Nutr Res Pract.  2017 Aug;11(4):300-306. 10.4162/nrp.2017.11.4.300.

Validation of dietary reference intake equations for estimating energy requirements in Korean adults by using the doubly labeled water method

Affiliations
  • 1Department of Food and Nutrition, Gangneung-Wonju National University, 120 Gangneungdaehangno, Gangneung, Gangwon 25457, Korea. ekkim@gwnu.ac.kr
  • 2Department of Food and Nutrition, Keimyung University, Daegu 42601, Korea.
  • 3Department of Home Economics Education, Pai Chai University, Daejeon 35345, Korea.
  • 4Department of Physical Education, Korea University, Seoul 02841, Korea.
  • 5Department of Nutritional Education, National Institute of Health and Nutrition, Tokyo 162-8636, Japan.

Abstract

BACKGROUND/OBJECTIVES
The doubly labeled water (DLW) method is considered the gold standard for the measurement of total energy expenditure (TEE), which serves to estimate energy requirements. This study evaluated the accuracy of predictive dietary reference intake (DRI) equations for determining the estimated energy requirements (EER) of Korean adults by using the DLW as a reference method.
SUBJECTS/METHODS
Seventy-one participants (35 men and 36 women) aged between 20 and 49 years were included in the study. The subjects' EER, calculated by using the DRI equation (EER(DRI)), was compared with their TEE measured by the DLW method (TEE(DLW)).
RESULTS
The DRI equations for EER underestimated TEE by -36.3 kcal/day (-1.3%) in men and -104.5 kcal/day (-4.9%) in women. The percentages of accurate predictions among subjects were 77.1% in men and 62.9% in women. There was a strong linear correlation between EER(DRI) and TEE(DLW) (r=0.783, P<0.001 in men and r=0.810, P<0.001 in women).
CONCLUSIONS
The present study supports the use of DRI prediction equations to determine EER in Korean adults. More studies are needed to confirm our results and to assess the validity of these equations in other population groups, including children, adolescents, and older adults.

Keyword

Nutritional requirements; energy metabolism; adult

MeSH Terms

Adolescent
Adult*
Child
Energy Metabolism
Female
Humans
Male
Methods*
Nutritional Requirements
Population Groups
Recommended Dietary Allowances*
Water*
Water

Figure

  • Fig. 1 Protocol of the study. 1)DLW: Doubly labeled water 2) REE: Resting energy expenditure

  • Fig. 2 Correlation between EERDRI and TEEDLW in men (A) and women (B). TEEDLW: total energy expenditure measured with the DLW method. EERDRI: estimated energy requirements calculated by using the DRI predictive equation

  • Fig. 3 Bland-Altman plots for the EERDRI and TEEDLW in men (A) and women (B). TEEDLW: total energy expenditure measured with the DLW method. EERDRI: estimated energy requirements calculated by using the DRI predictive equation


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