P976 - EFFECT OF PHYSICAL ACTIVITY AND ALCOHOL CONSUMPTION ON THE COMPONENTS OF RESTING ENERGY EXPENDITURE IN HOSPITALIZED PATIENTS

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P976

EFFECT OF PHYSICAL ACTIVITY AND ALCOHOL CONSUMPTION ON THE COMPONENTS OF RESTING ENERGY EXPENDITURE IN HOSPITALIZED PATIENTS

 

P. S. Barcellos1,2,*, M. Lemos-Araujo3, D. M. Linhares-Sousa1, N. P. G. F. B. Borges2, D. P. M. Torres2

1DCF, UFMA, São Luís, Brazil, 2FCNAUP, Porto University, Porto, Portugal, 3DEF, UFMA, São Luís, Brazil

 

Rationale: Physical activity (PA) is the main modifiable factor in energy expenditure, and alcohol consumption (AC) could influence patients' quality of life. This study aimed to evaluate the influence of PA and AC on energetic compounds- EC (REE measured by indirect calorimetry-IC, VO2, VCO2, RQ, and REE-IC/kg).

Methods: The study was conduted with 142 non critically ill patients from Hospital São João, Portugal who practiced or did not practice physical activity regularly, and consumed or did not consume alcohol before hospitalization. REE was measured by IC (Cosmed k4 b2). Statistical analysis (SPSS) presented descriptive analysis and the Mann-Whitney U test.

Results: Table 1: Energetic compounds by indirect calorimetry in patients who regularly exercised and did or did not consume alcohol before hospitalization.

 

 

Physical Activity

 

Alcohol Consumption

 

YES

NO

P-value

TOTAL

YES

NO

P-value

TOTAL

N

66

76

 

142

77

65

 

142

VO2

276±92

246±98

0.044*

260±96

272±100

245±90

0.121

260±96

VCO2

224±75

196±80

0.014*

209±79

221±83

193±71

0.043*

209±79

RQ

0.81±0.07

0.79±0.06

0.335

0.80±0.07

0.81±0.07

0.79±0.06

0.090

0.80±0.07

REE-IC

1902±633

1711±667

0.052

1800±656

1880±693

1706±601

0.157

1800±656

REE – IC (kcal/kg)

27±8.5

24.4±9.4

0.034*

25.6±9.1

26.2±9.8

25±8.2

0.737

25.6±9.1

*P-value = 0.05 Mann-Whitnney U test

Conclusion: Patients who practiced PA showed differences in VO2 consumption, VCO2 production, and REE, and those who AC showed differences in VCO2 production, suggesting increased metabolic activity. Knowing these changes is important to guide clinical practice and nutritional balance, avoiding negatively impact on the prognosis.

References: Barcellos, P. S., M. Lemos-Araujo, D. M. L. Sousa, N. P. G. F. B. Borges and D. P. M. Torres (2024). "Influence of physical activity on the components of energy expenditure in hospitalized patients." Clinical Nutrition ESPEN 63: 1199.

Disclosure of Interest: None declared