Estimating energy requirements in hospitalised underweight and obese patients requiring nutritional support: a survey of dietetic practice in the United Kingdom

BACKGROUND: Many methods are available to determine energy requirements, however, all have limitations, particularly when used for the obese. OBJECTIVES: The aim of this survey was to investigate current practice in the estimation of energy requirements in an underweight and obese hospitalised patie...

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Veröffentlicht in:	European journal of clinical nutrition 2012-03, Vol.66 (3), p.394-398
Hauptverfasser:	Judges, D, Knight, A, Graham, E, Goff, L M
Format:	Artikel
Sprache:	eng
Schlagworte:	Basal Metabolism Biological and medical sciences Calories Calorimetry, Indirect Case studies Clinical Nutrition Cross-Sectional Studies Dietetics - methods Dietitians Energy Energy Intake Energy Metabolism Energy requirements Epidemiology Estimation Feeding. Feeding behavior Fundamental and applied biological sciences. Psychology Health aspects Health Care Surveys Health Personnel Hospitalization Humans Internal Medicine Mathematical analysis Mathematics Medical sciences Medicine Medicine & Public Health Metabolic Diseases Metabolic rate Metabolism Nutrition Nutritional Requirements Nutritional Support Obesity Obesity - metabolism original-article Overweight persons Patients Physical activity Physiological aspects Polls & surveys Privacy Product/Service Evaluations Professional Competence Public Health Stress, Physiological Thinness Underweight United Kingdom Vertebrates: anatomy and physiology, studies on body, several organs or systems Weight
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Zusammenfassung:	BACKGROUND: Many methods are available to determine energy requirements, however, all have limitations, particularly when used for the obese. OBJECTIVES: The aim of this survey was to investigate current practice in the estimation of energy requirements in an underweight and obese hospitalised patient in a large cohort of UK dietitians. SUBJECT/METHODS: A cross-sectional anonymous online survey of UK registered dietitians was performed. RESULTS: A total of 672 responses were received. Underweight patient: prediction equations with adjustment for metabolic stress and physical activity were most commonly used (90%). The median estimated energy requirement was 2079 kcals/day. The estimated energy requirement using calorie per kilogram method was significantly lower compared with equations ( P
ISSN:	0954-3007 1476-5640
DOI:	10.1038/ejcn.2011.211