Evidence map›Paper›PMID 40005060›Full record

Observational studyNutrients2025

Nutrition Therapy in Critically Ill Patients with Obesity: An Observational Study.

Juan Carlos Lopez-Delgado, Laura Sanchez-Ales, Jose Luis Flordelis-Lasierra, Esther Mor-Marco, M Luisa Bordeje-Laguna, Esther Portugal-Rodriguez, Carol Lorencio-Cardenas, Paula Vera-Artazcoz, Sara Aldunate-Calvo, Beatriz Llorente-Ruiz and 13 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Juan Carlos Lopez-DelgadoArea de Vigilancia Intensiva, Clinical Institute of Internal Medicine & Dermatology (ICMiD), Hospital Clínic de Barcelona, C/Villarroel, 170, 08036 Barcelona, Spain.ORCID 0000-0003-3324-1129
Laura Sanchez-AlesIntensive Care Department, Hospital de Terrassa, C/Torrebonica, s/n, 08227 Terrassa, Spain.
Jose Luis Flordelis-LasierraIntensive Care Department, Hospital Universitario 12 de Octubre, Av. de Córdoba s/n, 28041 Madrid, Spain.ORCID 0000-0001-6941-7574
Esther Mor-MarcoIntensive Care Department, Hospital Universitario Germans Trias i Pujol, Carretera de Canyet, s/n, 08916 Badalona, Spain.
M Luisa Bordeje-LagunaIntensive Care Department, Hospital Universitario Germans Trias i Pujol, Carretera de Canyet, s/n, 08916 Badalona, Spain.ORCID 0000-0003-4129-7309
Esther Portugal-RodriguezIntensive Care Department, Hospital Clínico Universitario de Valladolid, Av. Ramón y Cajal, 3, 47003 Valladolid, Spain.
Carol Lorencio-CardenasIntensive Care Department, Hospital Universitari Josep Trueta, Av. de França, s/n, 17007 Girona, Spain.ORCID 0000-0002-9237-5541
Paula Vera-ArtazcozIntensive Care Department, Hospital de la Santa Creu i Sant Pau, C/Sant Quintí, 89, 08041 Barcelona, Spain.ORCID 0000-0003-3346-5093
Sara Aldunate-CalvoIntensive Care Department, Complejo Hospitalario de Navarra, C/Irunlarrea, E, 31008 Pamplona, Spain.
Beatriz Llorente-RuizIntensive Care Department, Hospital Universitario Príncipe de Asturias, Av. Principal de la Universidad, s/n, 28805 Alcalá de Henares, Spain.ORCID 0000-0002-7965-4984
Rayden Iglesias-RodriguezIntensive Care Department, Hospital General de Granollers, C/Francesc Ribas, s/n, 08402 Granollers, Spain.
Diana Monge-DonaireIntensive Care Department, Hospital Virgen de la Concha, Av. Requejo, 35, 49022 Zamora, Spain.ORCID 0000-0001-9691-2466
Juan Francisco Martinez-CarmonaIntensive Care Department, Hospital Regional Universitario Carlos Haya, Av. de Carlos Haya, 84, 29010 Málaga, Spain.ORCID 0000-0002-9645-0959
Rosa Gastaldo-SimeónIntensive Care Department, Hospital de Manacor, Carretera Manacor Alcudia, s/n, 07500 Manacor, Spain.
Lidón Mateu-CamposIntensive Care Department, Hospital General Universitario de Castellón, Avda. de Benicàssim, 128, 12004 Castelló de la Plana, Spain.ORCID 0000-0003-3704-6187
Maria Gero-EscapaIntensive Care Department, Hospital Universitario de Burgos, Av. Islas Baleares, 3, 09006 Burgos, Spain.ORCID 0000-0002-9992-0055
Laura Almorin-GonzalvezArea de Vigilancia Intensiva, Clinical Institute of Internal Medicine & Dermatology (ICMiD), Hospital Clínic de Barcelona, C/Villarroel, 170, 08036 Barcelona, Spain.ORCID 0009-0006-1957-0128
Beatriz Nieto-MartinoIntensive Care Department, Hospital Universitario de Fuenlabrada, Cam. del Molino, 2, 28942 Fuenlabrada, Spain.
Clara Vaquerizo-AlonsoIntensive Care Department, Hospital Universitario de Fuenlabrada, Cam. del Molino, 2, 28942 Fuenlabrada, Spain.
Teodoro Grau-CarmonaIntensive Care Department, Hospital Universitario 12 de Octubre, Av. de Córdoba s/n, 28041 Madrid, Spain.
Javier Trujillano-CabelloIntensive Care Department, Hospital Universitari Arnau de Vilanova, Av. Alcalde Rovira Roure, 80, 25198 Lleida, Spain.ORCID 0000-0001-8071-7711
Lluis Servia-GoixartIntensive Care Department, Hospital Universitari Arnau de Vilanova, Av. Alcalde Rovira Roure, 80, 25198 Lleida, Spain.ORCID 0000-0001-9513-1465
The Enpic Study Group

Funding

SENPE (Spanish Society of Metabolism & Nutrition) Best Project Group Award 2022 - National Congress
6 · The paper itself

Abstract

backgroundCritically ill patients with obesity (PwO) have anthropometric characteristics that can be associated with different nutritional-metabolic requirements than other critically ill patients. However, recommendations regarding nutrition delivery in PwO are not clearly established among the different published clinical practice guidelines (CPGs). Our main aim was to evaluate the impact of energy and protein intake in critically ill PwO.

methodsA multicenter (n = 37) prospective observational study was performed. Adult patients requiring medical nutrition therapy (MNT) were included, and PwO (BMI ≥ 30 Kg·m

results525 patients were included, of whom 150 (28.6%) had obesity. The energy delivery was considered inadequate (<11 Kcal/Kg/d) in 30.7% (n = 46) and adequate (≥11 Kcal/Kg/d) in 69.3% (n = 104) of cases. PwO who received adequate energy delivery had greater use of the parenteral route and longer mean hospital stays (28.6 ± 26.1 vs. 39.3 ± 28.1;

conclusionPwO can frequently receive inadequate energy and protein delivery from MNT during an ICU stay, which may impact the short-term mortality of these critically ill patients. It is emerging to develop strategies to optimize MNT delivery in these patients, which may improve their outcomes. NCT Registry: 03634943.

Indexed as

Critical IllnessNutrition TherapyObesityAdultAgedDietary ProteinsEnergy IntakeFemaleHumansIntensive Care UnitsLength of StayMaleMiddle AgedNutritional RequirementsNutritional StatusProspective StudiesDietary Proteinscaloric intakeclinical practice guidelinescritically ill patientsmedical nutrition therapyobesityprotein intake

Identifiers

PMID40005060
PMCPMC11858426

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.