Energy expenditure in acute pancreatitis evaluated by the Harris–Benedict equation compared with indirect calorimetry

Valainathan, Shantha; Boukris, A.; Arapis, Konstantinos; Schoch, Nadine; Goujon, Gaël; Konstantinou, Dimitrios; Bécheur, Hakim; Pelletier, A

doi:10.1016/j.clnesp.2019.07.007

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…In a similar study, Valainathan et al compared the difference in EE values between IC, the Harris-Benedict equation, and a modified Harris-Benedict equation in patients with severe acute pancreatitis. Following this study, they concluded that the Harris-Benedict equation underestimates EE, while the modified Harris-Benedict equation overestimated EE in this patient group, and therefore IC is the most reliable method for calculating the energy requirements [121].…”

Section: Nutritional Therapy Guided With Indirect Calorimetrymentioning

confidence: 81%

Assessment of Metabolic and Nutritional Imbalance in Mechanically Ventilated Multiple Trauma Patients: From Molecular to Clinical Outcomes

et al. 2019

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The critically ill polytrauma patient is characterized by a series of metabolic changes induced by inflammation, oxidative stress, sepsis, and primary trauma, as well as associated secondary injuries associated. Metabolic and nutritional dysfunction in the critically ill patient is a complex series of imbalances of biochemical and genetic pathways, as well as the interconnection between them. Therefore, the equation changes in comparison to other critical patients or to healthy individuals, in which cases, mathematical equations can be successfully used to predict the energy requirements. Recent studies have shown that indirect calorimetry is one of the most accurate methods for determining the energy requirements in intubated and mechanically ventilated patients. Current research is oriented towards an individualized therapy depending on the energy consumption (kcal/day) of each patient that also takes into account the clinical dynamics. By using indirect calorimetry, one can measure, in real time, both oxygen consumption and carbon dioxide production. Energy requirements (kcal/day) and the respiratory quotient (RQ) can be determined in real time by integrating these dynamic parameters into electronic algorithms. In this manner, nutritional therapy becomes personalized and caters to the patients’ individual needs, helping patients receive the energy substrates they need at each clinically specific time of treatment.

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Section: Nutritional Therapy Guided With Indirect Calorimetrymentioning

confidence: 81%

Assessment of Metabolic and Nutritional Imbalance in Mechanically Ventilated Multiple Trauma Patients: From Molecular to Clinical Outcomes

et al. 2019

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“…To date, indirect calorimetry using the metabolic vehicle assay is considered the key standard in evaluating the REE of patients [12]. Recent investigations have also demonstrated that indirect calorimetry could more accurately assess the total daily energy intake than the Harris-Benedict formula among patients of various diseases [12][13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

Analysis of Resting Energy Consumption and Its Influencing Factors in Stroke Patients with Severe Neurological Diseases: A Retrospective Clinical Study

Hong¹,

Pan²,

Yao³

et al. 2022

Neuroimmunomodulation

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Background: This study aimed to observe the changes of resting energy metabolism in patients with severe neurological diseases, and to explore the effects of tracheostomy status, stroke severity, and complications on resting energy expenditure (REE) and respiratory quotient (RQ). Methods: A retrospective study was conducted in 105 patients with neurological rehabilitation who were hospitalized in the Rehabilitation Department of the Affiliated Jiangning Hospital of Nanjing Medical University from August 2018 to October 2021. REE was measured by Italian Cosmed k4b2 indirectly, and white blood cell count and C-reactive protein (CRP) were collected. Results: Among the 105 patients, there were 18 cases of mild stroke, 45 cases of moderate stroke, and 42 cases of severe stroke. The difference between predicted REE and actual REE among different degrees of stroke patients was statistically significant (p < 0.05); there was no significant difference in RQ values among different degrees of stroke patients (p > 0.05). Hemoglobin, albumin, and body mass index were significantly and positively correlated with predicted REE and actual REE, while CRP was significantly negatively correlated with predicted REE and actual REE. There was no significant difference in predicted REE, actual REE, and RQ between renal insufficiency, type 2 diabetes mellitus, and chronic obstructive pulmonary disease (p > 0.05). The CRP level could affect the REE of stroke patients. Conclusion: Metabolic vehicle assay has a certain clinical value in accurately evaluating the metabolic needs and feeding level of patients.

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“…Studies on resting energy expenditure (REE) in AP are limited and have shown that most patients with severe AP and AP with sepsis are hypermetabolic based on gold standard indirect calorimetry (> 110% of predicted energy expenditure by Harris-Benedict equation)[ 6 , 7 ]. Hyperglycemia is often observed during AP and is related to pancreatic necrosis and infections.…”

Section: Nutritional Management In Msap and Sapmentioning

confidence: 99%

Nutrition in acute pancreatitis

Gopi¹,

Saraya²,

Gunjan³

2023

World J Gastrointest Surg

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Acute pancreatitis (AP) has varying severity, and moderately severe and severe AP has prolonged hospitalization and requires multiple interventions. These patients are at risk of malnutrition. There is no proven pharmacotherapy for AP, however, apart from fluid resuscitation, analgesics, and organ support, nutrition plays an important role in the management of AP. Oral or enteral nutrition (EN) is the preferred route of nutrition in AP, however, in a subset of patients, parenteral nutrition is required. EN has various physiological benefits and decreases the risk of infection, intervention, and mortality. There is no proven role of probiotics, glutamine supplementation, antioxidants, and pancreatic enzyme replacement therapy in patients with AP.

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Energy expenditure in acute pancreatitis evaluated by the Harris–Benedict equation compared with indirect calorimetry

Cited by 5 publications

References 15 publications

Assessment of Metabolic and Nutritional Imbalance in Mechanically Ventilated Multiple Trauma Patients: From Molecular to Clinical Outcomes

Assessment of Metabolic and Nutritional Imbalance in Mechanically Ventilated Multiple Trauma Patients: From Molecular to Clinical Outcomes

Analysis of Resting Energy Consumption and Its Influencing Factors in Stroke Patients with Severe Neurological Diseases: A Retrospective Clinical Study

Nutrition in acute pancreatitis

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