Effect of Normal Versus High-Protein Enteral Nutrition on Malnutrition and Anthropometric Parameters in Critically Ill Patients
Journal of Critical and Intensive Care, cilt.16, sa.1, ss.27-36, 2025 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 16 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.14744/dcybd.2025.71066
- Dergi Adı: Journal of Critical and Intensive Care
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.27-36
- Anahtar Kelimeler: Anthropometric measurements, Enteral nutrition (EN), Intensive care unit (ICU), Malnutrition, Nutritional Risk Screening 2002 (NRS-2002)
- Erciyes Üniversitesi Adresli: Evet
Özet
Aim: This study investigates the effects of normal versus high-protein intake on malnutrition and anthropometric parameters in critically ill patients receiving enteral nutrition (EN) in the intensive care unit (ICU). Study Design: Conducted between July and October 2022, this study included 42 patients aged 19-64 years who were receiving EN support. Participants were divided into two groups: 21 patients in the normal-protein group (0.8-1.2 g/kg/day) and 21 patients in the high-protein group (>1.2 g/kg/day). Anthropometric measurements, including upper mid-arm circumfer-ence, calf circumference, knee height, body weight, and height, were taken on days 1, 3, 5, and 15. Results: The average age of participants was 47.1±13.2 years. No significant differences were found between the groups in baseline characteristics (p>0.05). Protein intake was significantly higher in the high-protein group (p<0.05); however, there were no statistically significant differences between groups in changes in upper mid-arm circumference, Body Mass Index (BMI), or Nutritional Risk Screening 2002 (NRS-2002) scores (p>0.05). Within-group comparisons showed significant improvements in both NRS-2002 and Acute Physiology and Chronic Health Evaluation II (APACHE II) scores over time (p<0.05). There were no significant differences in age, gender, marital status, weight, height, or BMI between the two groups (p>0.05). The average weight, height, and BMI across participants were 75.57±13.97 kg, 171.26±8.51 cm, and 25.72±4.26 kg/m², respectively. Protein intake on Day 1 (90.36±9.2 g) and Day 15 (90.36±9.2 g) in the high-protein group was significantly higher than in the normal-protein group (p<0.05). No significant differences were found between groups in terms of knee height, upper mid-arm circumference, or reference percentile values (p>0.05). Conclusions: This study found no significant relationship between protein intake and upper mid-arm circumference, BMI, or NRS-2002 scores. Further research with a larger sample size and longer follow-up period is needed to confirm these findings.