Abstract Background. Our study investigated nutritional status, body composition, and resting energy expenditure (REE) in elderly patients with advanced-stage pressure sores (PS), in addition to researching any hypermetabolic condition and its relationship with PS size. Methods. The study involved 52 institutionalized bedridden elderly women (aged 83.7 ± 6. Creative Sound Card Drivers Sb0670 Driver. 3 years), divided into two groups: 23 with advanced-stage (stage 3 and 4) PS and 29 without PS. Albumin, prealbumin, and retinol-binding protein were measured in all patients, and fat-free mass (FFM) and fat mass (FM) were obtained by dual-energy x-ray absorptiometry (DEXA). REE was measured by indirect calorimetry and predicted with the Harris–Benedict formula.

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PS area and volume were also measured. Results. The elderly women with and without PS were comparable in age, FFM, and FM. Mean albumin, prealbumin, and retinol-binding protein values were lower in cases with PS.

Unadjusted mean REE was significantly higher in patients with PS (1212.3 ± 236.7 vs 1085.5 ± 161.3 kcal/d; p 110% of the predicted REE, was seen in 74% of patients with PS and 38% of controls. The difference between measured and predicted REE (ΔREE) correlated with PS volume ( r = 0. Aqua Breeze Evaporative Cooler Manual. 58; p. PRESSURE sores (PS) are a significant problem for elderly people, particularly the disabled and bedridden (). PS prolong hospital stays, interfere with quality of life, and raise morbidity and mortality rates (). Nutritional assessment is important in preventing PS (,) and identifying patients at risk (). Among risk factors for PS, malnutrition is potentially reversible, and its early identification and treatment may affect PS onset and progression.

Many studies demonstrate the relationship between malnutrition and risk of PS (,,), and PS have healed better in patients given calorie supplements or specific macronutrients and/or micronutrients (,). Among factors causing malnutrition in elderly people with PS, an increased resting energy expenditure (REE) may be important, as PS are like burns, for which a high calorie requirement has been clearly documented (). A Little Jazz Exercise Oscar Peterson Pdf Writer. Among individuals suffering from PS, hypermetabolism has only been demonstrated in adult paraplegic patients ().