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Titolo:
Energy expenditure and nutritional adequacy of rehabilitation paraplegics with asymptomatic bacteriuria and pressure sores
Autore:
Aquilani, R; Boschi, F; Contardi, A; Pistarini, C; Achilli, MP; Fizzotti, G; Moroni, S; Catapano, M; Verri, M; Pastoris, O;
Indirizzi:
Univ Pavia, Fac Sci MMFFNN, Sez Farmacol & Biotecnol Farmacol, Dpto Sci Fisiol Farmacol Cellulari Mol, I-27100 Pavia, Italy Univ Pavia Pavia Italy I-27100 macol Cellulari Mol, I-27100 Pavia, Italy Ist Sci Montescano, IRCCS, Clin Lavoro & Riabilitaz, Fdn S Maugeri, Montescano Pavia, Italy Ist Sci Montescano Montescano Pavia Italy geri, Montescano Pavia, Italy
Titolo Testata:
SPINAL CORD
fascicolo: 8, volume: 39, anno: 2001,
pagine: 437 - 441
SICI:
1362-4393(200108)39:8<437:EEANAO>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
SPINAL-CORD INJURY; METABOLISM;
Keywords:
spinal cord injury; asymptomatic bacteriuria; pressure sore(s); inadequate calorie intake;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Pastoris, O Univ Pavia, Fac Sci MMFFNN, Sez Farmacol & Biotecnol Farmacol,Dpto Sci Fisiol Farmacol Cellulari Mol, Piazza Botta 11, I-27100 Pavia, Italy Univ Pavia Piazza Botta 11 Pavia Italy I-27100 0 Pavia, Italy
Citazione:
R. Aquilani et al., "Energy expenditure and nutritional adequacy of rehabilitation paraplegics with asymptomatic bacteriuria and pressure sores", SPINAL CORD, 39(8), 2001, pp. 437-441

Abstract

Objective: To measure resting energy expenditure (REE) in a group of people with postacute paraplegia, quantify the impact of asymptomatic bacteriuria and pressure sore(s) on patients' metabolic rate, and estimate the adequacy of patients' nutritional intakes to preserve patients' protein levels. Material and methods: Ten males with post-acute paraplegia aged 42.1 +/- 18.7 years. We evaluated: height, body mass index (BMI), resting energy expenditure (REE), total daily calorie requirement (((E) over dot)), 24-h urinecreatinine excretion (Cru), creatinine index (CI), and nitrogen balance (NB). Results: Subjects with paraplegia showed high erythrocyte sedimentation rates. As a group, they had normal resting calorie consumption when REE was normalized for unit of urine creatinine (REE/Cru), it was higher in patientsthan in controls. Six of the 10 patients had a low calorie intake: of these only three had a negative nitrogen balance. Conclusion: In conclusion, the resting energy expenditure of the subjects with significant bacteriuria and pressure sore(s) of 23.7 kcal/kg/day suggests that a large portion of patients may have an inadequate calorie proteinintake to preserve their nutritional status. The clinical significance of this study is that 28.5 kcal/kg/day may be the lower calorie threshold to meet the metabolic demands of people with apyretic paraplegia with bacteriuria and pressure sore(s).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 12:48:16