Abstract
Children with complex heart problems are at increased risk for delayed growth. Despite improvements in care, an important proportion of these children show decreased height percentile, which may be influenced by long-term caloric imbalance resulting from inadequate caloric intake, increased basal energy requirement, or both (Leitch, 2000). The gold standard for measuring energy expenditure is doubly-labelled water, an invasive procedure that exposes the child to radioisotopes. We sought to evaluate the effectiveness of two protocols for measuring resting energy expenditure in a clinical setting for identifying children at risk of growth delay related to increased energy requirements.
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