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)

摘要

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 (TEEsubDLW/sub), and predicted by one-day physical activity recall using the basal metabolic rate (pTEEsubBMR/sub) and body weight (pTEEsubBW/sub). The TEEsubDLW/sub, pTEEsubBMR/sub and pTEEsubBW/sub 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 pTEEsubBMR/sub and TEEsubDLW/sub ( p BW/sub and TEEsubDLW/sub ( p BW/sub is not recommended to estimate TEE because the error depends on body size, and pTEEsubBMR/sub was significantly correlated with TEEsubDLW/sub 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.