ENERGY EXPENDITURE IN ADOLESCENT FEMALES WITH CYSTIC FIBROSIS

Children'S Hospital Of Philadelphia, Philadelphia PA

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Abstract

The purpose of this study is to describe the relationship between resting energy expenditure (REE), dietary intake and pulmonary function (PF) in adolescent females with Cystic Fibrosis. The specific aims are: to describe PF, dietary intake, growth and body composition in adolescent females with CF and unaffected controls; to identify differences in energy balance and body composition in adolescent females with CF relative to unaffected controls in order to describe more thoroughly the nature and degree of malnutrition; and to define the relationship between pulmonary function and energy expenditure so that the energy requirements of young women with CF will be understood better; and to determine which measure of pulmonary function is most strongly associated with energy expenditure and nutritional status throughout the range of pulmonary function. Disease severity will be assessed by clinical evaluation and Brasfield scoring. Body composition will be determined by measuring height, weight, skinfold thickness, and total body electrical conductivity (TOBEC). Determination of dietary intake will be measured by a three day dietary record. REE will be measured by indirect calorimetry. Pulmonary function testing will be done by body plethysmography according to the standards of the American Thoracic Society. To date, 55 subjects, both CF and control, have been enrolled. No changes in the protocol were made and no problems were encountered. The enrollment of subjects has been completed and we are now in the phase of data analysis.