What is the recommended energy intake for an older adult with hypermetabolic cancer?

The recommended energy intake for an older adult with hypermetabolic cancer is 35 kcal/kg. This recommendation is based on the increased energy needs associated with cancer and its treatment, which may lead to a hypermetabolic state.

In individuals with cancer, metabolism can be significantly elevated as their bodies require more energy to meet the demands of the disease and maintain muscle mass, support immune function, and assist in recovery. This is especially true for older adults who may already face challenges in maintaining adequate nutritional status due to factors such as decreased appetite, difficulty in swallowing, and gastrointestinal issues.

The calculation of energy needs at 35 kcal/kg provides a more tailored approach to ensure that these individuals receive sufficient calories to support metabolic needs while aiding in weight maintenance or gain, if appropriate. This level of caloric intake is crucial for addressing the risk of malnutrition and sarcopenia, which can be common in this population due to both cancer and aging.

Therefore, 35 kcal/kg is the appropriate caloric target for older adults experiencing hypermetabolic conditions related to cancer, ensuring they have the energy necessary for optimal health and recovery.