Energy expenditure during allogeneic and autologous bone marrow transplantation

Resting energy expenditure (REE) was measured by indirect calorimetry during allogeneic and autologous bone marrow transplantation in order to evaluate the evolution in allogeneic and autologous recipient patients. REE values obtained with indirect calorimetry and compared with values using the Harr...

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Veröffentlicht in:Clinical nutrition (Edinburgh, Scotland) Scotland), 1998-12, Vol.17 (6), p.253-257
Hauptverfasser: Chamouard Cogoluenhes, V., Chambrier, C., Michallet, M., Gordiani, B., Ranchere, J.Y., Combret, D., Lallemand, Y., Roldan, M., Accominoti, M., Philip, I., Latour, J.F., Hulewitz, G., Biron, P., Barbieux, A., Bachmann, P.
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container_end_page 257
container_issue 6
container_start_page 253
container_title Clinical nutrition (Edinburgh, Scotland)
container_volume 17
creator Chamouard Cogoluenhes, V.
Chambrier, C.
Michallet, M.
Gordiani, B.
Ranchere, J.Y.
Combret, D.
Lallemand, Y.
Roldan, M.
Accominoti, M.
Philip, I.
Latour, J.F.
Hulewitz, G.
Biron, P.
Barbieux, A.
Bachmann, P.
description Resting energy expenditure (REE) was measured by indirect calorimetry during allogeneic and autologous bone marrow transplantation in order to evaluate the evolution in allogeneic and autologous recipient patients. REE values obtained with indirect calorimetry and compared with values using the Harris-Benedict formula were different. Evolution of REE during aplasia were significantly different in autologous and allogeneic recipients with an increase 11.5 ± 10.8% for autologous and a decrease of − 7.3 ± 8.9% in allogeneic bone marrow transplantation (BMT) patients. There were no differences in nutritional status and REE before BMT, at discharge and 1 month after discharge between the two groups but all patients had inflicted damage on their nutritional status at discharge from hospital after BMT. However, these patients differed because of the decrease in oral nutritional intake and an increase in the length of aplasia and hospital stay in allogeneic patients. Currently, there is no proof that recommendations for nutritional interventions or results of nutritional investigations in allogeneic BMT can be extrapolated in autologous patients. Harris-Benedict formula does not estimate the energy expenditure of patients submitted to massive chemotherapy and BMT with enough precision because of the great differences in individuals.
doi_str_mv 10.1016/S0261-5614(98)80316-6
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Graft versus host reaction ; Calorimetry, Indirect ; Energy Metabolism ; Female ; Humans ; indirect calorimetry ; Karnofsky Performance Status ; Male ; Medical sciences ; Middle Aged ; Nutritional Status ; Nutritional Support ; Prospective Studies ; resting energy expenditure ; Transfusions. Complications. Transfusion reactions. 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REE values obtained with indirect calorimetry and compared with values using the Harris-Benedict formula were different. Evolution of REE during aplasia were significantly different in autologous and allogeneic recipients with an increase 11.5 ± 10.8% for autologous and a decrease of − 7.3 ± 8.9% in allogeneic bone marrow transplantation (BMT) patients. There were no differences in nutritional status and REE before BMT, at discharge and 1 month after discharge between the two groups but all patients had inflicted damage on their nutritional status at discharge from hospital after BMT. However, these patients differed because of the decrease in oral nutritional intake and an increase in the length of aplasia and hospital stay in allogeneic patients. Currently, there is no proof that recommendations for nutritional interventions or results of nutritional investigations in allogeneic BMT can be extrapolated in autologous patients. Harris-Benedict formula does not estimate the energy expenditure of patients submitted to massive chemotherapy and BMT with enough precision because of the great differences in individuals.</description><subject>Adult</subject><subject>allogeneic bone marrow transplantation</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>autologous bone marrow transplantation</subject><subject>Biological and medical sciences</subject><subject>bone marrow transplantation</subject><subject>Bone Marrow Transplantation - physiology</subject><subject>Bone marrow, stem cells transplantation. Graft versus host reaction</subject><subject>Calorimetry, Indirect</subject><subject>Energy Metabolism</subject><subject>Female</subject><subject>Humans</subject><subject>indirect calorimetry</subject><subject>Karnofsky Performance Status</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nutritional Status</subject><subject>Nutritional Support</subject><subject>Prospective Studies</subject><subject>resting energy expenditure</subject><subject>Transfusions. Complications. Transfusion reactions. 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REE values obtained with indirect calorimetry and compared with values using the Harris-Benedict formula were different. Evolution of REE during aplasia were significantly different in autologous and allogeneic recipients with an increase 11.5 ± 10.8% for autologous and a decrease of − 7.3 ± 8.9% in allogeneic bone marrow transplantation (BMT) patients. There were no differences in nutritional status and REE before BMT, at discharge and 1 month after discharge between the two groups but all patients had inflicted damage on their nutritional status at discharge from hospital after BMT. However, these patients differed because of the decrease in oral nutritional intake and an increase in the length of aplasia and hospital stay in allogeneic patients. Currently, there is no proof that recommendations for nutritional interventions or results of nutritional investigations in allogeneic BMT can be extrapolated in autologous patients. Harris-Benedict formula does not estimate the energy expenditure of patients submitted to massive chemotherapy and BMT with enough precision because of the great differences in individuals.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>10205347</pmid><doi>10.1016/S0261-5614(98)80316-6</doi><tpages>5</tpages></addata></record>
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subjects Adult
allogeneic bone marrow transplantation
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
autologous bone marrow transplantation
Biological and medical sciences
bone marrow transplantation
Bone Marrow Transplantation - physiology
Bone marrow, stem cells transplantation. Graft versus host reaction
Calorimetry, Indirect
Energy Metabolism
Female
Humans
indirect calorimetry
Karnofsky Performance Status
Male
Medical sciences
Middle Aged
Nutritional Status
Nutritional Support
Prospective Studies
resting energy expenditure
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
title Energy expenditure during allogeneic and autologous bone marrow transplantation
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