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In this randomized, double-blind clinical trial, eligible hospitalized ICU patients with EN will be included. Patients will be divided into two groups. The control group with the standard EN and intervention group with high fat EN. 50% of the total fat will be provided by olive oil. Nutritional intake record form will be completed and daily calorie intake will be calculated. High fat EN feeding will be offered for 15 consecutive days maximally. At the end of the study mean blood glucose, duration of hospitalization and rate of infection will be compared in two groups.
In this randomized, double-blind clinical trial, 88 eligible hospitalized ICU patients with EN will be included. Written consent form will be completed. Physical examination will be done by specialist and nutritional care process will be offered by an RD. Demographic, laboratory and nutritional data will be extracted and entered in prepared form. Venous blood samples will be taken and laboratory values will be measured and recorded at specified times. Patients will be divided into two groups. The control group with the standard EN (Protein; 20% carbohydrate; 50% and fat; 30% from total calories) and intervention group with high fat EN (Protein; 20% carbohydrate; 35% and fat; 45% from total calories). 50% of the total fat will be provided by olive oil. Any feeding rout such as naso - gastric , Percutaneous endoscopic gastrostomy (PEG ) or Percutaneous endoscopic jejunostomy (PEJ) with Intermittent feeding protocol will be accepted feeding method . Nutritional intake record form will be completed and daily calorie intake will be calculated. High fat EN feeding will be offered for 15 consecutive days maximally
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High Fat Enteral Nutrition | Experimental | Diet in high fat group will be 20% from protein, 45% from fat and 35% from carbohydrate |
|
| Standered Enteral Nutrition | No Intervention | Diet in standard group will be 20% from protein, 30% from fat and 50% from carbohydrate |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High Fat Enteral Nutrition | Other | Diet in high fat group will be 20% from protein, 45% from fat and 35% from carbohydrate |
|
| Measure | Description | Time Frame |
|---|---|---|
| Blood Glucose | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Length of Stay in ICU | 1 year | |
| Occurrence of Infection | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Zahra Vahdat Shariatpanahi, MD, Ph.D | Faculty of Nutrition and Food Sciencees, Shahid Beheshti University of Medical Sciences | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Nutrition Sciences and Food Technology | Tehran | Iran |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Wewalka M, Drolz A, Zauner C. Influence of fat-based versus glucose-based enteral nutrition formulas on glucose homeostasis. Crit Care. 2013; 17(Suppl 2): P250. Published online 2013 Mar 19. doi: 10.1186/cc12188. PMCID: PMC3642614. |
| Label | URL |
|---|---|
| Critical Care | View source |
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| ID | Term |
|---|---|
| D006943 | Hyperglycemia |
| D016638 | Critical Illness |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D020969 | Disease Attributes |
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| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |