Abstract:
INTRODUCTION:"tight calorie control" concept arose to avoid over- and under-feeding of patients. OBJECTIVE:to describe and validate a simplified predictive equation of total energy expenditure (TEE) in mechanically ventilated critically ill patients. METHODS:this was a secondary analysis of measurements of TEE by indirect calorimetry in critically ill patients. Patients were allocated in a 2:1 form by a computer package to develop the new predictive equation TEE (prediction cohort) and the validation cohort. Indirect calorimetry was performed with three different calorimeters: the Douglas-bag, a metabolic computer and the CalorimetR. We developed a new TEE predictive equation using measured TEE (in kcal/kg/d) as dependent variable and as independent variables different factors known to influence energy expenditure: age, gender, body mass index (BMI) and type of injury. RESULTS:prediction cohort: 179 patients. Validation cohort: 91 patients. The equation was: TEEPE (kcal/Kg/d) = 33 - (3 x A) - (3 x BMI) - (1 x G). Where: A (age in years): ≤ 50 = 0; > 50 = 1. BMI (Kg/m2): 18.5 - 24.9 = 0; 25 - 29.9 = 1; 30 - 34.9 = 2; 35 - 39.9 = 3. G (gender): male = 0; female = 1. The bias (95% CI) was -0.1 (-1.0 - 0.7) kcal/kg/d and the limits of agreement (} 2SD) were -8.0 to 7.8 kcal/kg/d. Predicted TEE was accurate (within 85% to 115%) in 73.6% of patients. CONCLUSION:the new predictive equation was acceptable to predict TEE in clinical practice for most mechanically ventilated critically ill patients. :Introducción: el concepto de “control calorico estricto” surgio para evitar la excesiva y la deficiente nutricion de los pacientes. Objetivo: describir y validar una ecuacion simplificada para el calculo del gasto energetico total (GET) en pacientes criticos con ventilacion mecanica. Métodos: analisis secundario de las mediciones de GET por calorimetria indirecta en pacientes criticos. Los pacientes fueron asignados de forma 2:1 por un paquete estadistico; el primer grupo se empleo para desarrollar la nueva ecuacion predictiva del GET (grupo predictivo) y el segundo para validarla (grupo validacion). La calorimetria indirecta se realizo con tres calorimetros diferentes: la bolsa de Douglas, un computador metabolico y el equipo CalorimetR. Hemos desarrollado la nueva ecuacion predictiva del GET utilizando el GET medido (en kcal/kg/d), como variable dependiente, y como variables independientes los diferentes factores que influyen en el gasto energetico: edad, genero, indice de masa corporal (IMC) y tipo de lesion. Resultados: el grupo de prediccion incluyo 179 pacientes y el de validacion 91 pacientes. La ecuacion predictiva fue: GETEP = 33 - (3 x E) - (3 x IMC) - (1 x G). Donde: E (edad en anos): ≤ 50 = 0; > 50 = 1. IMC (kg / m2): 18,5- 24,9 = 0; 25-29,9 = 1; 30-34,9 = 2; 35-39,9 = 3. G (genero): hombre = 0; mujer = 1. El sesgo (IC del 95%) entre el GET medido y el predicho fue de -0,1 (-1,0 a 0,7) kcal/ kg/dia y los limites de acuerdo (} 2SD) fueron -8,0 a 7,8 kcal/kg/d. El GET por la ecuacion predictiva fue preciso (entre el 85% y el 115%) en el 73,6% de los pacientes. Conclusiones: La nueva ecuacion predictiva fue aceptable para predecir el GET de la mayoria de pacientes criticos con ventilacion mecanica en la practica clinica.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
Raurich JM,Llompart-Pou JA,Ferreruela M,Riera M,Homar J,Marsé P,Colomar A,Ayestarán Idoi
10.3305/nh.2015.32.3.9359subject
Has Abstractpub_date
2015-09-01 00:00:00pages
1273-80issue
3eissn
0212-1611issn
1699-5198journal_volume
32pub_type
杂志文章abstract::Behavioral eating disorders (BED's) have shown an intense growth in the last years. They are considered to be caused by multiple factors, showing a bio-psycho-socio-cultural etiology. Although there are clinical signs that could alert the physician and allow an early diagnosis, their final diagnosis must meet certain ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1999-05-01 00:00:00
abstract:Introducción:las enfermedades cardiovasculares (EC) constituyen la principal causa de muerte a nivel mundial. La etiología es multifactorial, pueden influir diversos factores como la dieta, los hábitos de vida, el nivel de ejercicio físico o la carga genética. El gran número de genes implicados, así como sus diversas v...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.20960/nh.v33i1.23
更新日期:2016-02-16 00:00:00
abstract::A multidisciplinary and multiprofessional debate is established trying to detect and find plausible solutions regarding Home-based and Ambulatory Enteral Nutrition (HBAEN) in Spain, due to the little attention paid by the Administration to the global problem of hyponutrition, the little interest showed by the collecti...
