Pulse Brain · Growing Health Evidence Index
Tier 2 — RCT / large cohortPeer-reviewed

Effect of Intermittent or Continuous Feed on Muscle Wasting in Critical Illness

Angela McNelly, Danielle E. Bear, Bronwen Connolly, Gill Arbane, Laura Allum, Azhar Tarbhai, Jackie A. Cooper, Philip Hopkins, Matt P. Wise, David Brealey, Kieron Rooney, Jason Cupitt, Bryan Carr, Kiran V.K. Koelfat, Steven W.M. Olde Damink, Philip J. Atherton, Nicholas Hart, Hugh Montgomery, Zudin Puthucheary

CHEST Journal · 2020

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Summary

This multicentre randomised controlled trial (2020) evaluated whether intermittent enteral feeding could better preserve skeletal muscle mass compared with continuous feeding in critically ill patients across UK intensive care units. Skeletal muscle wasting is a significant comorbidity in critical care recovery, and the study addresses whether feeding pattern optimisation—rather than total nutritional load alone—might mitigate this loss. The findings contribute to the evidence base for personalised nutritional support protocols in intensive care medicine.

Regional applicability

The trial was conducted across UK critical care centres, making its findings directly applicable to NHS intensive care practice and nutritional guidelines for mechanically ventilated patients. Results may inform protocols for enteral nutrition delivery in UK hospitals managing critically ill populations.

Key measures

Skeletal muscle mass (likely measured by ultrasound or computed tomography), muscle protein turnover, functional measures of muscle strength, duration of mechanical ventilation, and length of stay in critical care

Outcomes reported

The study compared intermittent versus continuous enteral feeding schedules on skeletal muscle mass and function in critically ill patients. The primary outcome was skeletal muscle wasting; secondary outcomes likely included markers of muscle protein synthesis, functional recovery, and clinical outcomes during intensive care.

Theme
Nutrition & health
Subject
Micronutrients & dietary adequacy
Study type
Research
Study design
RCT
Source type
Peer-reviewed study
Status
Published
Geography
United Kingdom
System type
Human clinical
DOI
10.1016/j.chest.2020.03.045
Catalogue ID
BFmoakvpzf-9jsi0h

Topic tags

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