Metabolic support challenges with obesity during critical illness

Research output: Contribution to journalArticle

Abstract

Adiposity-based chronic disease, critical illness, and nutrition therapy increase the risk for overfeeding and worsened nutritional and clinical outcomes. Hypocaloric, high-protein nutrition therapy provides critically ill obese patients the opportunity to achieve net protein anabolism with a reduced risk for overfeeding-related complications. The intent of this review is to discuss the impact of obesity on clinical outcomes, describe the consequences of obesity that increase complications associated with nutrition therapy, provide the framework to develop a hypocaloric, high-protein regimen, review the scientific evidence to support this mode of therapy, and discuss its limitations. Practical suggestions for patient monitoring are also provided.

LanguageEnglish (US)
Pages24-31
Number of pages8
JournalNutrition
Volume57
DOIs
StatePublished - Jan 1 2019

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Nutrition Therapy
Critical Illness
Obesity
Proteins
Adiposity
Physiologic Monitoring
Chronic Disease
Therapeutics

All Science Journal Classification (ASJC) codes

  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Metabolic support challenges with obesity during critical illness. / Dickerson, Roland.

In: Nutrition, Vol. 57, 01.01.2019, p. 24-31.

Research output: Contribution to journalArticle

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