Increased TDEE due to Medical Reasons?

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xxBocerexx
xxBocerexx Posts: 4 Member
edited November 2024 in Health and Weight Loss
Hi everyone,

I am currently helping to care for my severely disabled older sister. She requires that someone lift her and carry her many times throughout the day. Her doctor recommended that she lose weight due to us lifting her so much and putting excessive strain on our bodies, but she is sedentary beyond belief due to her multiple physical and mental handicaps. She has severe CP which affects all 4 limbs, profound MR, severe epilepsy, etc. We are trying to come up with a maintenance calorie number for her. I keep reading how spasticity causes increased TDEE. Is this increased TDEE only a factor in milder cases, where people are active (ex. those with CP that don't have cognitive issues to contend with as well as their CP and who can walk and do other physical activity)? Where would I even start? She's about 4'8", and is a very picky eater so the getting the right baseline caloric number would be ideal.

Thanks in advance!

Replies

  • Christine_72
    Christine_72 Posts: 16,049 Member
    I am by no means an expert. But my first thought was find out what her bmr is and work around that??
  • Liftng4Lis
    Liftng4Lis Posts: 15,149 Member
    I would start with one of her many doctors.
  • barbecuesauce
    barbecuesauce Posts: 1,771 Member
    Her doctor didn't offer any suggestions beyond "lose weight?"

    What you could do is figure out her TDEE for her height (forget the other factors for the moment) and put her on that for a couple of weeks. If her TDEE really is much higher than that given by calculators, she would begin losing weight. If not, gradually cut by 100 calories at a time until you have a level of loss that you're comfortable with.

    But this is something you might need to clarify with her doctor.
  • 365andstillalive
    365andstillalive Posts: 663 Member
    Do not guess with internet based answers. If the doctor wants her on a diet he should refer you all out to a nutritionist to figure out how many calories, her macros, any additional needs her condition may give, etc.

    Seriously, contact a medical professional.
  • xxBocerexx
    xxBocerexx Posts: 4 Member
    Her weight is being monitored by her GP. She has an appointment coming up with specialists regarding this matter in the coming weeks, but I was only curious to see if any of you had any pointers.

    Thanks for the help!
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