Validity of One-Day Physical Activity Recall for Estimating Total Energy Expenditure in Elderly Residents at Long-Term Care Facilities

CLinical EValuation of Energy Requirements Study (CLEVER Study)

Yuki Nishida, Satoshi Nakae, Yosuke Yamada, Emi Kondo, Miwa Yamaguchi, Hiroyuki Shirato, Hirohiko Hirano, Satoshi Sasaki, Shigeho Tanaka, Fuminori Katsukawa

Research output: Contribution to journalArticle

Abstract

Malnutrition is a severe problem among elderly residents living in long-term care facilities. A simple and accurate estimation for total daily energy expenditure (TEE) is required in order to provide them with an adequate amount of food. The purpose of this study was to validate a physical activity assessment tool for estimating TEE among elderly residents. The data of 58 subjects aged 69-99 y were analyzed in this study. The one-day physical activity recall was filled out by facility staff for a typical day. TEE was measured by the doubly labeled water (DLW) method (TEEDLW), and predicted by one-day physical activity recall using the basal metabolic rate (pTEEBMR) and body weight (pTEEBW). The TEEDLW, pTEEBMR and pTEEBW were 1,129±196 kcal/d, 1,186±251 kcal/d and 1,326±236 kcal/d, respectively. In a regression model, body weight, movement means and sex explained 39.0% of the variance in the difference between pTEEBMR and TEEDLW (p<0.05). Percentage of fat mass, body weight, and Barthel Index except mobility explained 47.3% of the variance in the difference between pTEEBW and TEEDLW (p<0.05). The current results suggested that pTEEBW is not recommended to estimate TEE because the error depends on body size, and pTEEBMR was significantly correlated with TEEDLW but also included systematic errors in elderly residents. In order to improve the accuracy of the present assessment to estimate TEE, it is necessary to establish a new equation of basal metabolic rate for elderly residents and consider sex and movement means to estimate TEE.

Original languageEnglish
Pages (from-to)148-156
Number of pages9
JournalJournal of nutritional science and vitaminology
Volume65
Issue number2
DOIs
Publication statusPublished - 2019 Jan 1

Fingerprint

Long-Term Care
Energy Metabolism
Body Weight
Exercise
Basal Metabolism
Body Size
Malnutrition
Fats
Food
Water

Keywords

  • doubly labeled water
  • elderly residents
  • long-term care facilities
  • one-day physical activity recall
  • total energy expenditure

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Validity of One-Day Physical Activity Recall for Estimating Total Energy Expenditure in Elderly Residents at Long-Term Care Facilities : CLinical EValuation of Energy Requirements Study (CLEVER Study). / Nishida, Yuki; Nakae, Satoshi; Yamada, Yosuke; Kondo, Emi; Yamaguchi, Miwa; Shirato, Hiroyuki; Hirano, Hirohiko; Sasaki, Satoshi; Tanaka, Shigeho; Katsukawa, Fuminori.

In: Journal of nutritional science and vitaminology, Vol. 65, No. 2, 01.01.2019, p. 148-156.

Research output: Contribution to journalArticle

Nishida, Yuki ; Nakae, Satoshi ; Yamada, Yosuke ; Kondo, Emi ; Yamaguchi, Miwa ; Shirato, Hiroyuki ; Hirano, Hirohiko ; Sasaki, Satoshi ; Tanaka, Shigeho ; Katsukawa, Fuminori. / Validity of One-Day Physical Activity Recall for Estimating Total Energy Expenditure in Elderly Residents at Long-Term Care Facilities : CLinical EValuation of Energy Requirements Study (CLEVER Study). In: Journal of nutritional science and vitaminology. 2019 ; Vol. 65, No. 2. pp. 148-156.
@article{95921b1b26094afa93d720e49c1ba42c,
title = "Validity of One-Day Physical Activity Recall for Estimating Total Energy Expenditure in Elderly Residents at Long-Term Care Facilities: CLinical EValuation of Energy Requirements Study (CLEVER Study)",
abstract = "Malnutrition is a severe problem among elderly residents living in long-term care facilities. A simple and accurate estimation for total daily energy expenditure (TEE) is required in order to provide them with an adequate amount of food. The purpose of this study was to validate a physical activity assessment tool for estimating TEE among elderly residents. The data of 58 subjects aged 69-99 y were analyzed in this study. The one-day physical activity recall was filled out by facility staff for a typical day. TEE was measured by the doubly labeled water (DLW) method (TEEDLW), and predicted by one-day physical activity recall using the basal metabolic rate (pTEEBMR) and body weight (pTEEBW). The TEEDLW, pTEEBMR and pTEEBW were 1,129±196 kcal/d, 1,186±251 kcal/d and 1,326±236 kcal/d, respectively. In a regression model, body weight, movement means and sex explained 39.0{\%} of the variance in the difference between pTEEBMR and TEEDLW (p<0.05). Percentage of fat mass, body weight, and Barthel Index except mobility explained 47.3{\%} of the variance in the difference between pTEEBW and TEEDLW (p<0.05). The current results suggested that pTEEBW is not recommended to estimate TEE because the error depends on body size, and pTEEBMR was significantly correlated with TEEDLW but also included systematic errors in elderly residents. In order to improve the accuracy of the present assessment to estimate TEE, it is necessary to establish a new equation of basal metabolic rate for elderly residents and consider sex and movement means to estimate TEE.",
keywords = "doubly labeled water, elderly residents, long-term care facilities, one-day physical activity recall, total energy expenditure",
author = "Yuki Nishida and Satoshi Nakae and Yosuke Yamada and Emi Kondo and Miwa Yamaguchi and Hiroyuki Shirato and Hirohiko Hirano and Satoshi Sasaki and Shigeho Tanaka and Fuminori Katsukawa",
year = "2019",
month = "1",
day = "1",
doi = "10.3177/jnsv.65.148",
language = "English",
volume = "65",
pages = "148--156",
journal = "Journal of Nutritional Science and Vitaminology",
issn = "0301-4800",
publisher = "Center for Academic Publications Japan",
number = "2",

