Factors Influencing the Lack of Energy in Convalescent Patients

Abstract

[Purpose] To calculate the energy balance and uncover factors influencing it in convalescent patients. [Participants and Methods] A total of 229 patients were assessed by our nutrition support team. Energy requirements were calculated using the Harris-Benedict formula, and energy balance was calculated by comparing it with energy intake. The patients were divided into Alert and Not-alert groups by the value of –240 kcal for energy balance, and cachexia, gastrointestinal symptoms, dysphagia, grip strength, cognitive function, Body Mass Index (BMI), serum C-reactive protein, and the Functional Independence Measure (FIM) performance index were compared between the two groups. [Results] Cognitive decline, BMI, and age differed significantly between the two groups, and cognitive decline was identified as a significant factor in logistic regression analysis. [Conclusion] Patients with cognitive decline including higher brain dysfunction might have energy deficiency, and the assessment of energy balance should be considered an important issue.