Anne-Françoise Rousseau MD, PhD, Marjorie Fadeur RD, Jean-Philippe Fauville MD, Nadine Hans MD, François Martin MD, Benoit Misset MD
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During the week following injury, a dietitian performed indirect calorimetry (Q-NRG in canopy mode), calculated the estimated energy expenditure (eEE) based on the Harris-Benedict (HB) and Henry formulas, and evaluated daily energy intakes using a food anamnesis.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Forty-nine patients (59.2% male; median age: 35 [interquartile range: 29–46.5] years; body mass index [BMI]: 26.2 [22.3–29.6] kg/m<sup>2</sup>; burn surface area [BSA]: 1.5% [1%–2%]) were included 4 (2–6) days after injury. The mEE was 1863 (1568–2199) kcal or 25 (22.4–28.5) kcal/kg and 1838 (1686–2026) kcal or 26.1 (23.7–27.7) kcal/kg in patients who were respectively fasting for >10 h or not (<i>P</i> = 0.991 or <i>P</i> = 0.805). The total mEE was 104% (95%–116%) and 108% (99%–122%) of the total eEE using the HB and Henry formulas, respectively, with diet-induced thermogenesis and physical activity level. Hypermetabolism (ie, oxygen consumption at rest ≥3.5 ml/kg/min) was observed in 21/49 (42.9%) patients. Energy intakes corresponded to 71% (60%–86%) of the total mEE.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Performing indirect calorimetry in adults with minor burns revealed that ≥40% of the tested adults presented a hypermetabolism and that their mEE was not covered by their energy intakes.</p>\n </section>\n </div>","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Determination of energy requirements after minor burns using indirect calorimetry: A descriptive cohort study\",\"authors\":\"Anne-Françoise Rousseau MD, PhD, Marjorie Fadeur RD, Jean-Philippe Fauville MD, Nadine Hans MD, François Martin MD, Benoit Misset MD\",\"doi\":\"10.1002/jpen.2614\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Minor burns could be associated with moderate hypermetabolism. 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引用次数: 0
摘要
背景:轻度烧伤可能与中度代谢亢进有关。本研究的主要结果是通过间接热量计测定轻度烧伤患者的能量消耗(mEE)。我们还将 mEE 与预测值和实际能量摄入量进行了比较:方法:研究对象包括在门诊接受治疗的轻度烧伤成人患者。受伤后一周内,由营养师进行间接热量测定(天棚模式下的 Q-NRG),根据哈里斯-本尼迪克特公式(HB)和亨利公式计算估计能量消耗(eEE),并使用食物清单评估每日能量摄入量:49名患者(59.2%为男性;中位年龄:35 [四分位间范围:29-46.5]岁;体重指数[BMI]:26.2 [22.3-29.6] kg/m2;烧伤面积[BSA]:1.5% [1%-2%] kg/m2;烧伤面积[BSA]:1.5% [2%] kg/m2在伤后 4 (2-6) 天纳入了 1.5% [1%-2%] 的烧伤面积[BSA]。禁食超过 10 h 或未禁食的患者的 mEE 分别为 1863 (1568-2199) kcal 或 25 (22.4-28.5) kcal/kg,1838 (1686-2026) kcal 或 26.1 (23.7-27.7) kcal/kg(P = 0.991 或 P = 0.805)。使用 HB 和 Henry 公式计算的总 mEE 分别是总 eEE 的 104% (95%-116%) 和 108% (99%-122%),饮食诱导产热和体力活动水平。21/49(42.9%)名患者出现高代谢(即静息时耗氧量≥3.5 ml/kg/min)。能量摄入量占总 mEE 的 71%(60%-86%):对轻度烧伤的成人进行间接热量测定显示,≥40% 的受测成人代谢过高,其能量摄入量无法满足其 mEE。
Determination of energy requirements after minor burns using indirect calorimetry: A descriptive cohort study
Background
Minor burns could be associated with moderate hypermetabolism. In this study, the primary outcome was measured energy expenditure (mEE) determined by indirect calorimetry in patients with minor burns. We also compared mEE with predictive values and actual energy intakes.
Methods
Adults with minor burns exclusively treated on an outpatient basis were included. During the week following injury, a dietitian performed indirect calorimetry (Q-NRG in canopy mode), calculated the estimated energy expenditure (eEE) based on the Harris-Benedict (HB) and Henry formulas, and evaluated daily energy intakes using a food anamnesis.
Results
Forty-nine patients (59.2% male; median age: 35 [interquartile range: 29–46.5] years; body mass index [BMI]: 26.2 [22.3–29.6] kg/m2; burn surface area [BSA]: 1.5% [1%–2%]) were included 4 (2–6) days after injury. The mEE was 1863 (1568–2199) kcal or 25 (22.4–28.5) kcal/kg and 1838 (1686–2026) kcal or 26.1 (23.7–27.7) kcal/kg in patients who were respectively fasting for >10 h or not (P = 0.991 or P = 0.805). The total mEE was 104% (95%–116%) and 108% (99%–122%) of the total eEE using the HB and Henry formulas, respectively, with diet-induced thermogenesis and physical activity level. Hypermetabolism (ie, oxygen consumption at rest ≥3.5 ml/kg/min) was observed in 21/49 (42.9%) patients. Energy intakes corresponded to 71% (60%–86%) of the total mEE.
Conclusion
Performing indirect calorimetry in adults with minor burns revealed that ≥40% of the tested adults presented a hypermetabolism and that their mEE was not covered by their energy intakes.
期刊介绍:
The Journal of Parenteral and Enteral Nutrition (JPEN) is the premier scientific journal of nutrition and metabolic support. It publishes original peer-reviewed studies that define the cutting edge of basic and clinical research in the field. It explores the science of optimizing the care of patients receiving enteral or IV therapies. Also included: reviews, techniques, brief reports, case reports, and abstracts.