests were
used to compare the equations.
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