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Estimating nutritional needs in paediatric heart failure: beyond the equations

Published online by Cambridge University Press:  09 February 2022

Kylie Lewis Open the ORCID record for Kylie Lewis [Opens in a new window] ,
Michael Khoury ,
Chentel Cunningham ,
Stephanie Lavoie  and
Jennifer Conway
Kylie Lewis*
Affiliation:
Pediatric Cardiology, Stollery Children’s Hospital, University of Alberta, Edmonton, AB, Canada
Michael Khoury
Affiliation:
Pediatric Cardiology, Stollery Children’s Hospital, University of Alberta, Edmonton, AB, Canada
Chentel Cunningham
Affiliation:
Pediatric Cardiology, Stollery Children’s Hospital, University of Alberta, Edmonton, AB, Canada Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
Stephanie Lavoie
Affiliation:
Pediatric Cardiology, Stollery Children’s Hospital, University of Alberta, Edmonton, AB, Canada
Jennifer Conway
Affiliation:
Pediatric Cardiology, Stollery Children’s Hospital, University of Alberta, Edmonton, AB, Canada
*
Author for correspondence: K. Lewis, Stollery Children’s Hospital, 8440 112 Street, Edmonton, AB, T6G 2B7, Canada. Tel: (780) 407-8143; Fax: (780) 407-3310. E-mail: Kylie.lewis@albertahealthservices.ca
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Abstract

Background:

Nutrition optimisation is imperative in paediatric patients with heart failure. Energy needs can be assessed using indirect calorimetry.

Methods:

Presented are two cases of children with clinical heart failure who benefited from indirect calorimetry.

Results:

Using indirect calorimetry, it was determined both cases were hypermetabolic.

Conclusion:

These cases demonstrate the impact of heart failure on metabolic rate and growth. Energy requirements were up to two times higher than estimations from predictive equations.

Keywords

Heart failurepaediatricenergy expenditureindirect calorimetry
Type
Original Article
Information
Cardiology in the Young , Volume 33 , Issue 1 , January 2023 , pp. 35 - 37
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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