Comparison of the Metabolic Response to Burn Injury in Obese and Nonobese Patients
Abstract
Burned patients who are obese encounter many obstacles to recovery associated with their excess weight. Weight is used as a factor in most equations designed to estimate energy expenditure, whereas measurement of energy expenditure provides an objective assessment of energy expenditure. In this study 15 obese and 15 nonobese burned patients had their energy expenditures measured with indirect calorimetry (MEE) and compared with energy expenditures predicted with the Harris-Benedict equation (HBEE) to assess the magnitude of hypermetabolism associated with burn injury. There were no significant differences between the obese and nonobese patients in height or burn size. ME, HBEE, and weight were significantly greater in the obese versus the nonobese patients (p < 0.05). The degree of hypermetabolism (MEE/HBEE) in the obese patients was not significantly different from that of the nonobese patients. Obese burned patients have an increase in metabolic rate (energy expenditure) similar to that of nonobese burned patients.
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In a study of 395 inpatients referred for nutritional support, no single prediction equation was accurate (within 90-110% of measured REE) in the majority of the population.
“In this study the authors concluded that no single prediction equation was accurate (i.e.within 90e110% of measured REE) in the majority of the population.”
From ESPEN guideline on nutritional support for polymorbid medical inpatients (2023) · cites this paper as [64]
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- Authors
- Ireton-Jones, C.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- Corresponding author
- Ireton-Jones, Carol
- ORCID
- Ireton-Jones, Carol
- Venue
- Journal of Burn Care & Rehabilitation
- Publisher
- Oxford University Press (OUP)
- Published
- 1997-01
- Volume
- 18
- Issue
- 1
- Pages
- 81-85
- ISSN
- 0273-8481 (ISSN-L)
- OpenAlex
- W2068704903
- Cited by
- 16
- References
- 0
- Citations by year
- 2024: 1 · 2023: 1 · 2019: 2 · 2017: 1 · 2013: 1 · 2012: 2
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Burn Care & Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Burn Injury Management and Outcomes
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Keywords
- burns, obesity, energy expenditure, hypermetabolism, indirect calorimetry, Harris-Benedict equation, metabolic rate
- MeSH terms
- Adult, Burns, Calorimetry, Indirect, Energy Metabolism, Female, Humans, Male, Middle Aged, Obesity
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