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Energy Reserves and Requirements

Posted by Surgery on Aug 8, 2008

The neonate and child differ significantly from the adult patient in the proportion of available metabolic reserves. Table 8-1 outlines the macronutrient reserves of the neonate, child, and adult in percentage of total body weight (14,15,16). Carbohydrate stores are limited in all age groups and afford only acute provisions when necessary. Lipid reserves, an important and efficient source of energy, are reduced in the neonate as compared with the adult and gradually increase with age. The most striking difference between the adult and pediatric patient is the quantity of stored protein. The protein reserve of the adult is nearly twice that of the neonate.

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