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Nutrition in Clinical Practice
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Clinical Dilemmas

Predicting Energy Needs in Obese Patients

Heather B. Breen, RD, CNSD*
Carol S. Ireton-Jones, PhD, RD, CNSD{dagger}

* Department of Physiology and Biophysics, University of Illinois at Chicago, Chicago, Illinois; and{dagger} Coram Healthcare, Carrollton, Texas

Correspondence: Correspondence: Heather B. Breen, RD, CNSD, Department of Physiology and Biophysics, M/C 910, University of Illinois at Chicago, 835 S. Wolcott Avenue, Room E-202 MSB, Chicago, IL 60612-7342. Electronic mail may be sent to Hbbreen{at}aol.com.

Obesity has become an epidemic in the United States, with other western countries also reporting increases in incidence of obesity. With many associated comorbidities, it is the most common nutritional disorder facing the medical team. However, the assessment of macronutrient needs for nutrition support regimens in obese adults is controversial. This review summarizes existing research on popular predictive approaches, including the Harris-Benedict equation, kilocalories per kilogram, and the Ireton-Jones equations. Complications including special considerations for patients who have undergone bariatric surgeries and current evidence on hypocaloric regimens are also discussed.

Nutrition in Clinical Practice, Vol. 19, No. 3, 284-289 (2004)
DOI: 10.1177/0115426504019003284
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