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Nutrition in ICU Calorie Count
Nutritional status in critically ill patients can be difficult to assess. Anthropometric measurements (eg. skin fold thickness and mid-arm circumference) are commonly used to assess populations but are not particularly useful in individuals. Biochemical tests also have their limitations: albumin levels fall rapidly as part of the acute phase response and hemoglobin is affected by hemorrhage, haemolysis, transfusion and bone marrow suppression. Transferrin, prealbumin and lymphocyte counts can be useful however they are dependent on the patient being well hydrated. Body Mass Index (mass [kg] / height [m] 2) is a frequently used tool (with a BMI < 18.5 classed as underweight) and has been shown to be an independent predictor of mortality in seriously ill patients. Nevertheless it does not reflect the acute changes in nutritional status important in critical illness and is used most for the assessment of long term health risks of obesity. Probably the most useful measure of nutritional status is a targeted history and examination. One such method which is widely accepted is known as the Subjective Global Assessment which includes Weight change – both chronic (over 6 months) and acute (over 2 weeks ), Changes in food intake, Gastrointestinal symptoms – nausea, vomiting, diarrhea and anorexia, Functional impairment and is combined with a physical examination
About the Speaker
Dr. Adel Mohamed Yasin Al Sisi
MBBS, MD(Critical Care Medicine) , Ph. D (Critical Care Medicine)
Healthy Eating : Basics of Nutrition and Food choices
Healthy eating is essential for maintaining good health and preventing chronic diseases. The basics of nutrition include consuming a balanced diet that includes carbohydrates, proteins, fats, vitamins, minerals, and fiber in appropriate amounts. Portion control is crucial, as overeating can lead to weight gain and other health problems. Drinking plenty of water and staying hydrated is also important for overall health. Planning meals ahead of time, reading food labels, and cooking meals at home can help you make healthier food choices.
Nutritional Strategies for Picky Eaters
Picky eating occurs when a youngster has a small range of foods they will and won't eat and is highly selective about what they will and won't consume. Picky eating, also known as fussy or faddy eating, typically manifests as a youngster rejecting the food and displaying irritability or frustration whenever new foods are offered. The majority of kids go through phases of picky eating, especially as toddlers. There may not need to be any interventions because this is frequently a normal aspect of growth.
Weight Management and Supplements in Diabetes
Reducing energy intake is a key component of nutrition therapy, as is providing a planned diet that is richer in fiber and lean protein and lower in carbohydrates and glycemic index. Combination stretching, aerobic, and resistance workouts should all be a part of the training regimen if you want to keep your muscle mass. Dynamic adjustment of insulin doses is necessary during weight management. Anti-obesity medication addiction may be taken into consideration. Bariatric surgery may also be an option if medicinal weight loss is unsuccessful.