06 April 2023
How do guideline recommended energy targets compare with measured energy expenditure in critically ill adults with obesity: a systematic literature review
Critically ill patients with obesity have unique and complex nutritional needs, with clinical practice guidelines conflicting regarding recommended energy targets.
The aim of this systematic review was to describe measured resting energy expenditure (mREE) reported in the literature and compare mREE to predicted energy targets using the European (ESPEN) and American (ASPEN) guideline recommendations when indirect calorimetry is not available in critically ill patients with obesity.
Measured energy expenditure in critically ill patients with obesity is variable. Energy targets generated using predictive equations recommended in both the ASPEN and ESPEN clinical guidelines have poor agreement with mREE and are frequently not able to accurately predict within ±10% of mREE, most commonly underestimating energy needs.
Article details:
- Title: How do guideline recommended energy targets compare with measured energy expenditure in critically ill adults with obesity: A systematic literature review
- Authors: Kate J. Lambell Oana A. Tatucu-Babet Eliza G. Miller Emma J. Ridley
- Published in: Clinical Nutrition 2023 Apr;42(4):568-578.
- DOI: 10.1016/j.clnu.2023.02.003
