Determine Mr. McKinley's energy and protein requirements. Explain the rationale for the method you used to calculate these requirements
What will be an ideal response?
EER: 1660-1886 kcal (22-25 kcal/kg IBW)
EPR: 151-189 g (2.0-2.5 g/kg IBW)
Permissive underfeeding is suggested for patients with a BMI > 30, which is consistent with Mr. McKinley. Possible benefits of underfeeding include lower omega-6 fatty acid intake to reduce substrate for proinflammatory mediator synthesis, limited carbohydrate intake resulting in reduced hyperglycemia, and decreased hypermetabolism resulting in reduced CO2 production.
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