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<title>The American Journal of Clinical Nutrition Volume 152 Issue 1 2022</title>
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<place><placeTerm type="text">Amerika</placeTerm></place>
<publisher>2022</publisher>
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<issuance>monographic</issuance>
<edition>Volume 152 Issue 1 2022</edition>
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<languageTerm type="text">Indonesia</languageTerm>
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<note>ABSTRACT
Background: Given the utility of the doubly labeled water (DLW) method for determination of energy expenditure,
additional techniques for isotope analysis of the samples are welcome. Laser-based instruments are one such new
analytical tool, but their accuracy and feasibility for DLW studies are grossly understudied.
Objectives: We assessed the accuracy of laser-based isotope ratio measurements as part of the DLW method for
estimation of carbon dioxide production rate (rCO2) and total energy expenditure (TEE), in between-group comparison
study designs.
Methods: Urine samples from a previous study were analyzed with a laser-based instrument [off-axis integrated cavity
output spectroscopy (OA-ICOS)]. In that study, participants consumed a high-, moderate-, or low-carbohydrate diet for
20 wk; urine samples were obtained in weeks 18&ndash;20 before and after a 2H- and 18O-enriched water dose. Isotope ratios
(&delta;2H and &delta;18O), rCO2, and TEE calculated by standard methods were compared to results previously obtained with the
standard technique of isotope ratio mass spectrometry (IRMS). Bias, SD, and bias &plusmn; 1.96SD bands between IRMS and
OA-ICOS were computed.
Results: The between OA-ICOS and IRMS rCO2 and TEE trends were equivalent (within 1.2% and 4.1%, respectively),
in spite of the differences in measured &delta;18O values at high enrichment levels. The OA-ICOS &delta;18O values displayed an
increasing offset from the IRMS results as the 18O enrichment increased (mean &plusmn; SD 4.6&ndash;5.7&permil; &plusmn; 2&permil; offset at the time
point with highest 18O enrichment, &sim;135&permil;), whereas the hydrogen isotope ratio (&delta;2H) differed only slightly between
the methods (mean offset &minus;4.9&permil; for all time points). The between-diet differences in TEE from the previous study were
recapitulated with a smaller subset of participants and time points.
Conclusions: OA-ICOS analysis is an accurate and feasible technique for the DLW method. Given the &delta;18O offset
observed at high enrichment, validation of each OA-ICOS instrumental setup against established methods (e.g., IRMS)
is recommended. J Nutr 2022;152:78&ndash;85.</note>
<subject authority=""><topic>Clinical Nutrition</topic></subject>
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