Hypermetabolism, is it real? The example of amyotrophic lateral sclerosis.Comments Comment on: J Am Diet Assoc. 2005 May;105(5):775-89; PMID: 15883556, Comment on: J Am Diet Assoc. 2011 Nov;111(11):1680-7; PMID: 22027050, Comment on: J Am Diet Assoc. 2007 Sep;107(9):1552-61; PMID: 17761232, Comment on: J Am Diet Assoc. 2006 Jun;106(6):881-903; PMID: 16720129

摘要

The energy needs of patients are a crucial and core aspect of dietetic practice and still a debated matter. The study of Ellis and Rosenfeld (1) in this issue of the Journal provides the first study on resting energy expenditure (REE) in amyotrophic lateral sclerosis (ALS) patients with patients categorized for three levels of respiratory function. This study shows that existing and frequently used REE equations are applicable in ALS patients, even in ventilated patients. This is a surprising finding, because several other publications have suggested hypermetabolism as well as hypometabolism for ALS patients.