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 randomised controlled trial, conducted across UK critical care units, examined whether intermittent feeding protocols preserve muscle mass more effectively than continuous feeding in critically ill patients. As suggested by the title and authorship, the study addresses a clinically significant question about optimal nutritional delivery timing during critical illness, where muscle wasting is a major driver of morbidity and prolonged recovery. The findings contribute to evidence on intensive care unit nutrition management practices.

UK applicability

Directly applicable to UK critical care practice and guidelines (NICE, UK ICU nutrition protocols). Results would inform feeding protocols across NHS intensive care units and other acute hospital settings.

Key measures

Muscle mass (as assessed by imaging or anthropometry), muscle wasting indices, functional outcomes, nutritional intake tolerance, length of critical illness

Outcomes reported

The study compared intermittent versus continuous enteral feeding regimens and their effects on muscle mass loss and physical outcomes in critically ill patients. Muscle wasting, functional recovery, and nutritional tolerance were likely measured as primary outcomes.

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
BFmor3g48f-nablq3

Topic tags

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