}

TY - JOUR

T1 - Validity of One-Day Physical Activity Recall for Estimating Total Energy Expenditure in Elderly Residents at Long-Term Care Facilities

T2 - CLinical EValuation of Energy Requirements Study (CLEVER Study)

AU - Nishida, Yuki

AU - Nakae, Satoshi

AU - Yamada, Yosuke

AU - Kondo, Emi

AU - Yamaguchi, Miwa

AU - Shirato, Hiroyuki

AU - Hirano, Hirohiko

AU - Sasaki, Satoshi

AU - Tanaka, Shigeho

AU - Katsukawa, Fuminori

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Malnutrition is a severe problem among elderly residents living in long-term care facilities. A simple and accurate estimation for total daily energy expenditure (TEE) is required in order to provide them with an adequate amount of food. The purpose of this study was to validate a physical activity assessment tool for estimating TEE among elderly residents. The data of 58 subjects aged 69-99 y were analyzed in this study. The one-day physical activity recall was filled out by facility staff for a typical day. TEE was measured by the doubly labeled water (DLW) method (TEEDLW), and predicted by one-day physical activity recall using the basal metabolic rate (pTEEBMR) and body weight (pTEEBW). The TEEDLW, pTEEBMR and pTEEBW were 1,129±196 kcal/d, 1,186±251 kcal/d and 1,326±236 kcal/d, respectively. In a regression model, body weight, movement means and sex explained 39.0% of the variance in the difference between pTEEBMR and TEEDLW (p<0.05). Percentage of fat mass, body weight, and Barthel Index except mobility explained 47.3% of the variance in the difference between pTEEBW and TEEDLW (p<0.05). The current results suggested that pTEEBW is not recommended to estimate TEE because the error depends on body size, and pTEEBMR was significantly correlated with TEEDLW but also included systematic errors in elderly residents. In order to improve the accuracy of the present assessment to estimate TEE, it is necessary to establish a new equation of basal metabolic rate for elderly residents and consider sex and movement means to estimate TEE.

AB - Malnutrition is a severe problem among elderly residents living in long-term care facilities. A simple and accurate estimation for total daily energy expenditure (TEE) is required in order to provide them with an adequate amount of food. The purpose of this study was to validate a physical activity assessment tool for estimating TEE among elderly residents. The data of 58 subjects aged 69-99 y were analyzed in this study. The one-day physical activity recall was filled out by facility staff for a typical day. TEE was measured by the doubly labeled water (DLW) method (TEEDLW), and predicted by one-day physical activity recall using the basal metabolic rate (pTEEBMR) and body weight (pTEEBW). The TEEDLW, pTEEBMR and pTEEBW were 1,129±196 kcal/d, 1,186±251 kcal/d and 1,326±236 kcal/d, respectively. In a regression model, body weight, movement means and sex explained 39.0% of the variance in the difference between pTEEBMR and TEEDLW (p<0.05). Percentage of fat mass, body weight, and Barthel Index except mobility explained 47.3% of the variance in the difference between pTEEBW and TEEDLW (p<0.05). The current results suggested that pTEEBW is not recommended to estimate TEE because the error depends on body size, and pTEEBMR was significantly correlated with TEEDLW but also included systematic errors in elderly residents. In order to improve the accuracy of the present assessment to estimate TEE, it is necessary to establish a new equation of basal metabolic rate for elderly residents and consider sex and movement means to estimate TEE.

KW - doubly labeled water

KW - elderly residents

KW - long-term care facilities

KW - one-day physical activity recall

KW - total energy expenditure

UR - http://www.scopus.com/inward/record.url?scp=85065662650&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065662650&partnerID=8YFLogxK

U2 - 10.3177/jnsv.65.148

DO - 10.3177/jnsv.65.148

M3 - Article

VL - 65

SP - 148

EP - 156

JO - Journal of Nutritional Science and Vitaminology

JF - Journal of Nutritional Science and Vitaminology

SN - 0301-4800

IS - 2

ER -