For severely stressed adults, what is the minimum recommended caloric intake per kilogram?

For severely stressed adults, the minimum recommended caloric intake per kilogram is 35 calories/kg or more. This recommendation is based on the increased nutritional needs that arise during periods of significant stress, illness, or recovery from surgery and injury. During these times, the body's metabolic demands rise, necessitating a higher caloric intake to ensure that energy needs are met and to promote healing and recovery.

In cases of severe stress, such as trauma, major illnesses, or surgical recovery, the body's metabolic rate is elevated due to the physiological responses triggered by stress. Adequate caloric intake in these situations not only supports overall energy needs but also helps in maintaining muscle mass, supporting immune function, and providing necessary nutrients for tissue repair.

Lower caloric ranges such as less than 20 calories/kg or the ranges of 20-25 calories/kg and 25-30 calories/kg may not adequately meet the heightened needs of individuals experiencing severe stress. These lower caloric intakes do not take into account the increased energy expenditure associated with stress responses, leaving individuals at risk for malnutrition and slowed recovery if they don't consume enough calories. Thus, ensuring an intake of 35 calories/kg or more is crucial for those in high-stress situations.