Cited by 111Clinical Nutrition and GastroenterologyBiomedical and Chemical ResearchBody Composition Measurement Techniques

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The Measurement of Energy Expenditure

Branson, Richard D., Johannigman, Jay A.·2004·Nutrition in Clinical Practice

DOI 10.1177/0115426504019006622

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Abstract

Proper nutrition support depends upon the clinician's ability to estimate the patient's energy expenditure. The accuracy of estimation is inversely proportional to the severity of the patient's illness. This fact has spurred academic and industry groups to pursue the measurement of energy expenditure. Harris and Benedict used indirect calorimetry to develop their now-famous equation nearly 100 years ago. The concept of indirect calorimetry is simple; if you know the concentration of inspired gases and expired gases, along with the flow, you can determine the amount of a gas consumed or produced. The complexity and expense of indirect calorimeters suggest that this simple concept is technically challenging. Because we desire to know the energy expenditure of the most critically ill patients, indirect calorimetry is further confounded by the presence of oxygen and mechanical ventilation. This paper will discuss the myriad of variables and obstacles that complicate the measurement of energy expenditure and will suggest methods to avoid or overcome them.

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Authors: Branson, R. D., & Johannigman, J. A.
Affiliations: University of Cincinnati (US)
Corresponding author: Branson, Richard D.
ORCID: Branson, Richard D.
Venue: Nutrition in Clinical Practice
Publisher: Wiley
Published: 2004-12
Volume: 19
Issue: 6
Pages: 622-636
ISSN: 0884-5336 (ISSN-L)
1941-2452
DOI: 10.1177/0115426504019006622
OpenAlex: W2033421301
Cited by: 111
References: 56
Citations by year: 2026: 4 · 2025: 2 · 2024: 3 · 2023: 13 · 2022: 4 · 2021: 5 · 2020: 7 · 2019: 8 · 2018: 6 · 2017: 9 · 2016: 5 · 2015: 6 · 2014: 2 · 2013: 7 · 2012: 3
FWCI: 2.43
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Nutrition in Clinical Practice (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
Health Sciences › Medicine › Physiology (medical) › Biomedical and Chemical Research
Health Sciences › Medicine › Physiology (medical) › Body Composition Measurement Techniques
Keywords: energy expenditure, indirect calorimetry, Harris-Benedict equation, critically ill patients, mechanical ventilation, oxygen consumption, nutritional support

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