HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Supplemental data Purchase Article View Shopping Cart Alert me when this article is cited Alert me if a correction is posted Citation Map Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Google Scholar Articles by Weijs, P. J. PubMed PubMed Citation Articles by Weijs, P. J. Agricola Articles by Weijs, P. J.

Validity of predictive equations for resting energy expenditure in US and Dutch overweight and obese class I and II adults aged 18–65 y^1,2,3

¹ From the Department of Nutrition and Dietetics, Hogeschool van Amsterdam, University of Applied Science, and the Department of Nutrition and Dietetics, VU University Medical Center, Amsterdam, Netherlands

Background: Individual energy requirements of overweight and obese adults can often not be measured by indirect calorimetry.

Objective: The objective was to analyze which resting energy expenditure (REE) predictive equation was the best alternative to indirect calorimetry in US and Dutch adults aged 18–65 y with a body mass index (in kg/m²) of 25 to 40.

Design: Predictive equations based on weight, height, sex, age, fat-free mass, and fat mass were tested. REE in Dutch adults was measured with indirect calorimetry, and published data from the Institute of Medicine were used for US adults. The accuracy of the equations was evaluated on the basis of the percentage of subjects predicted within 10% of the REE measured, the root mean squared prediction error (RMSE), and the mean percentage difference (bias) between predicted and measured REE.

Results: Twenty-seven predictive equations (9 of which were based on FFM) were included. Validation was based on 180 women and 158 men from the United States and on 154 women and 54 men from the Netherlands aged <65 y with a body mass index (in kg/m²) of 25 to 40. Most accurate and precise for the US adults was the Mifflin equation (prediction accuracy: 79%; bias: –1.0%; RMSE: 136 kcal/d), for overweight Dutch adults was the FAO/WHO/UNU weight equation (prediction accuracy: 68%; bias: –2.5%; RMSE: 178), and for obese Dutch adults was the Lazzer equation (prediction accuracy: 69%; bias: –3.0%; RMSE: 215 kcal/d).

Conclusions: For US adults aged 18–65 y with a body mass index of 25 to 40, the REE can best be estimated with the Mifflin equation. For overweight and obese Dutch adults, there appears to be no accurate equation.