Energy expenditure and intake in children with sickle cell disease during acute illness

Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition
E B FungVirginia A Stallings

Abstract

Children with sickle cell disease have frequent bouts of pain and infection which may increase energy expenditure, decrease energy intake and lead to a subsequent energy deficit. Two groups of African-American children with sickle cell disease-SS genotype were enrolled in this study upon hospital admission for a sickle cell disease related illness: a younger (<6 years, n=14, 7 M) and older group (> or =6 years, n=17, 8 M). Body composition and dietary intake were assessed, and sleeping (younger) or resting energy expenditure (older) were measured by indirect calorimetry at admission and one month later at steady state. Energy expenditure was not different between the two timepoints for younger children, but was slightly elevated at steady state (+50 kcal/d, P=0.049) in the older group. After controlling for gender, changes in fat-free mass and dietary intake, the significance disappeared. Energy intake in both groups was significantly depressed at admission compared to follow-up (P<0.01). These children and adolescents did not expend excess energy during their acute illness, however, an energy deficit was observed secondary to poor energy intake. Since 20% of patients with sickle cell disease have multiple hospitalizations per ...Continue Reading

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Citations

Dec 23, 2009·Journal of Pediatric Psychology·Eve S PufferCarla W Roberts
Aug 30, 2008·Annals of Tropical Paediatrics·A-W M Al-SaqladiB J Brabin
Dec 2, 2010·Annals of Tropical Paediatrics·A-W M Al-SaqladiB J Brabin
Feb 24, 2009·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Vanessa D MartinsMara S Benfato
Jul 15, 2015·Pediatric Hematology and Oncology·Christopher Bismarck EkeBede Chidozie Ibe
Apr 30, 2010·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Elise MokRégis Hankard
Nov 26, 2013·Paediatric Respiratory Reviews·Tina Catanzaro, Anastassios C Koumbourlis
Sep 3, 2017·Neurology·Jean Jacques NoubiapJoseph Kamtchum-Tatuene

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