title: Hypocaloric, high-protein nutrition therapy for critically ill patients with obesity.
abstract: We published the first article that addressed hypocaloric, high-protein enteral nutrition therapy for critically ill patients with obesity more than 10 years ago. This study demonstrated that it was possible to successfully achieve this mode of therapy with a commercially available high-protein enteral formula and concurrent use of protein supplements. This study was also the first to demonstrate improved clinical outcomes with the use of hypocaloric, high-protein nutrition therapy. The results of this study, its unique findings, and shortcomings are discussed. Subsequent studies have added clarity to the effective use of this therapy, including its use in home parenteral nutrition patients, patients with class III obesity, and older patients with obesity.
authors: University of Tennessee College of Pharmacy, Memphis, Tennessee rdickerson@uthsc.edu.
authors: Roland N
authors: RN
authors: Dickerson
mesh_terms: D031204:Caloric Restriction / Q000009:adverse effects; D015897:Comorbidity; D003422:Critical Care; D004038:Diet, Reducing / Q000009:adverse effects / Q000379:methods*; D004044:Dietary Proteins / Q000627:therapeutic use*; D004750:Enteral Nutrition; D019317:Evidence-Based Medicine; D005526:Food, Formulated; D006801:Humans; D009765:Obesity / Q000178:diet therapy* / Q000453:epidemiology
chemical_list: D004044:Dietary Proteins
keywords: critical illness; enteral nutrition; nutritional support; obesity; parenteral nutrition; trauma; wound healing