Controversies Surrounding Critical Care Nutrition

An Appraisal of Permissive Underfeeding, Protein, and Outcomes

Jayshil J. Patel, Robert Martindale, Stephen A. McClave

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

Over the past few years, numerous studies have called into question the optimal dose, timing, composition, and advancement rate of nutrition during the early acute phase of critical illness. These studies suggest permissive underfeeding with slow advancement may be more beneficial than aggressive full feeding. These counterintuitive results were possibly explained by enhanced autophagy, less hyperglycemia, or prevention of refeeding syndrome. This review underscores the controversies surrounding permissive underfeeding, aims to answer whether permissive underfeeding is appropriate for all critically ill patients, describes the impact of optimal protein delivery on critical care outcomes, discusses nutrition risk, and cogitates on the impact of nutrition on critical care outcomes.

Original languageEnglish (US)
Pages (from-to)508-515
Number of pages8
JournalJournal of Parenteral and Enteral Nutrition
Volume42
Issue number3
DOIs
StatePublished - Mar 1 2018

Fingerprint

Critical Care
Critical Illness
Refeeding Syndrome
Autophagy
Hyperglycemia
Proteins
Critical Care Outcomes

Keywords

  • hypocaloric feeding
  • nutrition risk
  • permissive underfeeding
  • trophic feeding

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Controversies Surrounding Critical Care Nutrition : An Appraisal of Permissive Underfeeding, Protein, and Outcomes. / Patel, Jayshil J.; Martindale, Robert; McClave, Stephen A.

In: Journal of Parenteral and Enteral Nutrition, Vol. 42, No. 3, 01.03.2018, p. 508-515.

Research output: Contribution to journalReview article

@article{890c8ee398cc47368496231728895950,
title = "Controversies Surrounding Critical Care Nutrition: An Appraisal of Permissive Underfeeding, Protein, and Outcomes",
abstract = "Over the past few years, numerous studies have called into question the optimal dose, timing, composition, and advancement rate of nutrition during the early acute phase of critical illness. These studies suggest permissive underfeeding with slow advancement may be more beneficial than aggressive full feeding. These counterintuitive results were possibly explained by enhanced autophagy, less hyperglycemia, or prevention of refeeding syndrome. This review underscores the controversies surrounding permissive underfeeding, aims to answer whether permissive underfeeding is appropriate for all critically ill patients, describes the impact of optimal protein delivery on critical care outcomes, discusses nutrition risk, and cogitates on the impact of nutrition on critical care outcomes.",
keywords = "hypocaloric feeding, nutrition risk, permissive underfeeding, trophic feeding",
author = "Patel, {Jayshil J.} and Robert Martindale and McClave, {Stephen A.}",
year = "2018",
month = "3",
day = "1",
doi = "10.1177/0148607117721908",
language = "English (US)",
volume = "42",
pages = "508--515",
journal = "Journal of Parenteral and Enteral Nutrition",
issn = "0148-6071",
publisher = "SAGE Publications Inc.",
number = "3",

}

TY - JOUR

T1 - Controversies Surrounding Critical Care Nutrition

T2 - An Appraisal of Permissive Underfeeding, Protein, and Outcomes

AU - Patel, Jayshil J.

AU - Martindale, Robert

AU - McClave, Stephen A.

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Over the past few years, numerous studies have called into question the optimal dose, timing, composition, and advancement rate of nutrition during the early acute phase of critical illness. These studies suggest permissive underfeeding with slow advancement may be more beneficial than aggressive full feeding. These counterintuitive results were possibly explained by enhanced autophagy, less hyperglycemia, or prevention of refeeding syndrome. This review underscores the controversies surrounding permissive underfeeding, aims to answer whether permissive underfeeding is appropriate for all critically ill patients, describes the impact of optimal protein delivery on critical care outcomes, discusses nutrition risk, and cogitates on the impact of nutrition on critical care outcomes.

AB - Over the past few years, numerous studies have called into question the optimal dose, timing, composition, and advancement rate of nutrition during the early acute phase of critical illness. These studies suggest permissive underfeeding with slow advancement may be more beneficial than aggressive full feeding. These counterintuitive results were possibly explained by enhanced autophagy, less hyperglycemia, or prevention of refeeding syndrome. This review underscores the controversies surrounding permissive underfeeding, aims to answer whether permissive underfeeding is appropriate for all critically ill patients, describes the impact of optimal protein delivery on critical care outcomes, discusses nutrition risk, and cogitates on the impact of nutrition on critical care outcomes.

KW - hypocaloric feeding

KW - nutrition risk

KW - permissive underfeeding

KW - trophic feeding

UR - http://www.scopus.com/inward/record.url?scp=85044066169&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85044066169&partnerID=8YFLogxK

U2 - 10.1177/0148607117721908

DO - 10.1177/0148607117721908

M3 - Review article

VL - 42

SP - 508

EP - 515

JO - Journal of Parenteral and Enteral Nutrition

JF - Journal of Parenteral and Enteral Nutrition

SN - 0148-6071

IS - 3

ER -