A nutrition strategy for obese ICU patients with special consideration for the reference of protein
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A nutrition strategy for obese ICU patients with special consideration for the reference of protein. / Kreymann, K. Georg; DeLegge, Mark H.; Luft, Gabriele; de Heer, Geraldine.
In: CLIN NUTR ESPEN, Vol. 10, No. 5, 10.2015, p. e160-e166.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - A nutrition strategy for obese ICU patients with special consideration for the reference of protein
AU - Kreymann, K. Georg
AU - DeLegge, Mark H.
AU - Luft, Gabriele
AU - de Heer, Geraldine
PY - 2015/10
Y1 - 2015/10
N2 - Summary Hypocaloric, high protein feeding regimens have been proposed for feeding obese critically ill patients. However, the exact amount of energy and protein that should be provided to the obese patients with these regimens is still under discussion. Furthermore, the body compartment to be used as a reference for appropriate protein dosing has not yet been determined. While both actual and ideal body weight have been proposed, neither is an accurate reflection of total body protein content in obese individuals. Alternatively, dosing protein based on lean body mass (LBM), which is highly correlated with total body protein, might be the most appropriate method of calculating protein requirements as defined by actual body composition. LBM can be measured or estimated by various methods. We herein discuss a rationale to determine both the energy and protein needs to use in hypocaloric feeding regimens for obese patients based on the use of Standard Body Weight (SBW) and LBM, using previously published body composition data from 1420 healthy volunteers. When applied to the obese population, and compared to current practices, this method results in highly significant differences for both total and gender-specific protein dosing.
AB - Summary Hypocaloric, high protein feeding regimens have been proposed for feeding obese critically ill patients. However, the exact amount of energy and protein that should be provided to the obese patients with these regimens is still under discussion. Furthermore, the body compartment to be used as a reference for appropriate protein dosing has not yet been determined. While both actual and ideal body weight have been proposed, neither is an accurate reflection of total body protein content in obese individuals. Alternatively, dosing protein based on lean body mass (LBM), which is highly correlated with total body protein, might be the most appropriate method of calculating protein requirements as defined by actual body composition. LBM can be measured or estimated by various methods. We herein discuss a rationale to determine both the energy and protein needs to use in hypocaloric feeding regimens for obese patients based on the use of Standard Body Weight (SBW) and LBM, using previously published body composition data from 1420 healthy volunteers. When applied to the obese population, and compared to current practices, this method results in highly significant differences for both total and gender-specific protein dosing.
KW - Obesity
KW - Enteral nutrition
KW - Parenteral nutrition
KW - Lean body mass
KW - Protein
KW - Amio acids
U2 - 10.1016/j.clnesp.2015.07.001
DO - 10.1016/j.clnesp.2015.07.001
M3 - SCORING: Journal article
VL - 10
SP - e160-e166
JO - CLIN NUTR ESPEN
JF - CLIN NUTR ESPEN
SN - 2405-4577
IS - 5
ER -
