TY - JOUR
T1 - Energy Balance in Patients with Pressure Ulcers
T2 - A Systematic Review and Meta-Analysis of Observational Studies
AU - Cereda, Emanuele
AU - Klersy, Catherine
AU - Rondanelli, Mariangela
AU - Caccialanza, Riccardo
PY - 2011/12
Y1 - 2011/12
N2 - Medical nutrition therapy is reported to contribute to wound healing. However, effective intervention requires an accurate estimation of individual energy needs, which, in turn, relies on accurate methods of assessment. The primary aims of this systematic review and meta-analysis were to evaluate the resting energy expenditure (REE) of patients with pressure ulcers (PUs) compared to matched control groups and the potential estimation bias of REE predictive equations. The recommended daily energy requirements of patients with PUs were also assessed, along with their energy balance (daily energy requirement vs intake). All language, original, full-text research articles published between January 1, 1950, and July 31, 2010, were searched through electronic databases. Relevant studies were also identified by reviewing citations. Observational (case-control and case-series) studies providing data on measured REE were initially included. Data extracted were measured REE, predicted REE, and daily energy intake. Five studies were included in the meta-analysis. Compared to controls (n=101), patients with PUs (n=92) presented higher measured REE (weighted mean 20.7±0.8 vs 23.7±2.2 kcal/kg/day; P
AB - Medical nutrition therapy is reported to contribute to wound healing. However, effective intervention requires an accurate estimation of individual energy needs, which, in turn, relies on accurate methods of assessment. The primary aims of this systematic review and meta-analysis were to evaluate the resting energy expenditure (REE) of patients with pressure ulcers (PUs) compared to matched control groups and the potential estimation bias of REE predictive equations. The recommended daily energy requirements of patients with PUs were also assessed, along with their energy balance (daily energy requirement vs intake). All language, original, full-text research articles published between January 1, 1950, and July 31, 2010, were searched through electronic databases. Relevant studies were also identified by reviewing citations. Observational (case-control and case-series) studies providing data on measured REE were initially included. Data extracted were measured REE, predicted REE, and daily energy intake. Five studies were included in the meta-analysis. Compared to controls (n=101), patients with PUs (n=92) presented higher measured REE (weighted mean 20.7±0.8 vs 23.7±2.2 kcal/kg/day; P
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U2 - 10.1016/j.jada.2011.09.005
DO - 10.1016/j.jada.2011.09.005
M3 - Article
C2 - 22117663
AN - SCOPUS:82455179066
VL - 111
SP - 1868
EP - 1876
JO - Journal of the American Dietetic Association
JF - Journal of the American Dietetic Association
SN - 0002-8223
IS - 12
ER -