BACKGROUND: When indirect calorimetry is not available, predictive equations are used to estimate resing energy expenditure (REE). There is no consensus about which equation to use in hospitalized patients. The objective of this study is to examine the validity of REE predictive equations for underweight, normal weight, overweight, and obese inpatients and outpatients by comparison with indirect calorimetry.METHODS: Equations were included when based on weight, height, age, and/or gender. REE was measured with indirect calorimetry. A prediction between 90 and 110% of the measured REE was considered accurate. The bias and root-mean-square error (RMSE) were used to evaluate how well the equations fitted the REE measurement. Subgroup analysis was performed for BMI. A new equation was developed based on regression analysis and tested.RESULTS: 513 general hospital patients were included, (253 F, 260 M), 237 inpatients and 276 outpatients. Fifteen predictive equations were used. The most used fixed factors (25 kcal/kg/day, 30 kcal/kg/day and 2000 kcal for female and 2500 kcal for male) were added. The percentage of accurate predicted REE was low in all equations, ranging from 8 to 49%. Overall the new equation performed equal to the best performing Korth equation and slightly better than the well-known WHO equation based on weight and height (49% vs 45% accurate). Categorized by BMI subgroups, the new equation, Korth and the WHO equation based on weight and height performed best in all categories except from the obese subgroup. The original Harris and Benedict (HB) equation was best for obese patients.CONCLUSIONS: REE predictive equations are only accurate in about half the patients. The WHO equation is advised up to BMI 30, and HB equation is advised for obese (over BMI 30). Measuring REE with indirect calorimetry is preferred, and should be used when available and feasible in order to optimize nutritional support in hospital inpatients and outpatients with different degrees of malnutrition.
LINK
First year undergraduate students at the Amsterdam University of Applied Sciences of two different departments, were asked to join self-reported surveys in two succeeding years. Along with background variables, effort and commitment, the surveys asked elements of engagement. The later was analysed with factor analysis. The data of the surveys together with the results of the exams from the first year, were investigated to find out if the mandatory study choice test (SCT) taken before entering the faculty, had any predictive effect on their success. Not only basic statistical analysis like correlation was performed, but also more advanced analysis such as structural equation modelling (SEM) was used to uncover the value of the SCT. After a model was built, the normed fit index (NFI), the comparative fit index (CFI), the Tucker-Lewis Index (TLI) and the root mean square error of approximation (RMSEA), were used to determine the fit of the model. By comparing the influence of the variables on the SCT, the benefits of the latter will be determined and ultimately enhance the knowledge about influences upon student success in higher education.
A transition of today’s energy system towards renewableresources, requires solutions to match renewable energy generationwith demand over time. These solutions include smartgrids, demand-side management and energy storage. Energycan be stored during moments of overproduction of renewableenergy and used from the storage during moments ofinsufficient production. Allocation in real time of generatedenergy towards controlled appliances or storage chargers, isdone by a smart control system which makes decisions basedon predictions (of upcoming generation and demand) andinformation of the actual condition of storages.
MULTIFILE
