The energetics of wasting diseases

Kulstad, Roger; Schoeller, Dale A.

doi:10.1097/mco.0b013e3281e38942

Cited by 28 publications

(11 citation statements)

References 26 publications

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“…That being said, we firmly believe that it was prudent to present data from waist-mounted and ankle-mounted instruments separately as the absolute difference in detected steps was likely to impair direct comparisons. Although it is plausible that at least some disease/disability-related reduction in steps/day is complicated by slower gaits with advanced disability, the pattern displayed is congruent with what we know from other assessments of physical activity in these populations, including doubly labeled water (Kulstad and Schoeller, 2007). Ultimately, the choice of which instrument is best to capture the unique ambulatory activity patterns of a population is a function of the research question, participant burden, and resources available to the researcher or practitioner.…”

Section: Discussionsupporting

confidence: 68%

Expected values for steps/day in special populations

Tudor-Locke

Washington

Hart

2009

Preventive Medicine

160

118

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Section: Discussionsupporting

confidence: 68%

Expected values for steps/day in special populations

Tudor-Locke

Washington

Hart

2009

Preventive Medicine

160

118

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“…Conversely, slow and fast movement times were significantly decreased as tumour presence increased, the difference being more marked in the dark phase. Similar results have been described in humans under cancer cachexia (24,25). In experimental animals, similar results have also been found using the C26 adenocarcinoma model (26).…”

Section: Resultssupporting

confidence: 77%

Cancer cachexia: Physical activity and muscle force in tumour-bearing rats

Toledo

Busquets²,

Sirisi³

et al. 2010

Oncol Rep

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Abstract. Rats bearing the Yoshida AH-130 ascites hepatoma are subjected to substantial weight loss, which is accompanied by anorexia at the end of the tumour cycle. Total physical activity (measured using the IR Actimeter system and Actitrack software) was determined during 11 days in control and tumour-bearing animals, skeletal muscle strength being also by the grip-strength test. The results presented clearly show that the presence of the tumour induces an earlier decrease in physical performance, which affects both skeletal muscle force and physical activity (both locomotor movements and stereotyped movements and distance travelled, among others parameters).

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“…The finding of a global U-shaped pattern has been supported by nation-specific malnutrition prevalence data from the Nutrition Screening Week 2007-2011 (28). Younger patients might suffer from more-serious diseases when admitted to the hospital and have a disease-related or younger age-related higher expenditure of energy (29,30) Actual reduced meal intake might supply sufficient energy for women and older patients. Nevertheless, it is questionable whether micronutrient requirements are met when these patients, especially those who are hospitalized for longer, regularly eat unbalanced or only selected parts of the meal provided.…”

Section: Discussionmentioning

confidence: 99%

To eat or not to eat? Indicators for reduced food intake in 91,245 patients hospitalized on nutritionDays 2006–2014 in 56 countries worldwide: a descriptive analysis

Schindler¹,

Themessl-Huber

Hiesmayr

et al. 2016

The American Journal of Clinical Nutrition

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To eat or not to eat? Indicators for reduced food intake in 91,245 patients hospitalized on nutritionDays [2006][2007][2008][2009][2010][2011][2012][2013][2014] Geneva University Hospital, Geneva, Switzerland ABSTRACT Background: Inadequate nutrition during hospitalization is strongly associated with poor patient outcome, but ensuring adequate food intake is not a priority in clinical routine worldwide. This lack of priority results in inadequate and unbalanced food intake in patients and huge amounts of wasted food. Objectives: We evaluate the main factors that are associated with reduced meal intake in hospitalized patients and the differences between geographical regions. Design: We conducted a descriptive analysis of data from 9 consecutive, annual, and cross-sectional nutritionDay samples (2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014) in a total of 91,245 adult patients in 6668 wards in 2584 hospitals in 56 countries. A general estimation equation methodology was used to develop a model for meal intake, and P-value thresholding was used for model selection. Results: The proportion of patients who ate a full meal varied widely (24.7-61.5%) across world regions. The factors that were most strongly associated with reduced food intake on nutritionDay were reduced intake during the previous week ( Conclusions: A set of factors that are associated with full meal intake was identified and is applicable to patients hospitalized in any region of the world. Thus, the likelihood for reduced food intake is easily estimated through access to patient characteristics, independent of world regions, and enables the easy personalization of food provision. This trial was registered at clinicaltrials.gov as NCT02820246.Am J Clin Nutr

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The energetics of wasting diseases

Abstract: Wasting is often the result of endocrine disorders accompanying the disease process itself. This, coupled with reduced energy intake, is often the primary contributor to wasting.

Cited by 28 publications

References 26 publications

Expected values for steps/day in special populations

Expected values for steps/day in special populations

Cancer cachexia: Physical activity and muscle force in tumour-bearing rats

To eat or not to eat? Indicators for reduced food intake in 91,245 patients hospitalized on nutritionDays 2006–2014 in 56 countries worldwide: a descriptive analysis

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