Association of Energy and Protein Delivery on Skeletal Muscle Mass Changes in Critically Ill Adults: A Systematic Review

Journal article


Lambell, Kate J., King, Susannah J., Forsyth, Adrienne K. and Tierney, Audrey C.. (2018). Association of Energy and Protein Delivery on Skeletal Muscle Mass Changes in Critically Ill Adults: A Systematic Review. Journal of Parenteral and Enteral Nutrition. 42(7), pp. 1112-1122. https://doi.org/10.1002/jpen.1151
AuthorsLambell, Kate J., King, Susannah J., Forsyth, Adrienne K. and Tierney, Audrey C.
Abstract

Critically ill patients experience significant and rapid loss of skeletal muscle mass, which has been associated with negative clinical outcomes. The aetiology of muscle wasting is multifactorial and nutrition delivery may play a role. A systematic literature review was conducted to examine the association of energy and/or protein provision on changes in skeletal muscle mass in critically ill patients. Key databases were searched up until March 2016 to identify studies that measured skeletal muscle mass and/or total body protein (TBP) at 2 or more time points during acute critical illness (up to 2 weeks after an intensive care unit [ICU] stay). Studies were included if there was documentation of participant energy balance or mean energy delivered to participants during the time period between body composition measurements. Six studies met inclusion criteria. A variety of methods were used to assess skeletal muscle mass or TBP. Participants in included studies experienced differing levels of muscle loss (0%–22.5%) during the first 2 weeks of ICU admission. No association between energy and protein delivery and changes in skeletal muscle mass were observed. This review highlights that there is currently limited high-quality evidence to clearly define the association between energy and/or protein delivery and skeletal muscle mass changes in acute critical illness. Future studies in this area should be adequately powered, account for all potential confounding factors to changes in skeletal muscle mass, and detail all sources and quantities of energy and protein delivered to participants.

Keywordscritical illness; intensive care; nutrition therapy; skeletal muscle; systematic review
Year2018
JournalJournal of Parenteral and Enteral Nutrition
Journal citation42 (7), pp. 1112-1122
PublisherJohn Wiley & Sons, Inc.
ISSN0148-6071
Digital Object Identifier (DOI)https://doi.org/10.1002/jpen.1151
Scopus EID2-s2.0-85044718028
Research or scholarlyResearch
Page range1112-1122
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All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online30 Mar 2018
Publication process dates
Accepted10 Jan 2018
Deposited22 Aug 2022
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