The Critical Care Obesity Paradox and Implications for Nutrition Support. Curr Gastroenterol Rep 2016 Sep;18(9):45
Date
07/17/2016Pubmed ID
27422122DOI
10.1007/s11894-016-0519-8Scopus ID
2-s2.0-84979299006 (requires institutional sign-in at Scopus site) 31 CitationsAbstract
Obesity is a leading cause of preventable death worldwide. The prevalence of obesity has been increasing and is associated with an increased risk for other co-morbidities. In the critical care setting, nearly one third of patients are obese. Obese critically ill patients pose significant physical and on-physical challenges to providers, including optimization of nutrition therapy. Intuitively, obese patients would have worse critical care-related outcome. On the contrary, emerging data suggests that critically ill obese patients have improved outcomes, and this phenomenon has been coined "the obesity paradox." The purposes of this review will be to outline the historical views and pathophysiology of obesity and epidemiology of obesity, describe the challenges associated with obesity in the intensive care unit setting, review critical care outcomes in the obese, define the obesity-critical care paradox, and identify the challenges and role of nutrition support in the critically ill obese patient.
Author List
Patel JJ, Rosenthal MD, Miller KR, Codner P, Kiraly L, Martindale RGAuthor
Jayshil Patel MD Associate Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
ComorbidityCritical Care
Critical Illness
Enteral Nutrition
Humans
Nutritional Support
Obesity
Parenteral Nutrition
