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A New Hand‐Held Indirect Calorimeter to Measure Postprandial Energy Expenditure
Authors:Marie‐Pierre St‐Onge  Frederick Rubiano  Alfredo Jones  Steven B Heymsfield
Abstract:Objective: To verify the accuracy of a new hand‐held metabolic rate measuring device (MedGem) in quantifying postprandial energy expenditure (PP EE). MedGem measurements were compared to measurements obtained with a conventional indirect calorimeter (Delta‐Trac). Research Methods and Procedures: The resting metabolic rate of 15 healthy subjects was measured for 20 minutes using Delta‐Trac followed by a 10‐minute measurement period using MedGem. EE was again measured for 7 hours after consumption of a 2510‐kJ breakfast. Measurements were read from the Delta‐Trac for the initial 50 minutes of each hour followed by a single reading from the MedGem after 5 to 10 minutes of measurement. Measured EE was calculated as the average of the total measurement period for Delta‐Trac and for eight readings using MedGem; PP EE was calculated as the average of all measurements obtained after breakfast consumption. Results: There was no difference in resting metabolic rate between the two methods (6455.1 ± 417.6 vs. 6468.5 ± 337.2 kJ/d for Delta‐Trac and MedGem, respectively). Measured EE and PP EE values with Delta‐Trac (7019.1 ± 400.8 and 7099.8 ± 399.2 kJ/d, respectively) and MedGem (6775.6 ± 372.0 and 6819.5 ± 379.9 kJ/d, respectively) were not significantly different. There was no bias detected in any of the measurements made with MedGem compared with those of Delta‐Trac. Discussion: The new hand‐held EE measuring device can accurately track PP EE relative to a conventional indirect calorimetry system and, therefore, provides a new opportunity to assess PP EE in research settings and large‐scale trials.
Keywords:energy expenditure  resting metabolic rate  postprandial  validation  metabolic cart
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