Protein and calorie requirements associated with the presence of obesity
Abstract
Obesity compounds the metabolic response to critical illness and increases the risk for overfeeding complications due to its comorbidities. Hypocaloric, high‐protein nutrition therapy affords the hospitalized patient with obesity the opportunity to achieve net protein anabolism with a reduced risk of overfeeding complications. The intent of this review is to provide the theoretical framework for development of a hypocaloric high‐protein regimen, scientific evidence to support this mode of therapy, and unique considerations for its use in specialized subpopulations. Macronutrient goals and practical suggestions for patient monitoring are given.
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There are large protein losses (20e30 g/L of abdominal fluid) in trauma patients.
“Higher protein intake reaching 1.5e2 g/kg/d may be considered in this population, since there are large protein losses (20e30 g/L of abdominal fluid) [127].”
From ESPEN practical and partially revised guideline: Clinical nutrition in the intensive care unit (2023) · cites this paper as [127]
Cites
A new predictive equation for resting energy expenditure in healthy individuals
Mifflin, M., St Jeor, S., Hill, L., Scott, B., Daugherty, S., & Koh, Y. (1990) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/51.2.241 · Cited by 2,544 · see citing works
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ESPEN guideline on clinical nutrition in the intensive care unit.
Singer, P., Blaser, A. R., Berger, M. M., Alhazzani, W., Calder, P. C., Casaer, M. P., Hiesmayr, M., Mayer, K., Montejo, J. C., Pichard, C., et al. (2019) · Clinical Nutrition · doi:10.1016/j.clnu.2018.08.037 · Cited by 2,904 · see citing works
ESPEN practical and partially revised guideline: Clinical nutrition in the intensive care unit
Singer, P., Blaser, A. R., Berger, M. M., Calder, P. C., Casaer, M., Hiesmayr, M., Mayer, K., Montejo-Gonzalez, J. C., Pichard, C., Preiser, J.-C., et al. (2023) · Clinical Nutrition · doi:10.1016/j.clnu.2023.07.011 · Cited by 793 · see citing works
Arslan, S. (2026) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2026.103305 · Cited by 13 · see citing works
- Authors
- Dickerson, R. N., Patel, J. J., & McClain, C. J.
- Affiliations
- University of Tennessee Health Science Center (US)
- Medical College of Wisconsin (US)
- University of Louisville (US)
- Corresponding author
- Dickerson, Roland N.
- Venue
- Nutrition in Clinical Practice
- Publisher
- Wiley
- Published
- 2017-02
- Volume
- 32
- Issue
- 1S
- Pages
- 86S-93S
- ISSN
- 0884-5336 (ISSN-L)
- 1941-2452
- OpenAlex
- W2588325712
- Cited by
- 30
- References
- 1
- Citations by year
- 2026: 3 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 7 · 2017: 1
- FWCI
- 0.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Nutrition in Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Keywords
- obesity, protein requirements, energy requirements, critical illness, protein anabolism, hospitalized patients, patient monitoring
- MeSH terms
- Dietary Proteins, Humans, Nutritional Requirements, Obesity, Critical Illness, Caloric Restriction
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