Energy Expenditure in Patients With Esophageal, Gastric, and Colorectal Cancer

Alves, Ana Lígia Ceolin; Zuconi, Carolina Pereira; Correia, María Isabel Toulson Davisson

doi:10.1177/0148607114567336

Cited by 17 publications

(6 citation statements)

References 30 publications

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“…The Purcell et al study included mostly colon/rectal cancer patients (69.6%). Their results may be comparable with the Brazilian study of Ceolin Alves et al in which digestive tract patients had a similar REE to the sample control and had normometabolism. However, in the Souza–Singer study, 57% of patients were classified as having hypermetabolism.…”

supporting

confidence: 88%

Comment on Accuracy of Resting Energy Expenditure Predictive Equations in Patients With Cancer

et al. 2019

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supporting

confidence: 88%

Comment on Accuracy of Resting Energy Expenditure Predictive Equations in Patients With Cancer

et al. 2019

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“…In this regard, another method that could help assess nutrition repletion is calorimetry, which measures energy expenditure. The latter is dependent on muscle mass, as this is the metabolically active tissue and major determinant of energy expenditure . However, the metabolic status of the individual, the presence of fever, changes in ambient temperature, and the thermic effect of food and activity may influence calorimetry, hampering its use alone to provide the nutrition diagnosis.…”

Section: Nutrition Assessmentmentioning

confidence: 99%

Nutrition Screening vs Nutrition Assessment: What’s the Difference?

Correia

2017

Nut in Clin Prac

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Screening and assessment imply different processes, with the former indicating risk factors for a deprived nutrition condition and the latter providing the nutrition diagnosis. Both should be routinely performed at hospital admission according to recommended guidelines; however, this is not the reality worldwide, and undernutrition remains highly prevalent in the hospital setting. Therefore, the objective of the current review is to delve into the principles leading to nutrition status deficiencies and how they should be addressed by screening and assessment. A critical appraisal for the reasons associated with the misunderstanding between screening and assessing is proposed without further discussing the many available screening tools while approaching some of the assessment instruments. (Nutr Clin Pract. 2018;33:62-72)

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“…A more pronounced decline in REE in very old subjects could even be a marker of frailty and sarcopenia as suggested by the results of a recent study [56]. In patients with esophageal cancer, not only was the REE not increased [57], but a low REE was also associated with worse survival at five years [58].…”

Section: Discussionmentioning

confidence: 92%

Energy Expenditure in Older People Hospitalized for an Acute Episode

et al. 2019

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Weight loss and worsening of nutritional state is a frequent downfall of acute hospitalization in older people. It is usually accepted that acute inflammation is responsible for hypercatabolism. However, several studies suggest, on the contrary, a reduction in resting energy expenditure (REE). This study aimed to obtain a reliable measure of REE and total energy expenditure (TEE) in older patients hospitalized for an acute episode in order to better assess patients’ energy requirements and help understand the mechanisms of weight loss in this situation. Nineteen hospitalized older patients (mean age 83 years) with C-reactive protein (CRP) level >20mg/L were recruited. REE and TEE were measured using gold standard methods of indirect calorimetry and doubly labeled water (DLW), respectively. REE was then compared to data from a previous study on aged volunteers from nursing homes who were free of an acute stressor event. Energy requirements measured by DLW were confirmed at 1.3 × REE. Energy intake covered the needs but did not prevent weight loss in these patients. TEE was not increased in hospitalized patients and was not influenced by inflammation, while the relationship between REE and inflammation was uncertain. Our results suggest that lean mass remains the major determinant of REE in hospitalized older people and that weight loss may not be explained solely by a state of hypercatabolism.

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Energy Expenditure in Patients With Esophageal, Gastric, and Colorectal Cancer

Abstract: The patients with digestive tract cancers showed a similar REE to that of the controls. The current formula of 30 kcal/kg is suitable for estimating the TEE of these patients.

Cited by 17 publications

References 30 publications

Comment on Accuracy of Resting Energy Expenditure Predictive Equations in Patients With Cancer

Comment on Accuracy of Resting Energy Expenditure Predictive Equations in Patients With Cancer

Nutrition Screening vs Nutrition Assessment: What’s the Difference?

Energy Expenditure in Older People Hospitalized for an Acute Episode

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