Literature DB >> 27138231

Cross-Validation of Resting Metabolic Rate Prediction Equations.

Kyle D Flack, William A Siders, LuAnn Johnson, James N Roemmich.   

Abstract

BACKGROUND: Resting metabolic rate (RMR) measurement is time consuming and requires specialized equipment. Prediction equations provide an easy method to estimate RMR; however, their accuracy likely varies across individuals. Understanding the factors that influence the accuracy of RMR predictions will help to revise existing, or develop new and improved, equations.
OBJECTIVE: Our aim was to test the validity of RMR predicted in healthy adults by the Harris-Benedict, World Health Organization, Mifflin-St Jeor, Nelson, Wang equations, and three meta-equations of Sabounchi.
DESIGN: Predicted RMR was tested for agreement with indirect calorimetry. PARTICIPANTS/
SETTING: Men and women (n=30) age 18 to 65 years from Grand Forks, ND, were recruited and included for analysis during spring/summer 2014. Participants were nonobese or obese (body mass index range=19 to 39) and primarly white. MAIN OUTCOME MEASURE: Agreement between measured (indirect calorimetry) and predicted RMR was measured. STATISTICAL ANALYSIS: The methods of Bland and Altman were employed to determine mean bias (predicted minus measured RMR, kcal/day) and limits of agreement between predicted and measured RMR. Repeated-measures analysis of variance was used to test for bias in RMR predicted from each equation vs the measured RMR.
RESULTS: Bias (mean±2 standard deviations) was lowest for the Harris-Benedict (-14±378 kcal/24 h) and World Health Organization (-25±394 kcal/24 h) equations. These equations also predicted RMR that were not different from measured. Mean RMR predictions from all other equations significantly differed from indirect calorimetry. The 2 standard deviation limits of agreement were moderate or large for all equations tested, ranging from 314 to 445 kcal/24 h. Prediction bias was inversely associated with the magnitude of RMR and with fat-free mass.
CONCLUSIONS: At the group level, the traditional Harris-Benedict and World Health Organization equations were the most accurate. However, these equations did not perform well at the individual level. As fat-free mass increased, the prediction equations further underestimated RMR. Published by Elsevier Inc.

Entities:  

Keywords:  Cross-validation; Lean body mass; Prediction accuracy; Prediction equations; Resting metabolic rate (RMR)

Mesh:

Year:  2016        PMID: 27138231     DOI: 10.1016/j.jand.2016.03.018

Source DB:  PubMed          Journal:  J Acad Nutr Diet        ISSN: 2212-2672            Impact factor:   4.910


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