The human body has very limited stores and specific needs for glucose, somewhat limited reserves of protein that serves a number of critical functions, and (for most Americans), massive reserves of energy in adipose tissue. The release of fatty acids from adipose tissue can serve either to provide the calories to survive periods of undernutrition or to create a toxic excess of circulating lipid fuel. We are now as likely to see overweight/obese patients that require nutrition support as we are to see the undernourished. Understanding when adipose tissue lipolysis is providing the proper balance of fuel needed for recovery and when it is releasing excess lipid fuel and failing to clear triglycerides can help providers make better choices for nutrition support. It is also important to appreciate when organ under-function limits our ability to provide enough support to allow nutritional repletion so that therapeutic efforts can be properly focused.
Describe the stores of energy available when illness strikes, as well as how they are regulated by hormones, inflammation, and bedrest
Summarize the role of adipose tissue in providing energy during times of undernutrition
Describe the factors that relate to excess fatty acid release from adipose tissue in the course of illnesses
Define how organ dysfunction can prevent nutrition support objectives from being accomplished
Describe how the use of isotopic tracers has improved our understanding of metabolic function in humans
Dietitian CE Credit Only:
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Internist and Endocrinologist, Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Department of Internal Medicine; Professor of Medicine ,
Mayo Clinic, Rochester, MN
Rhoads Research Lecture and Awards Ceremony: How Understanding Inter-Organ Energy Flow Facilitates Nutrition Support Exam
1.00 - Dietitian
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