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Nutrition in Clinical Practice
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Determination of Energy Expenditure in the Bone Marrow Transplant Patient

Karen Ringwald-Smith, RD, CNSD, MS

Department of Clinical Nutrition and {dagger}Department of Cell and Gene Therapy, St Jude Children's Research Hospital, Memphis, Tennessee

Ruth Williams, MS, RD

Department of Clinical Nutrition and {dagger}Department of Cell and Gene Therapy, St Jude Children's Research Hospital, Memphis, Tennessee

Edwin Horwitz, MD

Department of Clinical Nutrition and {dagger}Department of Cell and Gene Therapy, St Jude Children's Research Hospital, Memphis, Tennessee

Marlene Schmidt

Department of Clinical Nutrition and {dagger}Department of Cell and Gene Therapy, St Jude Children's Research Hospital, Memphis, Tennessee

Bone marrow transplantation is an accepted modality of treatment for many diseases. There are several posttransplant nutrition-related complications that have a direct impact on energy expenditure. The literature is unclear on how to calculate energy expenditure accurately for these patients. The following case presentations highlight the variation in energy expenditure that occurs when two energy equations are used. Based on these findings, it is recommended that energy expenditure be measured via indirect calorimetry.

Nutrition in Clinical Practice, Vol. 13, No. 5, 215-218 (1998)
DOI: 10.1177/088453369801300503
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