Please use this identifier to cite or link to this item: http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/2599
Title: Comparison of the effects of continuous versus intermittent enteral feeding on plasma leptin and ghrelin levels in Intensive Care Units
Authors: Ayyildiz, Sema Nur
Karakahya, Murat
Noyan, Tevfik
Tas, Nilay
Yagan, Ozgur
Ordu Üniversitesi
0000-0001-8971-3370
0000-0002-2354-2713
0000-0002-7733-0177
0000-0003-0472-2206
Keywords: Energy metabolism; Enteral nutrition; Ghrelin; Leptin
PLACEBO-CONTROLLED TRIAL; FOOD-INTAKE; CIRCULATING GHRELIN; NUTRITION; HUMANS; METABOLISM; HORMONE; STOMACH
Issue Date: 2017
Publisher: PONTIFICIA UNIVERSIDADE CATOLICA CAMPINAS, NUCLEO EDITORACAO SBI-CCV, CAMPUS II AV JOHN BOYD DUNLOP S-N PREDIO ONTOLOGIA JD IPAUSSURAMA, CAMPINAS, SP 13060-904, BRAZIL
Abstract: Objective The aim of this prospective randomized trial is to verify whether there is an association between the methods of administration of enteral nutrition and the leptin and ghrelin hormones, which have a major role in the regulation of energy metabolism. Methods This study enrolled 38 enteral-fed patients aged 18 to 85 in the Intensive Care Unit. The patients were prospectively randomized to receive either continuous infusion (n=19) or intermittent feeding (n=18) of enteral nutrition. In addition to routine biochemical assays, blood samples were taken from the patients for leptin and ghrelin analyses on the 1th, 7th, and 14th days of enteral nutrition. Results There was no statistically significant difference between the groups regarding descriptive statistics and categorical variables such as underlying diseases, complications, steroid use and others (p>0.05). The decrease in the number of white blood cells and in creatinine and C-reactive protein levels over time were statistically significant (p=0.010, p=0.026, p<0.001 respectively). There was no statistically significant difference between the groups with respect to leptin and ghrelin levels (p=0.982 and p=0.054). Leptin levels did not change over time; however, the ghrelin levels of both groups were significantly higher on the 7th and 14th days than on the first day of analysis (p=0.003). Conclusion This study revealed that both continuous and intermittent enteral nutrition feeding regimens were well tolerated in Intensive Care Unit patients showing minor complications. The method of administration of enteral nutrition alone did not affect the leptin and ghrelin levels. Randomized controlled large cohort trials are needed to to compare intermittent and continuous enteral nutrition to determine which one is more adaptable to diurnal patterns of secretion metabolic hormones.
URI: http://doi.org/10.1590/1678-98652017000400001
http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/2599
Appears in Collections:Cerrahi Tıp Bilimleri

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