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International Journal of Nutrology
Articles
DOI: 10.1055/s-0040-1704008
Submitted: 01-26-2022
Published: 01-26-2022

O paciente obeso internado pode e deve emagrecer

Hospital e Maternidade Municipal Dr. Odelmo Leão Carneiro (HMMDOLC), Uberlândia - MG, Brazil
Obesity Nutrology Low and Very Low Calorie Diets

Abstract

Introduction: The number of obese patients has grown in parallel with increasing obesity in the population. Objective: To discuss the importance of diet therapy for healthy weight loss for acutely ill obese patients. Material and Methods: Reviewed the following databases: Cochrane, Lilacs, PubMed / Medline and Scielo articles related to the topic. Results and Discussion: The literature recommends the weight loss for obese patients, even when acutely ill, since obesity negatively predicts the majority of metabolic and infectious diseases that bring the patient to the hospital. Conclusions: A low-calorie diet therapy, with high protein levels is indicated for morbidly obese patients admitted except those hypercatabolic, which improves overall prognosis.

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References

  1. Uehara A et al. Anorexia induced by interleukin 1: involvement of corticotropin-releasing factor. AJP – Regu Physiol 1989; 257(3): 613-617.
  2. Marks DL, Cone RD. Central Melanocortins and the Regulation of Weight During Acute and Chronic Disease. Endocrine Reviews 2001; 56(1): 359-376.
  3. Langhans W. Anorexia of infection: current prospects. Nutrition 2000; 16(10): 996-1005.
  4. Singer M, De Santis V, Vitale D, Jeffcoate W. Multiorgan failure is an adaptive, endocrine-mediated, metabolic response to overwhelming systemic inflammation. Lancet. 2004;364(9433): 545-8.
  5. Jang PG et al. NF-B Activation in Hypothalamic Pro-opiomelanocortin Neurons Is Essential in Illness-and Leptin-induced Anorexia. The Journal of Biological Chemistry. 2010; 285(13): 9706-9715.
  6. Das Undurti N, Ramos EJB, Meguid MM. Metabolic alterations during inflammation and its modulation by central actions of omega-3 fatty acids. Current Opinion in Clinical Nutrition & Metabolic Care 2003; 6(4): 413–419.
  7. Nygren J. The metabolic effects of fasting and surgery. Best Pract Res Clin Anaesthesiol. 2006; 20(3): 429-38.
  8. McClave SA. Nutrition Therapy of the Severely Obese, Critically Ill Patient. Summation of Conclusions and Recommendations. JPEN J Parenter Enteral Nutr 2011; 35(5): suppl 88S-96S.
  9. Flegal KM, Graubard BI, Williamson DF, Gail MH. Excess deaths associated with underweight, overweight, and obesity. JAMA. 2005; 293(15): 1861-7.
  10. Akinnusi ME, Pineda LA, El Solh AA. Effect of obesity on intensive care morbidity and mortality: a meta-analysis. Crit Care Med 2008; 36: 151-8.
  11. Coppini LZ et al. Terapia Nutricional para Pacientes com Obesidade Extrema. Diretriz AMB/CFM 2011. Disponível em: http://www.projetodiretrizes.org.br/9_volume/terapia_nutricional_para_pacientes_com_obesidade_extrema.pdf. Acesso em 28 de dezembro de 2011 às 21:00h.
  12. Suplicy HL et al. Obesidade: Tratamento Dietético. Projeto Diretrizes. Associação Médica Brasileira e Conselho Federal de Medicina. Sociedade Brasileira de Endocrinologia e Metabologia, 2005. Disponível em: http://www.projetodiretrizes.org.br/4_volume/24-Obesidade.pdf. Acesso em 18 de janeiro de 2010, às 9:30.
  13. Castaldo G, Castaldo L. Le diete proteiche alterano la funzionalità renale? Medicina Naturale; 2010(6): 68-70.
  14. Mahan LK, Escott-Stump S. Krause, Alimentos, Nutrição e Dietoterapia. São Paulo: Roca 2010, p.1028.
  15. White H, Venkatesh B. Clinical review: Ketones and brain injury. Critical Care 2011; 15: 219.
  16. Barbosa, CL. Aplicação de Dietas de Muito Pouco Valor Calórico. Protocolo ABRAN 1. Ottoni, Itu-SP2010, p. 27-28.

How to Cite

Barbosa, C. de L. (2022). O paciente obeso internado pode e deve emagrecer. International Journal of Nutrology, 5(3), 129–132. https://doi.org/10.1055/s-0040-1704008