Precise and timely nutrition support is essential for good outcomes in a critical care setting. Individuals with body mass index (BMI) in the overweight or obese category are often assumed to be well nourished, and are therefore at risk of being overlooked for nutrition support. This single centre clinical audit evaluated the incidence of malnutrition on admission of patients with BMI > 25. Results suggested that 70%–80% of individuals in this category can be considered either malnourished or at risk of malnutrition. This demonstrates the need for urgent, personalised nutritional care for critically ill patients regardless of body size.

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