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Loss of muscle mass in the immediate post-operative period is associated with inadequate dietary protein and energy intake

Hardy, E. J.; Deane, C. S.; Lund, J. N.; Phillips, B. E.

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Authors

E. J. Hardy

C. S. Deane

BETH PHILLIPS beth.phillips@nottingham.ac.uk
Professor of Translational Physiology



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).

Citation

Hardy, E. J., Deane, C. S., Lund, J. N., & Phillips, B. E. (2023). Loss of muscle mass in the immediate post-operative period is associated with inadequate dietary protein and energy intake. European Journal of Clinical Nutrition, 77, 503-505. https://doi.org/10.1038/s41430-023-01264-0

Journal Article Type Article
Acceptance Date Jan 12, 2023
Online Publication Date Jan 26, 2023
Publication Date 2023-04
Deposit Date Jan 31, 2023
Publicly Available Date Feb 2, 2023
Journal European Journal of Clinical Nutrition
Print ISSN 0954-3007
Electronic ISSN 1476-5640
Publisher Springer Science and Business Media LLC
Peer Reviewed Peer Reviewed
Volume 77
Pages 503-505
DOI https://doi.org/10.1038/s41430-023-01264-0
Keywords Nutrition and Dietetics; Medicine (miscellaneous)
Public URL https://nottingham-repository.worktribe.com/output/16506519
Publisher URL https://www.nature.com/articles/s41430-023-01264-0

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