Journal
NUTRITION IN CLINICAL PRACTICE
Volume 35, Issue 4, Pages 617-626Publisher
WILEY
DOI: 10.1002/ncp.10501
Keywords
critical care; enteral nutrition; nutrition support; obesity; older adult; parenteral nutrition; protein
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Current guidelines recommend a hypocaloric, high protein nutrition regimen for patients with obesity and critical illness. The impact of advancing age presents with unique challenges in which a greater protein intake is required to overcome the anabolic resistance associated with aging in the face of presumed decreased renal function. The primary objective of this review is to provide an overview of the impact of obesity and advancing age on protein requirements for patients with critical illness and review the scientific evidence supporting the rationale for hypocaloric, high protein nutrition for this subpopulation, as well as provide some practical suggestions for their clinical management.
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