Hypocaloric, High-protein nutrition support therapy for Obese patient in the ICU: A systematic review

Background:As such, provision of nutrition is part of the medical care of Critically ill patients. Obesity clearly adds to the complexity of nutrition therapy in the intensive careunit.The objective of this review is to identify effective Hypocaloric, High-protein nutrition support therapy for Obese patient in the ICU.Method: This research is a systematic review study done in ۲۰۲۱.The keywords hypocaloric nutrition,high-Protein Nutrition,icu,Obesity searched on Pubmed,Scopus,Embase,Medline,Web of Science without time limitation. Also,the sources of articles were examined to ensure the completion of search results.Findings: After search and analysis, finally۱۶ full text articles selected. One randomized controlled trial indicated a trend toward decreased insulin requirements for those given a hypocaloric, high-protein regimen compared with eucaloric, high-protein feeding. Significantly improved clinical outcomes, as evidenced by decreased length of ICU stay,decreased duration of antibiotic therapy, and a trend toward decreased ventilator days(better weaning) and hospital length of stay, were suggested in a small retrospective study comparing hypocaloric, high-protein enteral nutrition (EN) therapy to eucaloric, high-protein diets in obese critically ill trauma patients. It is noteworthy that intentional hypocaloric nutrition did not increase hospital mortality and infectious complications nor decrease VFDs.Conclusion: Based on studies result,Hypocaloric, high-protein nutrition can preferre for the hospitalized obese patient in ICU in an effort to achieve net protein anabolism or reduce catabolism and potentially avoid overfeeding-related complications in this “at-risk” population.

کلیدواژه ها:

hypocaloric nutrition ، high-Protein Nutrition ، intasive care unit ، Obesity