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Multidisciplinary Approach to Obesity Management: A Case Report
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Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Obesity.

David C Frankenfield1

  • 1Department of Clinical Nutrition and Department of Nursing, Penn State Milton S. Hershey Medical Center, Hershey, Pa., USA.

World Review of Nutrition and Dietetics
|October 19, 2012
PubMed
Summary
This summary is machine-generated.

Obese critically ill patients require early enteral nutrition. While hypocaloric high-protein feeding is often recommended, its benefits for critically ill obese patients remain uncertain.

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Area of Science:

  • Critical care medicine
  • Nutritional science
  • Obesity research

Background:

  • Obesity is prevalent in critically ill patients.
  • Obese patients face malnutrition and inflammatory responses similar to non-obese patients.
  • Early enteral nutrition principles apply to both obese and non-obese critically ill individuals.

Purpose of the Study:

  • To evaluate the application and efficacy of nutrition support in critically ill obese patients.
  • To examine the rationale and evidence for hypocaloric high-protein feeding in this population.

Main Methods:

  • Nutrition assessment in obese patients can be challenging.
  • Monitoring of nutrition support is consistent across obese and non-obese patients.
  • Hypocaloric high-protein feeding is a frequently considered strategy for obese patients.

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Main Results:

  • Rationale for hypocaloric feeding includes nitrogen balance without energy balance, difficulty predicting energy expenditure, risks of overfeeding, and observed positive outcomes.
  • Nitrogen balance can be achieved independently of energy balance.
  • Evidence supporting improved outcomes with hypocaloric feeding is limited, and overestimation of metabolic rate may be overstated.

Conclusions:

  • The standard practice of hypocaloric high-protein feeding in critically ill obese patients is still under investigation.
  • Further research is needed to confirm the benefits of this feeding strategy.