Rest energy expenditure is decreased during the acute as compared to the recovery phase of sepsis in newborns

<p>Abstract</p> <p>Background</p> <p>Little is known with respect to the metabolic response and the requirements of infected newborns. Moreover, the nutritional needs and particularly the energy metabolism of newborns with sepsis are controversial matter. In this invest...

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Main Authors: de Carvalho Tatiana, Nascimento Viviane G, de Oliveira Adriana G, Lopes Ary C, Reis Alberto OA, Gallo Paulo R, Valenti Vitor E, Siqueira Arnaldo AF, Leone Cláudio, Feferbaum Rubens, Wajnsztejn Rubens, de Castro Selestrin Claudia, de Abreu Luiz
Format: Article
Language:English
Published: BMC 2010-07-01
Series:Nutrition & Metabolism
Online Access:http://www.nutritionandmetabolism.com/content/7/1/63
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author de Carvalho Tatiana
Nascimento Viviane G
de Oliveira Adriana G
Lopes Ary C
Reis Alberto OA
Gallo Paulo R
Valenti Vitor E
Siqueira Arnaldo AF
Leone Cláudio
Feferbaum Rubens
Wajnsztejn Rubens
de Castro Selestrin Claudia
de Abreu Luiz
author_facet de Carvalho Tatiana
Nascimento Viviane G
de Oliveira Adriana G
Lopes Ary C
Reis Alberto OA
Gallo Paulo R
Valenti Vitor E
Siqueira Arnaldo AF
Leone Cláudio
Feferbaum Rubens
Wajnsztejn Rubens
de Castro Selestrin Claudia
de Abreu Luiz
author_sort de Carvalho Tatiana
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Little is known with respect to the metabolic response and the requirements of infected newborns. Moreover, the nutritional needs and particularly the energy metabolism of newborns with sepsis are controversial matter. In this investigation we aimed to evaluate the rest energy expenditure (REE) of newborns with bacterial sepsis during the acute and the recovery phases.</p> <p>Methods</p> <p>We studied nineteen neonates (27.3 ± 17.2 days old) with bacterial sepsis during the acute phase and recovery of their illness. REE was determined by indirect calorimetry and VO<sub>2 </sub>and VCO<sub>2 </sub>measured by gas chromatography.</p> <p>Results</p> <p>REE significantly increased from 49.4 ± 13.1 kcal/kg/day during the acute to 68.3 ± 10.9 kcal/kg/day during recovery phase of sepsis (P < 0.01). Similarly, VO<sub>2 </sub>(7.4 ± 1.9 <it>vs </it>10 ± 1.5 ml/kg/min) and VCO<sub>2 </sub>(5.1 ± 1.7 <it>vs </it>7.4 ± 1.5 ml/kg/min) were also increased during the course of the disease (P < 0.01).</p> <p>Conclusion</p> <p>REE was increased during recovery compared to the sepsis phase. REE of septic newborns should be calculated on individualized basis, bearing in mind their metabolic capabilities.</p>
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spelling doaj.art-4a1bf10fcc3f4a6493d76225c4050c582022-12-21T18:34:54ZengBMCNutrition & Metabolism1743-70752010-07-01716310.1186/1743-7075-7-63Rest energy expenditure is decreased during the acute as compared to the recovery phase of sepsis in newbornsde Carvalho TatianaNascimento Viviane Gde Oliveira Adriana GLopes Ary CReis Alberto OAGallo Paulo RValenti Vitor ESiqueira Arnaldo AFLeone CláudioFeferbaum RubensWajnsztejn Rubensde Castro Selestrin Claudiade Abreu Luiz<p>Abstract</p> <p>Background</p> <p>Little is known with respect to the metabolic response and the requirements of infected newborns. Moreover, the nutritional needs and particularly the energy metabolism of newborns with sepsis are controversial matter. In this investigation we aimed to evaluate the rest energy expenditure (REE) of newborns with bacterial sepsis during the acute and the recovery phases.</p> <p>Methods</p> <p>We studied nineteen neonates (27.3 ± 17.2 days old) with bacterial sepsis during the acute phase and recovery of their illness. REE was determined by indirect calorimetry and VO<sub>2 </sub>and VCO<sub>2 </sub>measured by gas chromatography.</p> <p>Results</p> <p>REE significantly increased from 49.4 ± 13.1 kcal/kg/day during the acute to 68.3 ± 10.9 kcal/kg/day during recovery phase of sepsis (P < 0.01). Similarly, VO<sub>2 </sub>(7.4 ± 1.9 <it>vs </it>10 ± 1.5 ml/kg/min) and VCO<sub>2 </sub>(5.1 ± 1.7 <it>vs </it>7.4 ± 1.5 ml/kg/min) were also increased during the course of the disease (P < 0.01).</p> <p>Conclusion</p> <p>REE was increased during recovery compared to the sepsis phase. REE of septic newborns should be calculated on individualized basis, bearing in mind their metabolic capabilities.</p>http://www.nutritionandmetabolism.com/content/7/1/63
spellingShingle de Carvalho Tatiana
Nascimento Viviane G
de Oliveira Adriana G
Lopes Ary C
Reis Alberto OA
Gallo Paulo R
Valenti Vitor E
Siqueira Arnaldo AF
Leone Cláudio
Feferbaum Rubens
Wajnsztejn Rubens
de Castro Selestrin Claudia
de Abreu Luiz
Rest energy expenditure is decreased during the acute as compared to the recovery phase of sepsis in newborns
Nutrition & Metabolism
title Rest energy expenditure is decreased during the acute as compared to the recovery phase of sepsis in newborns
title_full Rest energy expenditure is decreased during the acute as compared to the recovery phase of sepsis in newborns
title_fullStr Rest energy expenditure is decreased during the acute as compared to the recovery phase of sepsis in newborns
title_full_unstemmed Rest energy expenditure is decreased during the acute as compared to the recovery phase of sepsis in newborns
title_short Rest energy expenditure is decreased during the acute as compared to the recovery phase of sepsis in newborns
title_sort rest energy expenditure is decreased during the acute as compared to the recovery phase of sepsis in newborns
url http://www.nutritionandmetabolism.com/content/7/1/63
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