<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0212-1611</journal-id>
<journal-title><![CDATA[Nutrición Hospitalaria]]></journal-title>
<abbrev-journal-title><![CDATA[Nutr. Hosp.]]></abbrev-journal-title>
<issn>0212-1611</issn>
<publisher>
<publisher-name><![CDATA[Grupo Arán]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0212-16112018000300538</article-id>
<article-id pub-id-type="doi">10.20960/nh.1457</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Medición del gasto energético de reposo en pacientes oncológicos pediátricos: concordancia entre calorimetría indirecta y ecuaciones predictivas]]></article-title>
<article-title xml:lang="en"><![CDATA[Measurement of rest energy expanditure in pediatric oncological patients: concordance between indirect calorimetry and predictive equations]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[Eliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cordero]]></surname>
<given-names><![CDATA[María Luisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[Magdalena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Derado]]></surname>
<given-names><![CDATA[Macarena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica Las Condes Unidad de Nutrición Infantil Departamento de Pediatría]]></institution>
<addr-line><![CDATA[Las Condes ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Dr. Sótero del Río Unidad de Nutrición Infantil Departamento de Pediatría]]></institution>
<addr-line><![CDATA[Puente Alto ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Clínica Las Condes  ]]></institution>
<addr-line><![CDATA[Las Condes ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Clínica Las Condes Servicio de Urgencias ]]></institution>
<addr-line><![CDATA[Las Condes ]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>35</volume>
<numero>3</numero>
<fpage>538</fpage>
<lpage>542</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0212-16112018000300538&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0212-16112018000300538&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0212-16112018000300538&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  en el cáncer infantil, la enfermedad impacta sobre el gasto energético en reposo (GER) de manera no estimable mediante ecuaciones predictivas.  Objetivo:  determinar concordancia entre medición del gasto energético en reposo por calorimetría indirecta versus ecuaciones predictivas.  Método:  estudio observacional analítico transversal en niños de 5-15 años que reciben quimioterapia, en control ambulatorio por la Clínica Las Condes y el Hospital Dr. Sótero del Río, entre julio de 2013 y julio de 2015. Se realizó medición de GER mediante calorimetría indirecta y ecuaciones de Schofield y la Organización Mundial de la Salud (OMS). Análisis de concordancia, con punto de corte clínicamente relevante y coeficiente de concordancia del 90%.  Resultados:  se incluyó a 27 niños y se realizaron 27 calorimetrías. De ellos, el 66% presentaba leucemia, el 15% presentaba tumor de sistema nervioso central y el 81% se encontraba en etapa de mantención. No se encontró diferencia significativa entre medición por calorimetría indirecta versus OMS (p 0,18) ni versus Schofield (p 0,07), ni al estratificar por estado nutricional o tipo de diagnóstico oncológico. El coeficiente de concordancia de Lin entre calorimetría y Schofield fue del 79,4% (IC 95% = 65,2-93,6) y con OMS, del 78% (IC 95% = 62,9-93,2).  Conclusiones:  el nivel de concordancia entre calorimetría indirecta y Schofield y OMS respectivamente fue menor de 80%, lo cual es insuficiente e implica que en más de un 20% de los casos sería un cálculo de GER sobre o subestimado y, por lo tanto, con un aporte nutricional excesivo o deficitario. En consecuencia, es necesario contar con la calorimetría indirecta como parte de la evaluación nutricional en una población nutricionalmente de riesgo como esta.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  in childhood cancer, the disease impacts resting energy expenditure (GER) in a way that is not estimable by predictive equations.  Objective:  the aim of this study is to determine the concordance between the measurement of resting energy expenditure (REE) by indirect calorimetry in pediatric oncology patients versus the World Health Organization (WHO) and Schofield predictive equations.  Method:  cross-sectional study in children aged 5-15 years receiving chemotherapy, in outpatient Clínica Las Condes and Hospital Dr. Sótero del Río, from July 2013 to July 2015. REE measurement was performed by indirect calorimetry and WHO and Schofield equations. Concordance analysis, with clinically relevant cut-off point and concordance coefficient of 90%.  Results:  twenty-seven children were included and 27 calorimetries were performed; 66% of these children were diagnosed with leukemia, 15% with central nervous system tumor and 81% were in the maintenance stage of their treatment. There is no significant difference between indirect calorimetry measurement versus WHO (p 0.18) or Schofield (p 0.07), neither when stratifying by nutritional status or type of cancer diagnosis. Concordance was calculated between calorimetry and Schofield, with a concordance coefficient of Lin = 79.4% (95% CI = 65.2-93.6) and versus WHO = 78% (95% CI = 62.9-93.2).  Conclusion:  this level of agreement, less than 80% in both cases, is insufficient. With both equations for estimating REE, there is overestimation or underestimation of energy requirements in more than 20% of cases. There is no agreement between the measurement of REE measured with indirect calorimetry versus its estimation with Schofield's and the WHO equations. Consequently, indirect calorimetry is required as part of the nutritional assessment in a nutritionally at-risk population such as pediatric patients with oncological pathology.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cáncer infantil]]></kwd>
<kwd lng="es"><![CDATA[Calorimetría indirecta]]></kwd>
<kwd lng="es"><![CDATA[Gasto energético en reposo]]></kwd>
<kwd lng="es"><![CDATA[Pacientes oncológicos pediátricos]]></kwd>
<kwd lng="en"><![CDATA[Childhood cancer]]></kwd>
<kwd lng="en"><![CDATA[Indirect calorimetry]]></kwd>
<kwd lng="en"><![CDATA[Resting energy expenditure]]></kwd>
<kwd lng="en"><![CDATA[Pediatric oncology patients]]></kwd>
</kwd-group>
</article-meta>
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