journal_title:Nutricion hospitalaria
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doi:
更新日期:2008-03-01 00:00:00
abstract::An assessment was made of the predictive capacity of the following predictive formulation named Nutritional Sepsis Risk: NSR = 14.26 - 1.76 (albumin) - 1.47 (risk area) This was done in a sample of 65 surgery patients with digestive pathology who were candidates for selective surgery. All had undergone a pre-operative...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1994-11-01 00:00:00
abstract:UNLABELLED:Hyperglycemia without previous history of diabetes mellitus (DM) is observed in a high percentage of patients in intensive care units (ICU). OBJECTIVE:To determine the behavior of glycemia in nondiabetic patients with hyperglycemia by administering two micronutrients. METHODS:A clinical trial was conducted...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.5.8526
更新日期:2015-05-01 00:00:00
abstract::We have done a clinical study in patients with benign biliary disease and indication for surgery, with the aim of analyzing some parameters of gastric secretion, biliary and pancreatic function, and gastrointestinal hormones in relation to the quantity and quality of the dietary fat (monounsaturated and polyunsaturate...
journal_title:Nutricion hospitalaria
pub_type: 临床试验,杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract:INTRODUCTION:Dietary questionnaires usually only assess the intake of drinks that provide calories, but do not accurately evaluate total fluid or water intake. The evaluation of the fluid consumption pattern of a population has been the main objective of only a very few studies. OBJECTIVE:To evaluate the total fluid i...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.29.5.7421
更新日期:2014-05-01 00:00:00
abstract:Introduction:Objective: to identify cytokines and to associate them with several indexes of total and central adiposity in young female undergraduate students. Methods: 58 young female sophomore students, aged 18 to 25 years, from a Brazilian public university were evaluated. Both anthropometric measures (weight, heigh...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02860
更新日期:2020-04-16 00:00:00
abstract::Introducción: existen alteraciones frecuentes en la alimentación de la población infantil femenina, y especialmente en atletas de deportes estéticos por la presión ejercida para mantener un cuerpo.Objetivos: evaluar los aspectos nutricionales, antropométricos y la percepción del peso de niñas que realizan gimnasia rít...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.383
更新日期:2016-07-19 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.20960/nh.2133
更新日期:2018-06-12 00:00:00
abstract::We present a case of a 46-year-old woman who is hospitalized in March of 1997 for a picture of severe mixed malnutrition. We describe the clinical history since the diagnosis of an endometrium carcinoma in 1995, treated with radiation therapy, with the aim of determining the etiology of the severe malnutrition picture...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1999-05-01 00:00:00
abstract:INTRODUCTION:Iron is an essential micronutrient in the growing fetus. OBJECTIVE:The purpose of this study is to find the possible correlations that may exist between maternal and fetal iron status and newborn weight. MATERIAL AND METHODS:The study included 97 mothers scheduled to give birth by elective caesarean sect...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.238
更新日期:2017-06-05 00:00:00
abstract::Obesity has become an important problem of public health in all developed countries. It has slightly different connotations in women because, apart from its greater prevalence, low socio-economic level is a risk factor solely for women. As well as a cardiovascular risk factor in women, it is associated with an increas...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2003-09-01 00:00:00
abstract:INTRODUCTION:The Metabolic Syndrome is one of the first health problems in the public health of the century. It's consider that the beginning of the syndrome is determined by numerous factors that developed two main metabolic disturbances: the insulin resistance and the central obesity. This relationship is concentrati...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2012.27.4.5825
更新日期:2012-07-01 00:00:00
abstract:INTRODUCTION:Adolescence is an important period of nutritional vulnerability due to the increased dietary requirements. OBJECTIVE:To describe the nutritional status of adolescent cyclist and a group of normoactive controls. METHODS:The HELENA Dietary Assessment Tool was used to evaluate the nutritional intake of 20 a...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.4.6513
