Pediatric endocrinology

Measured Resting Energy Expenditure by Indirect Calorimetry and Energy Intake in Long-Term Growth Hormone-Treated Children with PWS

Horm Res PaediatrPublished Cross-sectional study

Authors' conclusion

In children with PWS, mREE increases with age. GH-treatment duration is not associated, whereas LBM is an important determinant of mREE. Children with PWS have a low to very low energy intake compared to DER for age- and sex-matched children, with a declining intake when becoming older.

Study context

Population
Growth hormone (GH)-treated children with PWS (1.0 mg GH/m²/day); mean (SD) age 8.53 (4.35) years; median (IQR) GH-treatment duration 7 (4–11) years
Participants
52 children
Outcome
mREE (indirect calorimetry), energy intake and body composition

Main finding

As reported in the abstract

Mean energy intake lower vs daily energy requirements (DER) for age- and sex-matched healthy children
p < 0.001
Less intake vs DER, children aged 3.5-12 years
23 to 36%
Less intake vs DER, children aged 12-18 years
49%
Normal resting energy expenditure (REE) (vs predicted REE)
Fifty percent
Decreased REE
17.3%
Elevated REE
32.7%

Observational data: associations, not effects.

Original publication

Measured Resting Energy Expenditure by Indirect Calorimetry and Energy Intake in Long-Term Growth Hormone-Treated Children with PWS. Horm Res Paediatr. Published 16 February 2024. doi:10.1159/000536466

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