Assessment of energy expenditure in metabolic disorders

O. A.F. Bodamer, G. F. Hoffmann

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


The assessment of energy expenditure is valuable for the management of children with various conditions such as obesity and failure to thrive. Total daily energy expenditure (TDEE) includes resting energy expenditure (REE), energy expenditure during physical activity, dietary thermogenesis and growth. TDEE can be assessed by using the double-labelled water technique, but it has complex pitfalls and potential sources of errors and is impractical for everyday use. As REE is a substantial part of TDEE (65%-70%) and computerized indirect calorimeters have become recently available, this non-invasive, relatively cheap and easy to use technique is valuable for the assessment of short-term changes in energy metabolism. This can be used to assess REE of children with inborn errors of metabolism, whilst well and during episodes of metabolic decompensation and therefore to accurately determine energy intake.

Original languageEnglish (US)
Pages (from-to)S24-S28
JournalEuropean Journal of Pediatrics, Supplement
Issue number1
StatePublished - 1997


  • Double-labelled water
  • Metabolic decompensation
  • Methylmalonic acidaemia
  • Preterm infant
  • Resting energy expenditure

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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