0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Malnutrition in Hospitalized Patients

William P. Steffee, MD, PhD
JAMA. 1980;244(23):2630-2635. doi:10.1001/jama.1980.03310230032019.
Text Size: A A A
Published online

"MALNUTRITION" is a medically definable syndrome that is responsive to therapy. Yet most physicians accept protein malnutrition as an inevitable consequence of illness, and wasting continues in patients even though nutrition intervention techniques are available for those in whom a chance exists for recovery from their primary illness.

NUTRITIONAL HISTORY Fuel Reserves and Metabolism  To understand the development of protein-calorie malnutrition in the hospitalized patient, we first have to understand the energy reserves available to the healthy person and the interplay between various fuels, both exogenous and endogenous, as patients respond to disease and therapy. In Fig 1 the energy reserves of a 70-kg man are presented diagramatically. Even the nonobese person has approximately 135,000 calories stored as triglycerides in adipose tissue. Such fuels are useful and can be consumed during periods of stress. There is little stored carbohydrate, with perhaps 80 calories available from circulating glucose, 250 to 300

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();