The American journal of clinical nutrition
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Multicenter Study
Initiation of nutritional support is delayed in critically ill obese patients: a multicenter cohort study.
A high catabolic rate characterizes the acute phase of critical illness. Guidelines recommend an early nutritional support, regardless of the previous nutritional status. ⋯ The initiation of nutritional support was delayed in obese ICU patients. Randomized controlled trials that address consequences of early compared with delayed beginnings of nutritional support in critically ill obese patients are needed.