Browsing by Author "Rusecka, Svetlana"

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    Dažādu metožu pielietojums nepieciešamās enerģijas izvērtēšanai enterālās barošanas pacientiem
    (Rīga Stradiņš University, 2024) Rusecka, Svetlana; Meija, Laila; Faculty of Residency; Rezidentūras studiju fakultāte
    Enteral nutrition (EN) is an important part of the patient's nutrition and complex treatment. EB allows nutrients to be delivered in the gastrointestinal tract to patients who cannot take in sufficient amounts orally at all. There are many and often complex diseases that necessitate the provision of EN. More common include swallowing disorders due to neurological diseases and malignant tumors, diseases of the gastrointestinal tract. An integral part of successful EN provision is prevention of the risk of malnutrition or overfeeding the patient, a personalized approach and achieving the goal of energy and protein intake by evaluating the individually required amount of energy for each patient. This study was created to evaluate the required amount of energy for EN patients, to find out the compliance of energy requirements with the recommended amount of energy according to the guidelines, as well as to draw conclusions that will help doctors to better understand the real energy consumption of EN patients. In my work, I put emphasis on oncology patients who receive EN, because data from the world literature show that the number of new oncology patients who need EN is increasing significantly, as well as the duration of EN is increasing, which indicates the need to monitor patients and adjust the EN plan. My study included 24 patients who had their resting state energy consumption measured using indirect calorimetry (IC) and bioelectrical impedance analysis (BIA) methods. The obtained data were compared with each other and with the amounts recommended in the ESPEN guidelines. Results: A statistically reliable difference was observed between the two methods when comparing both the results of basal metabolism (BM) and the results of the amount of required energy (RE). Comparison of RE volume obtained by indirect calorimetry and bioelectrical impedance analysis showed a difference of up to 2 kcal/kg/day in some cases. Comparing the obtained results with those recommended in the guidelines, only 10(41.7%) of the participants in IC and respectively 9(37.5% )of the patients in BIA showed the RE volume indicated according to the guidelines. For all other study participants, the amount of RE was less than recommended in the guidelines or exceeded the recommended energy consumption.