This pioneering study aims to evaluate non-invasive wearable technology to improve personalised nutrition care for patients with severe burn injuries, by measuring real-time total energy expenditure and activity levels.

Patients with severe burns injuries can expend 150-200% more energy than normal as the body fights to repair itself.

Patients with any burn injury often experience long term impairments and nutrition plays a critical role in recovery, wound healing and rehabiliation.

Accurate tracking of energy expenditure in these patients currently relies on an expensive technique called Double-labelled water and requires analysis of the patients urine.

Tracking energy expenditure through wearables, and comparing the calculations with those of the Double-labelled water technique, may provide a non-invasive and cost effective way to individualise nutrition care to all patients with severe burn injury.

This research will inform new models of personalised care by integrating wearable technology into routine clinical practice, supporting real-time decision-making and tailored rehabilitation strategies.