P271 Resting Energy Expenditure in White and Non-White Severely Obese Brazilian Woman

Horie, L.M.; Gonzalez, Maria Cristina; Torrinhas, Raquel Susana; Ravacci, Graziela Rosa; Ivan, Cristina; Raslan, Mariana; Waitzberg, D.L.

doi:10.1016/s1744-1161(08)70333-8

Cited by 4 publications

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“…There is controversy as to what or how much nutrition to provide to hospitalized obese patients as calorie needs can vary considerably. Horie et al 13 measured resting energy expenditure (MREE) in 58 obese women (BMI 45.47 ± 5.28 kg/m 2 ) prior to gastric bypass surgery. Mean MREE was 1953.45 ± 273 kcal/d or 17.25 ± 1.69 kcal/kg.…”

Section: Methodsmentioning

confidence: 99%

Hypocaloric Home Parenteral Nutrition and Nutrition Parameters in Patients Following Bariatric Surgery

et al. 2011

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Section: Methodsmentioning

confidence: 99%

Hypocaloric Home Parenteral Nutrition and Nutrition Parameters in Patients Following Bariatric Surgery

et al. 2011

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“…However, when the data were adjusted according to the free fat mass of each candidate, the REEs were significantly higher for the nonwhite severely obese women, and the difference between the groups was 158.4 kcal (P < .01). 39 It is difficult to assess the body composition of extremely obese patients, and this can interfere with energy and protein estimations, as well as with water and drug requirements. In a study of severely obese subjects (83 women/36 men) with a mean age of 41.6 ± 11.6 years, body fat (BF) estimations were calculated based on BIA and ADP.…”

Section: Patient Outcomesmentioning

confidence: 99%

Strategies for High‐Quality Nutrition Therapy in Brazil

Waitzberg

Correia

2015

J Parenter Enteral Nutr

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It is a great honor to present the 2015 Rhoads Lecture and to discuss strategies for high-quality nutrition therapy (NT), as well as to address the problem of malnutrition in Brazilian hospitals.Dr Rhoads is known for his outstanding achievements in nutrition care, and his unquestionable legacy is demonstrated by the translation of his many scientific papers and books into several languages. The importance of artificial nutrition in the overall care of a patient is reflected in Dr Rhoads's own words: "intravenous feeding is one of the rare things in Medicine that has turned out to be better than its sponsors anticipated." Moreover, when Dr Rhoads was awarded for his contributions and leadership in the field of nutrition, in his speech, he referred to a quote by Nobel laureate economist Milton Friedman: "success lies on the degree to which one's ideas and contributions become embedded in the body of knowledge that comprised one's discipline."1 Indeed, we are here to confirm the veracity of this statement regarding Dr Rhoads's scientific contributions.Accumulating evidence supports the utmost relevancy of artificial nutrition, including oral nutrition, enteral nutrition (EN), and parenteral nutrition (PN), as one of the cornerstones of patient care. Nonetheless, for the full success of NT to be achieved, it is imperative that standardized procedures be followed to prevent life-threatening associated complications and, above all, to avoid the "one-size-fits-all" practice of nutrition, which should be condemned by those following the evidence behind science. History of NT in BrazilHere, the steps that have helped Brazil implement an NT practice are presented and discussed. The statements herein are based on the experience and data of the authors, although we also acknowledge and cite the work of other professionals who have contributed to the development of NT practice in Brazil. In combination, these scientific data highlight the importance of applying advances in laboratory research to the clinical setting to improve patient care. First, we review the history of clinical nutrition in Brazil, with a particular emphasis on the role of nutrition screening and nutrition assessment as demonstrated by a malnutrition prevalence study that encompassed 4000 patients.2 Next follows a discussion of to whom, when, and what NT should be administered, particularly regarding immunonutrition and parenteral lipid emulsions. Finally, strategies that have been used to implement hospital clinical nutrition are presented, with a focus on patients with short bowel syndrome (SBS) and obesity. The outcomes, costs, quality control, and education in clinical practice that are currently involved with these strategies are also presented, as well as how these strategies have the potential to affect perspectives.Very briefly, Brazil is a country that has approximately 200 million inhabitants, 10% of whom are elderly. Life expectancy AbstractStrategies for improving nutrition therapy (NT) are of utmost importance in any healthcare system. The ...

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“…These estimations are not always accurate for REE in subjects with overweight or obesity [7]. Actual published evidence is reflecting great disparities between predicted and measured energy expenditure values in patients with obesity [8][9][10]. Additionally, at present, there is no reliable data regarding their accuracy in estimating REE in patients with severe obesity (SO).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Resting Energy Expenditure in Subjects with Severe Obesity and Its Evolution After Bariatric Surgery

et al. 2021

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Purpose One major determinant of weight loss is resting energy expenditure (REE). However, data regarding REE is scarce in patients with severe obesity (SO)—BMI>50kg/m2. Most studies used equation in order to estimate REE and not indirect calorimetry (IC) (gold standard). Additionally, there is no reliable data on the impact of bariatric surgery (BS) on REE. Objectives (a) To evaluate the REE in patients with SO; (b) to compare REE measured by IC (mREE) to that calculated by Mifflin St-Jeor equation (eREE); (c) to evaluate the impact of BS on REE and the relationship with evolution post-BS. Material and Methods Single-center observational study including consecutive patients with SO between January 2010 and December 2015, candidates for BS. mREE was determined at baseline, and 1 and 12 months post-BS by IC, using a Vmax metabolic monitor. Results Thirty-nine patients were included: mean age 46.5±11.77 years, 64.1%women. Preoperative mREE was 2320.38±750.81 kcal/day. One month post-BS, the mREE significantly decreased (1537.6 ± 117.46 kcal/day, p = 0.023) and remained unchanged at 12 months (1526.00 ± 123.35 kcal/day; p =0.682). Reduction in mREE after the BS was a predictor of reaching successful weight loss (nadir) and weight regain (5 years follow-up) (AUCROC of 0.841 (95%CI [0.655–0.909], p=0.032) and AUCROC of 0.855 (95% CI [0.639–0.901]), p= 0.027, respectively). eREE was not valid to identify these changes. Conclusion In patients with SO, a significant reduction of mREE occurs 1 month post-BS, unchanged at 12 months, representing the major conditioning of successful weight loss and maintenance post-BS. Graphical abstract

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P271 Resting Energy Expenditure in White and Non-White Severely Obese Brazilian Woman

Cited by 4 publications

References 0 publications

Hypocaloric Home Parenteral Nutrition and Nutrition Parameters in Patients Following Bariatric Surgery

Hypocaloric Home Parenteral Nutrition and Nutrition Parameters in Patients Following Bariatric Surgery

Strategies for High‐Quality Nutrition Therapy in Brazil

Evaluation of Resting Energy Expenditure in Subjects with Severe Obesity and Its Evolution After Bariatric Surgery

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