消化道恶性肿瘤住院患者的能量消耗研究

doi:10.16689/j.cnki.cn11-9349/r.2020.04.015

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Abstract Objective To evaluate the energy consumption of patients with digestive tract cancer, and to explore the optimal calculation formula and the influencing factors of energy consumption. Methods The patients in the oncology department of our hospital from March 2016 to December 2016 were consecutively enrolled in this study. The resting energy expenditure(REE) was measured by the metabolic cart. The 30kcal/(kg·d) coefficient and Harris-Benedict equation were used to predict the total daily energy expenditure (TEE) of patients. The related indices such as age, height, weight, course of disease, location of primary tumor and so on were collected. Results There was a total of 26 patients, including esophageal cancer(n=11), gastric cancer(n=8), and colorectal cancer(n= 7). 73% of the patients were in a state of high metabolism, about 69% of patients are in tumor stage Ⅳ. The course of disease, treatment times and tumor stage were positively correlated with REE and were statistically significant. The estimation of TEE by 30kcal/(kg·d) formula multiplied by body weight may not be suitable for the patients who was wasted. Conclusion Most of the digestive tract cancer patients were malnourished and in a state of high metabolism. When providing energy to the patients, we should properly consider whether or not to bear the tumor, the course of the disease, the frequency of treatment, tumor stage and tumor location. Using metabolic carts to estimate the TEE of digestive tract cancer patients is recommended. If a metabolic cart is not available, and the patients are not bedridden, if the BMI was≥18.5kg/m2, the TEE can be estimated by the equation that 30kcal/(kg·d) multiplied the actual body weight, when the BMI was<18.5kg/m2, the equation that 30kcal/(kg·d) multiplied the standard body weight is recommended.

Key words： Digestive tract cancer Resting energy expenditure Energy evaluation Oncology

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	Articles by authors
	Chen Lijun
	Liao Xin
	Yu Jinlong
	Zhou Qi
	Shi Xia
	Tu Ling
	Zeng Yuan
	Yuan Qiaoying

Cite this article:

Chen Lijun,Liao Xin,Yu Jinlong, et al. Study on energy expenditure of inpatients with digestive tract cancer[J]. Electron J Metab Nutr Cancer, 2020, 7(4): 455-459.

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http://182.92.200.144/EN/10.16689/j.cnki.cn11-9349/r.2020.04.015 OR http://182.92.200.144/EN/Y2020/V7/I4/455

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