Validation of dietary reference intake equations for estimating energy requirements in Korean adults by using the doubly labeled water method
2017
Kim, E.K., Gangneung-Wonju National University, Gangneung, Republic of Korea | Kim, J.H., Gangneung-Wonju National University, Gangneung, Republic of Korea | Kim, M.H., Gangneung-Wonju National University, Gangneung, Republic of Korea | Didace Ndahimana, Gangneung-Wonju National University, Gangneung, Republic of Korea | Yean, S.E., Gangneung-Wonju National University, Gangneung, Republic of Korea | Yoon, J.S., Keimyung University, Daegu, Republic of Korea | Kim, J.H., Pai Chai University, Daejeon, Republic of Korea | Park, J., Korea University, Seoul, Republic of Korea | Kazuko Ishikawa-Takata, National Institute of Health and Nutrition, Tokyo, Japan
BACKGROUND/OBJECTIVES: The doubly labeled water (DLW) method is considered the gold standard for the measurement of total energy expenditure (TEE), which serves to estimate energy requirements. This study evaluated the accuracy of predictive dietary reference intake (DRI) equations for determining the estimated energy requirements (EER) of Korean adults by using the DLW as a reference method. SUBJECTS/METHODS: Seventy-one participants (35 men and 36 women) aged between 20 and 49 years were included in the study. The subjects' EER, calculated by using the DRI equation (EERDRI), was compared with their TEE measured by the DLW method (TEEDLW). RESULTS: The DRI equations for EER underestimated TEE by -36.3 kcal/day (-1.3%) in men and -104.5 kcal/day (-4.9%) in women. The percentages of accurate predictions among subjects were 77.1% in men and 62.9% in women. There was a strong linear correlation between EERDRI and TEEDLW (r = 0.783, P less than 0.001 in men and r = 0.810, P less than 0.001 in women). CONCLUSIONS: The present study supports the use of DRI prediction equations to determine EER in Korean adults. More studies are needed to confirm our results and to assess the validity of these equations in other population groups, including children, adolescents, and older adults.
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