Loss of muscle mass in the immediate post-operative period is associated with inadequate dietary protein and energy intake

Despite the implementation of ‘Enhanced Recovery After Surgery’ (ERAS) protocols, major abdominal surgery is still associated with significant and detrimental losses of muscle mass and function in the post-operative period. Although ERAS protocols advocate both early mobility and dietary intake, die...

Full description

Saved in:
Bibliographic Details
Published in:European journal of clinical nutrition 2023-04, Vol.77 (4), p.503-505
Main Authors: Hardy, E. J., Deane, C. S., Lund, J. N., Phillips, B. E.
Format: Article
Language:English
Subjects:
692/308/575
692/700/2814
Abdomen
Abdominal surgery
Brief Communication
Clinical Nutrition
Demographics
Diet
Dietary intake
Dietary Proteins
Dietary supplements
Energy
Energy Intake
Epidemiology
Food
Food intake
Hospitals
Humans
Internal Medicine
Medicine
Medicine & Public Health
Metabolic Diseases
Metabolism
Muscles
Nutrition research
Nutritional Status
Patients
Postoperative period
Proteins
Public Health
Recovery (Medical)
Surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Despite the implementation of ‘Enhanced Recovery After Surgery’ (ERAS) protocols, major abdominal surgery is still associated with significant and detrimental losses of muscle mass and function in the post-operative period. Although ERAS protocols advocate both early mobility and dietary intake, dietary composition in the immediate post-operative period is poorly characterised, despite muscle losses being greatest in this period. Herein, we show in 15 patients (66 ± 6 y, 12:3 M:F) who lost ~10% m. vastus lateralis muscle mass in the 5 days after open colorectal resective surgery, mean energy intake was only ~25% of the minimum ESPEN recommendation of 25 kcal/kg/d and daily dietary protein intake was only ~12% of the ESPEN recommended guidelines of 1.5 g/kg/d. Given the known importance of nutrition for muscle mass maintenance, innovative dietary interventions are needed in the immediate post-operative period, accounting for specific patient dietary preference to maximise compliance (e.g., soft-textured foods).
ISSN:0954-3007
1476-5640
DOI:10.1038/s41430-023-01264-0