Critical Illness
Conditions
Brief summary
To determine whether high-protein (24% of total calorie from protein) enteral nutrition of immune modulating nutrients (eg, ω-3 fatty acids and antioxidants) enriched with β-glucan stimulates immune functions compared with standard enteral nutrition (control: 20% of total calorie from protein) or high-protein (24% of total calorie from protein) enteral nutrition of immune modulating nutrients without β-glucan in critically ill patients.
Detailed description
To determine whether high-protein (24% of total calorie from protein) enteral nutrition of immune modulating nutrients (eg, ω-3 fatty acids and antioxidants) enriched with β-glucan stimulates immune functions compared with standard enteral nutrition (control: 20% of total calorie from protein) or high-protein (24% of total calorie from protein) enteral nutrition of immune modulating nutrients without β-glucan in critically ill patients. In a randomized double-blind placebo-controlled study, 30 patients consumed 1 of 3 enteral nutrition: control, enteral nutrition of immune modulating nutrients enriched with β-glucan (250mg/L) or enteral nutrition of immune modulating nutrients without β-glucan. Enteral nutrition was initiated within 24 hours of ICU admission and continued during the ICU stay for a 7 days.
Interventions
standard enteral nutrition
high-protein enteral nutrition of immune modulating nutrients enriched with β-glucan
high-protein enteral nutrition of immune modulating nutrients without β-glucan
Sponsors
Study design
Eligibility
Inclusion criteria
* ICU patients
Exclusion criteria
* ICU patients who could not receiving enteral nutrition
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline NK cell activity at 7 days | at baseline and 7 days follow-up | NK cell activity (%) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline IL-12 at 7 days | at baseline and 7 days follow-up | IL-12 (pg/mL) |
| Change from baseline hs-CRP at 7 days | at baseline and 7 days follow-up | hs-CRP (mg/dL) |