Critically Ill Clinical Trial
Official title:
Effect of Whey Protein-enriched Enteral Nutrition in Addition to Standardized Exercise Training on the PREServation of MUScle Function in Critically Ill Patients: A Randomized Controlled Trial
This study evaluates the effect of whey protein enriched enteral nutrition in addition to
exercise training on the preservation of muscle function in critically ill patients.
One half of patients receive whey protein enriched enteral nutrition with a protein intake of
1.5 g/kg/day and the other half of patients receive standard enteral nutrition with a protein
intake of 1 g/kg/day.
Muscle wasting has an enormous impact on long-term physical performance and quality of life
of intensive care survivors. Limitation of muscle wasting might therefore improve physical
performance and quality of life. Data on high protein nutritional intake in addition to a
standardized exercise training program to prevent skeletal muscle wasting during critical
illness are lacking.
Objective: to determine whether early high protein intake, using an enteral whey protein
supplement, in addition to a standardized exercise training program and standard enteral
nutrition preserves: a) in vitro skeletal muscle function in critically ill patients during
the first week of intensive care unit (ICU) admission and b) short- and long-term in vivo
muscle function and mass, clinical outcomes and quality of life in critically ill patients.
Secondly, to determine whether high protein intake, in addition to standardized exercise and
standard enteral nutrition, increases muscle protein synthesis and attenuates activation of
the Ubiquitin-Proteasome pathway in critically ill patients.
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