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Evidence is growing that the individual adjustment of energy targets guided by indirect calorimetry (IC) can improve outcome. With the development of a new generation of devices that are easier to use and rapid, it appears important to share knowledge and expertise that may be used to individualize nutrition care. Despite the focus of this tutorial being on one contemporary device, the...
Indirect calorimetry (IC) is the gold standard to monitor energy expenditure in critically ill patients. In several intensive care units (ICUs), nurses are responsible for carrying out the measurements. The aim of this study was to assess nurses' perception of their involvement in IC. This was a prospective survey conducted in the surgical ICU of a French university hospital after 18 months...
Low energy availability (LEA) describes a state where the energy intake is insufficient to cover the energy costs of both exercise energy expenditure and basal physiological body functions.  LEA has been associated with various physiological consequences, such as reproductive dysfunction. However, the effect of LEA on skeletal muscle protein synthesis in females performing exercise training...
Studies show that malnutrition is common among cancer patients, ranging from about 20% to more than 70%. It is known that malnutrition that is not managed properly worsens the course of the disease, prolongs the hospital stay, and impacts the quality of life and treatment toxicities.   Malnutrition has many negative effects, therefore individualization and optimization of nutritional...
We would like to focus on the new ESPEN Standard Operating Procedures released on July 2023.   The previous 2019 guideline has been shortened and partially revised to provide best medical nutritional therapy to critically ill patients.   In the current guideline, the timing, route, dose and composition of nutrition will be discussed and recommendations will be made recognizing that...
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COSMED is a world leading supplier of Cardio Pulmonary, Metabolic and Body Composition testing solutions to Sports Science, Medicine, Professional Sport and Wellness.

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