更新日期:2013-07-01 00:00:00
abstract:UNLABELLED:The Hospital at Home (HAD) is a choice of care that enables own care in a hospital at home patient. Moreover, the nutritional support (NS) -enteral or parenteral nutrition- is usually indicated in patients with serious underlying disease, and/or frequently remain severely disabled. AIMS:To analyze the chara...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:The objective of this study, focused on parents and children to reduce sedentary behavior, consumption of soft drinks and high-fat and salt containing snacks, and increase the consumption of fruits and vegetables, was to assess the effect of a six month intervention and an 18 month follow-up intervention on ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,随机对照试验
doi:10.3305/nh.2012.27.3.5756
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVE:To design a self-reported semi-quantitative questionnaire of frequency of food intake (QFFI) to assess the usual intake of foods and macronutrients of the academic community from the University of Antioquia (UoA). METHODOLOGY:The design of the questionnaire was done by reviewing and analyzing previous studie...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112011000600021
更新日期:2011-11-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:1996-05-01 00:00:00
abstract:INTRODUCTION:Hepatitis C virus (HCV) and human immunodeficiency virus (HIV) coinfection may cause nutrient deficiency and affect the nutritional status.Objetive: To assess nutritional status, and energy and macronutrient intake in HCV/HIV coinfected patients. METHODS:Cross-sectional study on HIV/HCV-coinfected patient...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.576
更新日期:2016-10-18 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.5.8884
更新日期:2015-05-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02986
更新日期:2020-07-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.3.9307
更新日期:2015-09-01 00:00:00
abstract::to be more frequent among patients with metabolic syndrome. Previous studies have suggested to perform a routine screening for CS in obese patients; however, more recent reports only recommend a case-finding approach in patients with uncontrolled diabetes and hypertension, despite appropriate treatment. Objective: The...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.29.5.7256
更新日期:2014-05-01 00:00:00
abstract:Introduction:Aim and background: the incidence of obesity has increased among children, and obesity has been considered an independent risk factor for chronic kidney disease. We aimed to determine the degree of kidney function impairment by evaluating urine neutrophil gelatinase-associated lipocalin (NGAL) and kidney i...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02651
更新日期:2020-07-13 00:00:00
abstract:OBJECTIVE:To analyze the psychological status of morbidly obese patients suffering changes after surgical procedure for weight reduction. METHODS:We analyze the weight loss in 100 morbidly obese patients (85 female, 15 male) after bariatric surgery (vertical banded gastroplasty). We correlated the percentage of weight...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract::Cereals are considered a basic food. Through the development of cooking, the human being has produced high- gluten-content food, so that it could make the most of its nutritional properties. Wheat is becoming one of the key elements of the Mediterranean diet. Amongst gluten- intake-related pathologies- gluten is prese...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2015.31.6.8984
更新日期:2015-06-01 00:00:00
abstract::Desde hace algún tiempo sabemos que la talla de las poblaciones es un buen instrumento para analizar la evolución socioeconómica, habiendo dejado de ser motivo de estudio solo por la biomedicina para serlo también por los economistas y sociólogos. Es lo que han hecho Martínez Carrión y cols., con el trabajo que aparec...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.768
更新日期:2016-11-29 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::Objetivos: oligoelementos como zinc (Zn), hierro (Fe) y cobre (Cu) tienen una influencia significativa en el mantenimiento de la función inmune y del metabolismo normales; modulan la función immune e influyen en la susceptibilidad del organismo ante infecciones. Pero la relación entre trazas de estos elementos y la br...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.97
更新日期:2016-03-25 00:00:00