Choban P S, Flancbaum L
Bariatric Treatment Center of Ohio, Columbus, USA.
Clin Nutr. 2000 Oct;19(5):305-11. doi: 10.1054/clnu.1999.0095.
Obese patients are frequently encountered in hospitals. This is not unexpected given the fact that obesity currently constitutes a worldwide public health epidemic. The clinical indications for nutritional support and route of nutrition support selected should be similar in obese and normal weight patients. Determining nutritional requirements by conventional methods and formulas are often inaccurate in this population. For this reason, direct measurement of energy needs using indirect calorimetry when available has become the preferred method. A strategy employing hypocaloric nutrition support will be presented and discussed.
肥胖患者在医院中很常见。鉴于肥胖目前已成为一种全球性的公共卫生流行病，出现这种情况并不意外。肥胖患者和正常体重患者在营养支持的临床指征及所选营养支持途径方面应是相似的。用传统方法和公式来确定这一人群的营养需求往往不准确。因此，在可行时，使用间接测热法直接测量能量需求已成为首选方法。本文将介绍并讨论一种采用低热量营养支持的策略。
