Nutrition Therapy of the Severely Obese, Critically Ill Patient

This report compiles the conclusions and recommendations for nutrition therapy of the obese, critically ill patient derived by the group of experts participating in this workshop on obesity in critical care nutrition. The recommendations are based on consensus opinions of the group after review of t...

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Bibliographic Details
Published in:JPEN. Journal of parenteral and enteral nutrition 2011-09, Vol.35, p.88S-96S
Main Authors: McClave, Stephen A., Kushner, Robert, Van Way, Charles W., Cave, Matt, DeLegge, Mark, Dibaise, John, Dickerson, Roland, Drover, John, Frazier, Thomas H., Fujioka, Ken, Gallagher, Dympna, Hurt, Ryan T., Kaplan, Lee, Kiraly, Lazlo, Martindale, Robert, McClain, Craig, Ochoa, Juan
Format: Article
Language:English
Subjects:
critical illness
enteral nutrition
hypocaloric feeding
obesity
pharmaconutrition
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Summary:This report compiles the conclusions and recommendations for nutrition therapy of the obese, critically ill patient derived by the group of experts participating in this workshop on obesity in critical care nutrition. The recommendations are based on consensus opinions of the group after review of the current literature. Obesity clearly adds to the complexity of nutrition therapy in the intensive care unit (ICU). Obesity alters the incidence and severity of comorbidities, tolerance of the prescribed regimen, and ultimately patient outcome through the course of hospitalization. Although the basic principles of critical care nutrition apply to the obese ICU patient, a high‐protein, hypocaloric regimen should be provided to reduce the fat mass, improve insulin sensitivity, and preserve lean body mass. The ideal enteral formula should have a low nonprotein calorie to nitrogen ratio and have a variety of pharmaconutrient agents added to modulate immune responses and reduce inflammation.
ISSN:0148-6071
1941-2444
DOI:10.1177/0148607111415111