Indirect calorimetry: From bench to bedside

Accurate determination of energy expenditure (EE) is vitally important yet often neglected in clinical practice. Indirect calorimetry (IC) provides one of the most sensitive, accurate, and noninvasive measurements of EE in an individual. Over the last couple of decades, this technique has been appli...

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Main Authors: Riddhi Das Gupta, Roshna Ramachandran, Padmanaban Venkatesan, Shajith Anoop, Mini Joseph, Nihal Thomas
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Indian Journal of Endocrinology and Metabolism
Subjects:
Online Access:http://www.ijem.in/article.asp?issn=2230-8210;year=2017;volume=21;issue=4;spage=594;epage=599;aulast=Gupta
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author Riddhi Das Gupta
Roshna Ramachandran
Padmanaban Venkatesan
Shajith Anoop
Mini Joseph
Nihal Thomas
author_facet Riddhi Das Gupta
Roshna Ramachandran
Padmanaban Venkatesan
Shajith Anoop
Mini Joseph
Nihal Thomas
author_sort Riddhi Das Gupta
collection DOAJ
description Accurate determination of energy expenditure (EE) is vitally important yet often neglected in clinical practice. Indirect calorimetry (IC) provides one of the most sensitive, accurate, and noninvasive measurements of EE in an individual. Over the last couple of decades, this technique has been applied to clinical circumstances such as acute illness and parenteral nutrition. Beyond assessing the nutritional needs, it has also shed light on various aspects of nutrient assimilation, thermogenesis, the energetics of physical exercise, and the pathogenesis of obesity and diabetes. However, because of little or no experience with IC provided during medical education, the benefits of IC are poorly appreciated. Newer technology, cost-effectiveness, and a better understanding of how to interpret measurements should lead to more frequent use of IC. This review focuses on the physicochemical background of IC, the various indications for use, techniques and instruments, potential pitfalls in measurement, and the recent advances in technology that has adapted the technique to long-term studies in humans.
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spelling doaj.art-cc9bd5c6048b40eb80def6a7a47c5be72022-12-21T17:30:22ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102017-01-0121459459910.4103/ijem.IJEM_484_16Indirect calorimetry: From bench to bedsideRiddhi Das GuptaRoshna RamachandranPadmanaban VenkatesanShajith AnoopMini JosephNihal ThomasAccurate determination of energy expenditure (EE) is vitally important yet often neglected in clinical practice. Indirect calorimetry (IC) provides one of the most sensitive, accurate, and noninvasive measurements of EE in an individual. Over the last couple of decades, this technique has been applied to clinical circumstances such as acute illness and parenteral nutrition. Beyond assessing the nutritional needs, it has also shed light on various aspects of nutrient assimilation, thermogenesis, the energetics of physical exercise, and the pathogenesis of obesity and diabetes. However, because of little or no experience with IC provided during medical education, the benefits of IC are poorly appreciated. Newer technology, cost-effectiveness, and a better understanding of how to interpret measurements should lead to more frequent use of IC. This review focuses on the physicochemical background of IC, the various indications for use, techniques and instruments, potential pitfalls in measurement, and the recent advances in technology that has adapted the technique to long-term studies in humans.http://www.ijem.in/article.asp?issn=2230-8210;year=2017;volume=21;issue=4;spage=594;epage=599;aulast=GuptaEnergy expenditureindirectcalorimetry
spellingShingle Riddhi Das Gupta
Roshna Ramachandran
Padmanaban Venkatesan
Shajith Anoop
Mini Joseph
Nihal Thomas
Indirect calorimetry: From bench to bedside
Indian Journal of Endocrinology and Metabolism
Energy expenditure
indirect
calorimetry
title Indirect calorimetry: From bench to bedside
title_full Indirect calorimetry: From bench to bedside
title_fullStr Indirect calorimetry: From bench to bedside
title_full_unstemmed Indirect calorimetry: From bench to bedside
title_short Indirect calorimetry: From bench to bedside
title_sort indirect calorimetry from bench to bedside
topic Energy expenditure
indirect
calorimetry
url http://www.ijem.in/article.asp?issn=2230-8210;year=2017;volume=21;issue=4;spage=594;epage=599;aulast=Gupta
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AT padmanabanvenkatesan indirectcalorimetryfrombenchtobedside
AT shajithanoop indirectcalorimetryfrombenchtobedside
AT minijoseph indirectcalorimetryfrombenchtobedside
AT nihalthomas indirectcalorimetryfrombenchtobedside