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Adaptive alterations in metabolism: practical consequences on energy requirements in the severely ill patient
- Source :
- Current Opinion in Clinical Nutrition and Metabolic Care, Current Opinion in Clinical Nutrition and Metabolic Care, Lippincott, Williams & Wilkins, 2011, 14 (2), pp.171-5. ⟨10.1097/MCO.0b013e328342bad4⟩
- Publication Year :
- 2011
- Publisher :
- HAL CCSD, 2011.
-
Abstract
- International audience; PURPOSE OF REVIEW: A recent and large multicentre study reports that ICU patients receive less than half of the recommended energy requirement. This review aims at clarifying whether underfeeding is scientifically justified or sustained by evidence-based medicine. RECENT FINDINGS: There is evidence that optimal nutrition improves clinical outcome of critically ill patients. The deleterious effect of overfeeding ICU patients is now well acknowledged, but underfeeding is not scientifically justified in ICU patients. Total energy expenditure in ICU patients is variable and methods to predict resting energy expenditure are questionable in these patients. SUMMARY: There is a need to measure energy expenditure in clinical practice. When not possible, the current guidelines on artificial nutrition (i.e. 25 kcal/kg per day) should be applied in order to limit underfeeding.
- Subjects :
- MESH: Nutritional Support
medicine.medical_specialty
Critical Care
030309 nutrition & dietetics
Critical Illness
MEDLINE
Medicine (miscellaneous)
Artificial nutrition
MESH: Nutritional Requirements
MESH: Energy Intake
Energy requirement
03 medical and health sciences
0302 clinical medicine
Total energy expenditure
medicine
[SDV.BBM] Life Sciences [q-bio]/Biochemistry, Molecular Biology
Humans
Resting energy expenditure
[SDV.BBM]Life Sciences [q-bio]/Biochemistry, Molecular Biology
030212 general & internal medicine
MESH: Intensive Care
Intensive care medicine
0303 health sciences
Nutrition and Dietetics
Evidence-Based Medicine
MESH: Humans
Critically ill
business.industry
Nutritional Support
MESH: Energy Metabolism
Nutritional Requirements
Evidence-based medicine
3. Good health
MESH: Basal Metabolism
Optimal nutrition
MESH: Critical Illness
Basal Metabolism
business
Energy Intake
Energy Metabolism
MESH: Evidence-Based Medicine
Subjects
Details
- Language :
- English
- ISSN :
- 13631950
- Database :
- OpenAIRE
- Journal :
- Current Opinion in Clinical Nutrition and Metabolic Care, Current Opinion in Clinical Nutrition and Metabolic Care, Lippincott, Williams & Wilkins, 2011, 14 (2), pp.171-5. ⟨10.1097/MCO.0b013e328342bad4⟩
- Accession number :
- edsair.doi.dedup.....f911956d3db83350bab86ea1abe0ef5b