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Hardy EJ, Deane CS, Lund JN, Phillips BE. Loss of muscle mass in the immediate post-operative period is associated with inadequate dietary protein and energy intake. Eur J Clin Nutr 2023; 77:503-505. [PMID: 36702923 PMCID: PMC10115623 DOI: 10.1038/s41430-023-01264-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Revised: 01/11/2023] [Accepted: 01/12/2023] [Indexed: 01/27/2023]
Abstract
Despite the implementation of 'Enhanced Recovery After Surgery' (ERAS) protocols, major abdominal surgery is still associated with significant and detrimental losses of muscle mass and function in the post-operative period. Although ERAS protocols advocate both early mobility and dietary intake, dietary composition in the immediate post-operative period is poorly characterised, despite muscle losses being greatest in this period. Herein, we show in 15 patients (66 ± 6 y, 12:3 M:F) who lost ~10% m. vastus lateralis muscle mass in the 5 days after open colorectal resective surgery, mean energy intake was only ~25% of the minimum ESPEN recommendation of 25 kcal/kg/d and daily dietary protein intake was only ~12% of the ESPEN recommended guidelines of 1.5 g/kg/d. Given the known importance of nutrition for muscle mass maintenance, innovative dietary interventions are needed in the immediate post-operative period, accounting for specific patient dietary preference to maximise compliance (e.g., soft-textured foods).
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Affiliation(s)
- E J Hardy
- Department of General Surgery, Royal Derby Hospital, Derby, UK.,Centre Of Metabolism, Ageing and Physiology, University of Nottingham, Royal Derby Hospital Centre, Derby, UK.,Nottingham NIHR Biomedical Research Centre and MRC/Versus Arthritis Centre for Musculoskeletal Ageing Research, Nottingham, UK
| | - C S Deane
- Department of Sport and Health Sciences, College of Life and Environmental Sciences and Living Systems Institute, University of Exeter, Exeter, UK.,Human Development & Health, Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton, UK
| | - J N Lund
- Department of General Surgery, Royal Derby Hospital, Derby, UK.,Centre Of Metabolism, Ageing and Physiology, University of Nottingham, Royal Derby Hospital Centre, Derby, UK
| | - B E Phillips
- Centre Of Metabolism, Ageing and Physiology, University of Nottingham, Royal Derby Hospital Centre, Derby, UK. .,Nottingham NIHR Biomedical Research Centre and MRC/Versus Arthritis Centre for Musculoskeletal Ageing Research, Nottingham, UK.
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