Body cell mass evaluation in critically ill patients: killing two birds with one stone.

Abstract:

:Body cell mass (BCM) is the metabolically active cell mass involved in O₂ consumption, CO₂ production and energy expenditure. BCM measurement has been suggested as a tool for the evaluation of nutritional status. Since BCM is closely related to energy expenditure, it could also represent a good reference value for the calculation of nutrient needs. In a recent issue of Critical Care, Ismael and colleagues used bioelectrical impedance analysis parameters and anthropometric variables to evaluate BCM in patients with acute kidney injury, before and after a hemodialysis session. The results of this study suggest that BCM is relatively insensitive to major body fluid shifts, a well known factor interfering with nutritional evaluation/monitoring and energy need calculations in the ICU. Thus, BCM seems to be a more 'stable' nutritional variable, as it is apparently less influenced by non-nutritional factors. The results of this paper emphasize the need to identify biologically sound parameters for nutritional status evaluation and energy need calculation in critically ill patients; in this regard, BCM could fulfill these expectations.

journal_name

Crit Care

authors

Fiaccadori E,Morabito S,Cabassi A,Regolisti G

doi

10.1186/cc13852

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

139

issue

3

eissn

1364-8535

issn

1466-609X

pii

cc13852

journal_volume

18

pub_type

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