【摘要】 研究我国健康成人基础能量消耗（BEE）的预测公式，并与Harris－Benedict（简称HB）公式及Owen公式比较。另外，对静息能量消耗（PEE）测试时间与食物特殊动力作用（SDA）大小及其持续时间的关系进行探讨。选择不同年龄、多个出生地、多种职业人群的健康志愿者165名（男86名，女79名），于早晨、空腹，平静仰卧或安坐30分钟后用CCM代谢车的标准法测量BEE。此外，103名志愿者（男43名，女60名），于禁食2小时以上不同时间测量REE。实测BEE平均值男1387±263kal／d、女1107±163kal／d，均显著低于HBEE和OBEE预测值（P＜001），并得出预测公式★BEE（男）＝696＋13.6W－6A；★BEE（女）＝714＋6.8W。禁食2小时以上不同时间REE测量结果示禁食2～4小时内测得的比较稳定。通过REE与SDA关系的分析，说明禁食2～4小时计算SDA较为合理，SDA男152％、女105％。本研究证实★BEE预测公式适合我国健康成人，临床补给营养时乘以疾病矫正系数即可。REE测量时间应限定在禁食2—4小时内，此期亦为SDA持续时间，SDA值男15．2％、女10．5％。如有代谢车设备，用REE值乘以1．2～1．5即可计算病人的能量需求。更多还原

【Abstract】 Objects: To set up the formula for calculating the energy expenditure in healthy adults, and compare it with HB formula and Owen formula. In addition, to makeout the best measuring time of REE and lasting time of SDA aswell as SDA value. Metheds:165 healthy volunteers (male 86, female 79 ) from diffent ages、birthplaces、occupations are chosen to measure Basal Energy Expenditure(BEE) by sdandard method of CCM metabolism cart after lying or sitting motionlessly for 30 minutes in the morning with an empty stomach. 103 volunteers(male 43, female 60) are measured Resting Energy Expenditure (REE) at different fasting time (≥2h). Results:Actual BEE of male is 1387±263kal/d、female 1107 ±163kal/d, and are all significanly lower than correspoding HBEE and OBEE value(P < 0.01 ), and reach a formula BEE(male) = 696 + 13. 6W - 6A; BEE (female) = 7l4 + 6. 8W. At different time of fasting(≥2h) shows that REE during fasting time of 2-4h are more stable. Through analysing the relation of REE and SDA, we conclude that it is rational to count SDA during fasting 2-4h, and SDA for male is 15. 2 %, female 10. 5 %. Conclusions: ①BEE formula has marked difference with HB and Owen formula in interrelated factors and calculation value, the formula fits for healthy adult in our country. Giving nutrition support,we can use the formula BEE value multipling dieases correction coefficient. ②Measuring time of REE shoud be controled within 2-4h fasting time, and this is also the lasting time of SDA, SDA value male is 15. 2 % 、female 100. 5 % 。 If having metabolism cart, you can calculate patients’ energy expenditure with 1. 2 -1. 5 REE measured.更多还原