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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  >  > Accepted Manuscript
Peng Xi,Su Sen.Emphasizing nutritional therapy in burn rehabilitation[J].Chin J Burns Wounds,2025,41(12):1-7.DOI: 10.3760/cma.j.cn501225-20251105-00459.
Citation: Peng Xi,Su Sen.Emphasizing nutritional therapy in burn rehabilitation[J].Chin J Burns Wounds,2025,41(12):1-7.DOI: 10.3760/cma.j.cn501225-20251105-00459.
shu

Emphasizing nutritional therapy in burn rehabilitation

doi: 10.3760/cma.j.cn501225-20251105-00459

  • Clinical Medical Research Center, State Key Laboratory of Trauma and Chemical Poisoning, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China

Funds:

General Program of National Natural Science Foundation of China 82472549

Key Research Project of State Key Laboratory of Trauma and Chemical Poisoning 2024K003

General Program of Natural Science Foundation of Chongqing CSTB2024NSCQ-MSX0031

More Information
  • Corresponding author: Peng Xi, Email: pxlrmm@tmmu.edu.cn
  • Received Date: 2025-11-05
    Available Online: 2025-12-04
    Abstract
  • Although burn injury is an acute trauma, its clinical course exhibits characteristics of a chronic disease. Rehabilitation of burn patients often lasts several years, and nutritional therapy is crucial to their recovery. Previous burn nutrition research has primarily focused on the acute phase, with insufficient attention given to nutritional interventions during rehabilitation. Patients in the burn rehabilitation phase remain in hypermetabolism, accompanied by chronic inflammation, insulin resistance, fat browning, muscle wasting, bone loss, and metabolic disorders, which severely impair functional recovery and quality of life. Therefore, we systematically review the pathophysiological and metabolic alterations that occur during burn rehabilitation and propose evidence-based nutritional strategies. These include principles for estimating energy requirements, optimizing macronutrient composition, and ensuring adequate micronutrient intake. The paper advocates an integrated "hospital-community-home" care model that combines nutritional assessment, education, targeted interventions, pharmacotherapy, and exercise rehabilitation into a therapeutic system. This approach aims to accelerate patient recovery and facilitate successful reintegration into society.

     

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