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  4. Indirect calorimetry: The 6 main issues.
 
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Titre

Indirect calorimetry: The 6 main issues.

Type
synthèse (review)
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Clinical Nutrition  
Auteur(s)
Achamrah, N.
Auteure/Auteur
Delsoglio, M.
Auteure/Auteur
De Waele, E.
Auteure/Auteur
Berger, M.M.
Auteure/Auteur
Pichard, C.
Auteure/Auteur
Liens vers les personnes
Berger, Mette  
Liens vers les unités
Service de médecine interne  
ISSN
1532-1983
Statut éditorial
Publié
Date de publication
2021-01
Volume
40
Numéro
1
Première page
4
Dernière page/numéro d’article
14
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: ppublish
Résumé
Optimal nutritional therapy, including the individually adapted provision of energy, is associated with better clinical outcomes. Indirect calorimetry is the best tool to measure and monitor energy expenditure and hence optimize the energy prescription. Similarly to other medical techniques, indications and contra-indications must be acknowledged to optimise the use of indirect calorimetry in clinical routine. Measurements should be repeated to enable adaptation to the clinical evolution, as energy expenditure may change substantially. This review aims at providing clinicians with the knowledge to routinely use indirect calorimetry and interpret the results.
We performed a bibliographic research of publications referenced in PubMed using the following terms: "indirect calorimetry", "energy expenditure", "resting energy expenditure", "VCO <sub>2</sub> ", "VO <sub>2</sub> ", "nutritional therapy". We included mainly studies published in the last ten years, related to indirect calorimetry principles, innovations, patient's benefits, clinical use in practice and medico-economic aspects.
We have gathered the knowledge required for routine use of indirect calorimetry in clinical practice and interpretation of the results. A few clinical cases illustrate the decision-making process around its application for prescription, and individual optimisation of nutritional therapy. We also describe the latest technical innovations and the results of tailoring nutrition therapy according to the measured energy expenditure in medico-economic benefits.
The routine use of indirect calorimetry should be encouraged as a strategy to optimize nutrition care.
Sujets

Calorimetry, Indirect...

Clinical Decision-Mak...

Humans

Nutrition Assessment

Nutrition Therapy/met...

Energy expenditure

Indirect calorimetry

Medico-economics

Optimal nutritional t...

PID Serval
serval:BIB_6893CBC72A66
DOI
10.1016/j.clnu.2020.06.024
PMID
32709554
WOS
000603519800002
Permalien
https://iris.unil.ch/handle/iris/192897
Open Access
Oui
Date de création
2020-08-11T09:34:21.902Z
Date de création dans IRIS
2025-05-21T02:00:35Z
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