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## Energy prediction equations

For resting energy expenditure (REE) or resting metabolic rate (RMR), where weight (W)
in kilograms (kg), height (H) in centimeters, and age (A) in years.
Ireton-Jones
Legend:
B=diagnosis of burn (present=1, absent=0)
O=obesity, body mass index (BMI) >27 kg/m2 (present=1, absent=0)
S=sex (male=1, female=0)
T=diagnosis of trauma (present=1, absent=0)
Spontaneously breathing: 62911(A)+25(W)609(O)
Ventilator dependent (original, 1992): 192510(A)+5(W)+281(S)+292(T)+851(B)
Ventilator-dependent (revised, 2002): 178411(A)+5(W)+244(S)+239(T)+804(B)
Mifflin-St Jeor
Note: According to the Academy of Nutrition and Dietetics (AND) Evidence Analysis
Library, if it is not possible to measure RMR, then the Mifflin-St Jeor equation using
actual weight is the most accurate for estimating RMR for overweight and obese
individuals.
Men: (9.99W)+(6.25H)(4.92A)+5
Women: (9.99W)+(6.25H)(4.92A)161
Harris-Benedict Equation
Men: RMR=66.47+(13.75W)+(5H)(6.75A)
Women: RMR=655.09+(9.56W)+(1.84H)(4.67A)
Owen
Note: Indirect calorimetry is the preferred method for determining RMR in critically ill
patients. If it is necessary to use predictive equations, according to AND evidence-based
practice guidelines, the Ireton-Jones (1992) is one of the equations cited as having the
best prediction accuracy. Harris-Benedict and Mifflin-St Jeor are not recommended for
critically ill patients.
Men: 879+(10.2W)
Women: 795+(7.18W)

## Total energy requirements

Total energy requirements (TEE)=REE (activity factor) (injury factor) 500 calories
(for desired weight loss or weight gain, if applicable) + fever factor
Activity factors

Comatose: 1.1
Confined to bed: 1.2
Out of bed: 1.3
Normal activities of daily living (ADLs): 1.5
Injury factors
Surgery:
Minor: 1.01.2
Major: 1.11.3
Skeletal trauma: 1.11.6
Infection:
Mild: 1.01.2
Moderate: 1.21.4
Severe: 1.41.8
Burns (% body surface area [BSA]):
<20% BSA: 1.21.5
20%40% BSA: 1.51.8
>40% BSA: 1.82.0
Fever factor
Fahrenheit scale: add 7% of REE for every 1 over normal
Academy of Nutrition and Dietetics. Evidence Analysis Library. Available at:
Academy of Nutrition and Dietetics. Nutrition Care Manual. Available by subscription
at: www.nutritioncaremanual.org. Accessed September 11, 2012.
Breen HB, Ireton-Jones CS. Predicting energy needs in obese patients. Nutr Clin Pract.
2004;19:284-289.
Campbell CG, Zander E, Thorland W. Predicted vs measured energy expenditure in
critically ill, underweight patients. Nutr Clin Pract. 2005;20:276-280.
Christie C, ed. Florida Dietetic Association Manual of Medical Nutrition Therapy.
Tallahassee, FL: Florida Dietetic Association; 2012.
Frankenfield D, Roth-Yousey L, Compher C. Comparison of predictive equations for
resting metabolic rate in healthy nonobese and obese adults: a systematic review. J Am
Diet Assoc. 2005;105:775-789.

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