Adaptive alterations in metabolism: practical consequences on energy requirements in the severely ill patient.

Eric Fontaine 1, * Manfred Müller 2
* Auteur correspondant
1 LBFA - Laboratoire de bioénergétique fondamentale et appliquée
2 Institut für Humanernährung und Lebensmittelkunde
Abstract : 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.
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Article dans une revue
Current Opinion in Clinical Nutrition and Metabolic Care, Lippincott, Williams & Wilkins, 2011, 14 (2), pp.171-5. 〈10.1097/MCO.0b013e328342bad4〉
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http://www.hal.inserm.fr/inserm-00628848
Contributeur : Sarah Hamant <>
Soumis le : mardi 4 octobre 2011 - 12:42:22
Dernière modification le : jeudi 28 septembre 2017 - 16:14:01

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Eric Fontaine, Manfred Müller. Adaptive alterations in metabolism: practical consequences on energy requirements in the severely ill patient.. Current Opinion in Clinical Nutrition and Metabolic Care, Lippincott, Williams & Wilkins, 2011, 14 (2), pp.171-5. 〈10.1097/MCO.0b013e328342bad4〉. 〈inserm-00628848〉

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