Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here for more infromation

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Nutrition in Clinical Practice
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Ireton-Jones, C. S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ireton-Jones, C. S.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Classic Article Reviews

Considerations in Feeding Obese Patients: A Review of a Classic Article

Carol S. Ireton-Jones, PhD, RD/LD, CNSD

Coram Healthcare, Carrollton, Texas

Correspondence: Correspondence: Carol S. Ireton-Jones, PhD, RD/LD, CNSD, Coram Healthcare, 1730 Countryside Drive, Carrollton, TX 75007. Electronic mail may be sent to drcijrd{at}attglobal.net.

Thirteen obese patients requiring parenteral nutrition for postoperative complications were studied prospectively to evaluate the efficacy of hypocaloric, high-protein parenteral feeding. Nonprotein caloric intake averaged 881 kcal/d or 51.5% of the patients' measured resting energy expenditure. Protein averaged 2.13 ± 0.59 g/kg ideal body weight (IBW). Serum albumin and TIBC increased significantly (2.8 ± 0.5 g/dL to 3.2 ± 0.4 g/dL, p < .01 and 196 ±39 µg/dL to 248 + 49 µg/dL, p < .05, respectively), and subjects lost weight (120.0 ± 60.0 kg to 109.7 ±32.5 kg, p < .05). Nitrogen balance studies in 8 subjects suggested nitrogen equilibrium or positive balance can be achieved (+2.4 ± 1.9 g/dL). All patients exhibited complete tissue healing of wounds and abscess cavities and closure of fistulae. In obese, protein-depleted surgical patients, net protein anabolism and clinical efficacy can be achieved with hypocaloric, high-protein feeding. Abundant endogenous fat stores provide obligatory energy. (Dickerson RN, Rosato, E, Mullen JL. New protein anabolism with hypocaloric parenteral nutrition in obese stressed patients.

Nutrition in Clinical Practice, Vol. 17, No. 3, 190-191 (2002)
DOI: 10.1177/0115426502017003190
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?