Abstract：
BACKGROUND:Malnutrition, associated with poor outcome in the elderly, may be exacerbated by weight loss during hospitalization. Accurate estimation of energy requirements is important, particularly if predictions are applied to caloric supply. Because data on energy requirements for the elderly are limited, particularly for African-American patients, predictions are commonly made with equations derived from a younger, caucasian, cohort from 80 years ago. METHOD:To compare measured resting metabolic rate (RMR) in a hospitalized elderly African-American cohort in an urban community hospital during 1998 with Harris-Benedict predictions of basal energy expenditure (BEE). Energy expenditure was measured by a strict protocol with a portable metabolic cart, and height and weight were measured standardly and used to calculate BEE and body mass index (BMI). RESULTS:In 61 subjects, aged 79.6+/-8.9 years, measured RMR was significantly greater than predicted BEE (p=0.001, t-test). Caloric expenditure averaged 24.7+/-5 kcal/kg/day, but the range was broad (14-39 kcal/kg/day). The BEE prediction was 20.3+/-2.4 kcal/kg/day. CONCLUSION:In elderly hospitalized African-American patients, the Harris-Benedict equation significantly underestimated energy requirements. Given the link between unintentional weight loss and increased mortality on the one hand and potential clinical complications of overfeeding on the other, measurement of energy expenditure is warranted.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Compher C,Cato R,Bader J,Kinosian Bkeywords:
subject
Has Abstractpub_date
2004-02-01 00:00:00pages
209-14issue
2eissn
0027-9684issn
1943-4693journal_volume
96pub_type
杂志文章abstract：PURPOSE:To report a case of a patient with mixed mechanism glaucoma and a clear lens who was successfully surgically treated with combination cataract extraction, goniosynechiolysis and the Hydrus stent. OBSERVATION:A 59-year-old Afro-Latino woman with a history of mixed mechanism glaucoma. She was taking latanoprost ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2020.04.003
更新日期：2020-08-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to investigate the relationship between occupation and head and neck cancers. PATIENTS AND METHODS:In this case-control study, 206 Turkish patients with head and neck cancers comprised the case group. The control group consisted of 206 age- and sex-matched patients without mal...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2007-01-01 00:00:00
abstract：:The gastrointestinal tract is the largest lymphoid reservoir of the body and is subject to damage that compromises the cellular and humoral defense mechanism. With the increasing numbers of patients infected with the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), health-care practiti...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
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abstract：:The treatment of patients with sickle cell disease and cholelithiasis is controversial. This retrospective study assesses the outcome of preoperative transfusion and timely cholecystectomy in symptomatic sickle cell disease patients. Fourteen patients who had undergone cholecystectomy were determined to have sickle ce...
journal_title：Journal of the National Medical Association
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更新日期：1992-08-01 00:00:00
abstract：BACKGROUND:Self-monitoring of blood glucose (SMBG) is considered to be 1 of the cornerstones of diabetes self-management. It is unclear whether inadequate health literacy affects SMBG. OBJECTIVE:The objective of this study was to examine the relationship between health literacy and SMBG. METHODS:This was a cross-sect...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30469-7
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abstract：:African Americans have higher rates of hypertension and poorer health status than their white counterparts. This study assessed the relationship between health status, cardiovascular risk factors, and measured blood pressure. Free blood pressure screenings were performed at businesses and organizations located in west...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1998-11-01 00:00:00
abstract：:A questionnaire was developed to assess religiously based moral beliefs about acquired immunodeficiency syndrome. The questionnaire was administered to a group of primarily black physicians, a selection of freshman medical students, two groups of clergy representing contrasting philosophical orientations, a group of y...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
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journal_title：Journal of the National Medical Association
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1989-08-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
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更新日期：1999-07-01 00:00:00
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doi：
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journal_title：Journal of the National Medical Association
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doi：
更新日期：2001-03-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jnma.2017.04.008
更新日期：2018-06-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1996-08-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30673-8
更新日期：2010-09-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 共识发展会议,杂志文章,评审
doi：
更新日期：2002-02-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2018.06.005
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1993-08-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 临床试验,杂志文章
doi：
更新日期：2006-12-01 00:00:00
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journal_title：Journal of the National Medical Association
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doi：10.1016/j.jnma.2017.12.005
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journal_title：Journal of the National Medical Association
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doi：
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journal_title：Journal of the National Medical Association
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journal_title：Journal of the National Medical Association
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doi：
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journal_title：Journal of the National Medical Association
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journal_title：Journal of the National Medical Association
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
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journal_title：Journal of the National Medical Association
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doi：
更新日期：1980-03-01 00:00:00
