Energy Expenditure in the Acutely Ill Patient
The most basic requirement for sustaining life is energy. The human energy surplus in obesity is a major public health problem of the affluent countries, while the energy shortage of starvation threatens many of the underdeveloped countries. Paradoxically, the most frequent and severe form of protein-calorie malnutrition, which is seen in technologically advanced countries, is found in the acutely ill patients who require hospitalization for their care. The nutritional deficits associated with the medical care of such patients involve not only reduced intake, but also the increased requirements related to their disease or injury. No other segment of clinical nutrition has been associated with less concern for achieving daily balance than in the need for energy.
KeywordsMajor Public Health Problem Rest Energy Expenditure Body Cell Mass Nutritional Deficit Affluent Country
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- 1.Grande F, Keys A (1980) Body weight, body composition and caloric status. In: Goodhard RS, Shils ME (eds) Modern nutrition in health and disease, 6th ed. Lea & Febiger, Philadelphia, p 3Google Scholar
- 2.Keys A, Brozek J, Henschel A, Mickelsen O, Taylor HL (1950) The biology of human starvation. University of Minnesota Press, Minneapolis, p 303Google Scholar
- 3.Moore FD (1967) Endocrine changes after anesthesia, surgery and unanesthetized trauma in man. Recent Prog Horm Res 13: 511Google Scholar
- 4.Benedict FG (1915) A study of prolonged fasting. Carnegie Inst Washington Publ No 203Google Scholar
- 5.Kinney JM (1980) The application of indirect calorimetry to clinical studies. In: Kinney JM (ed) Assessment of energy metabolism in health and disease. Ross Laboratories, Columbus, OH, p 42Google Scholar
- 6.Garrow JS (1978) Energy balance and obesity in man. Elsevier, North Holland, AmsterdamGoogle Scholar