Intermittent or continuous feeding: any difference during the first week?

May 21, 2019Current opinion in critical care

Differences between intermittent and continuous feeding in the first week

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Abstract

Intermittent feeding may activate autophagy, a process that clears intracellular damage.

  • Less aggressive nutrient administration is clinically superior in acute critical illness.
  • Nutrient restriction is associated with the activation of autophagy.
  • Intermittent feeding is theorized to preserve circadian rhythm and increase protein synthesis.
  • Current guidelines advise against intermittent feeding due to lack of demonstrated benefits and increased risk of diarrhea.
  • Research on intermittent feeding in the ICU mainly focuses on gastrointestinal complications.

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