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Comparison of the Cosmed K4 b2 and the Deltatrac IITM metabolic cart in measuring resting energy expenditure in adults

LITTLEWOOD, R·2002·Clinical Nutrition

Abstract

Background and aims The objective of the study was to compare data obtained from the Cosmed K4 b(2) and the Deltatrac II metabolic cart for the purpose of determining the validity of the Cosmed K4 b(2) in measuring resting energy expenditure. Methods Nine adult subjects (four male, five female) were measured. Resting energy expenditure was measured in consecutive sessions using the Cosmed K4 b(2), the Deltatrac II metabolic cart separately and the Cosmed K4 b(2) and Deltatrac II metabolic cart simultaneously, performed in random order. Resting energy expenditure (REE) data from both devices were then compared with values obtained from predictive equations. Results Bland and Altman analysis revealed a mean bias for the four variables, REE, respiratory quotient (RQ), V CO(2), V O(2) between data obtained from Cosmed K4 b(2) and Deltatrac II metabolic cart of 268+/-702 kcal/day, -0.0+/-0.2, 26.4+/-118.2 and 51.6+/-126.5 ml/min, respectively. Corresponding limits of agreement for the same four variables were all large. Also, Bland and Altman analysis revealed a larger mean bias between predicted REE and measured REE using Cosmed K4 b(2) data (-194+/-603 kcal/day) than using Deltatrac metabolic cart data (73+/-197 kcal/day). Conclusions Variability between the two devices was very high and a degree of measurement error was detected. Data from the Cosmed K4 b(2) provided variable results on comparison with predicted values, thus, would seem an invalid device for measuring adults.

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Crossref · 10.1054/clnu.2002.0580

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1 of 1 references verified0 citation errors · 0 not checkable

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  • The Douglas bag, mass spectrometer, and other laboratory-based metabolic system assessments of the validity of the Cosmed K4b2 unit reported positive, but consistent within-study bias ranging from 2% to 25% across the relevant measurement range.

    “The Douglas bag, mass spectrometer, and other laboratory-based metabolic system assessments of the validity of the Cosmed K4b2 unit (22–28) we used reported positive, but consistent within-study bias ranging from 2% to 25% across the relevant measurement range.”
  • Accuracy metrics for individuals could misrepresent equation predictive accuracy because the measurement variability of the portable calorimeter would be present to an unknown extent.

    “Equally important, accuracy metrics for individuals could misrepresent equation predictive accuracy because the measurement variability of the portable calorimeter (22–28, Fig. 3) would be present to an unknown extent.”
  • The calorimeter model in question consistently exceeds well-validated laboratory systems under similar conditions by magnitudes ranging from 2% to 25%.

    “The calorimeter model in question consistently exceeds well-validated laboratory systems under similar conditions by magnitudes ranging from 2% to 25% (22–28).”

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Metadata

Authors
LITTLEWOOD, R.
Venue
Clinical Nutrition
Publisher
Elsevier BV
Published
2002-12
Volume
21
Issue
6
Pages
491-497
ISSN
0261-5614
Cited by
30
References
1
Language
en

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