Protein, caloric and anthropometric analysis of patients submitted to conventional physiotherapy and cycle ergometer of inferior members in ICU: a pilot study
DOI:
https://doi.org/10.17267/2238-2704rpf.v11i4.3839Keywords:
Body composition, Malnutrition, Enteral nutrition, Nutrition therapy, Intensive Care UnitsAbstract
INTRODUCTION: Protein-energy malnutrition is defined by caloric and/or protein deficiency, which can cause changes in body composition such as sarcopenia, mental status, functionality and consequently impair the clinical outcome. OBJECTIVE: To assess the energy and protein supply of critically ill patients undergoing conventional physical therapy associated with an active cycle ergometer (or only conventional physical therapy) and correlate with anthropometric data and the MRC scale and PERME score. MATERIALS AND METHODS: A pilot study with critically ill patients admitted to the ICU, divided into a control (CG) and experimental (EG) group. All were evaluated by the MRC scale and PERME score and submitted to anthropometric measurements. After eight days of conventional physical therapy intervention (CG) or active ergometer associated with the conventional approach (GE), they were reassessed. The protein and caloric intake of all were evaluated every day. RESULTS: There was a significant reduction in calf circumference measurements in the CG and a non-significant loss of measurements in the EG (p=0.001). The caloric and protein adequacy level was 73.9% and 69.5%, respectively. There was no significant difference between the groups. CONCLUSION: Mobilization with a cycle ergometer seems to positively affect the preservation of muscle mass in lower limbs in critically ill patients.
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Copyright (c) 2021 Renata Cristina Dalves de Souza
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
