The risk of muscle wasting, and sarcopenia is high in the intensive care unit patients and associated with adverse clinical outcomes. The etiology of muscle wasting is multifactorial and medical nutrition therapy plays a key role in treatment and prevention. The purpose of this study is to evaluate the effect of omega-3 fatty acids in the treatment and/or prevention of muscle wasting in critically ill trauma patients.
Low skeletal muscle mass and loss of lean tissue in critically illness have been associated with negative clinical outcomes. Critically ill patients may lose about 25% of their skeletal muscle mass within 7 days of admission to the intensive care unit. Besides increased protein catabolism, other factors inherent to the ICU environment contribute to muscle loss, including patient immobility and interruptions in nutrient delivery. This combination of factors is especially debilitating in patients with preexisting low muscle stores due to sarcopenia, chronic illness, or malnutrition. Although preservation of skeletal muscle mass is important for recovery in critically ill patients, the mechanism of muscle wasting is not unknown. Muscle wasting is a multifactorial process and it may be the consequence of several events, including oxidative stress, inflammatory conditions and muscle remodeling. Omega-3 fatty acids with their anti-inflammatory, antioxidant and anabolic effects can be a key factor for an effective treatment.
Study Type
OBSERVATIONAL
Enrollment
80
Participants will take 0.1-0.2 g/kg/day of omega 3 fatty acids for 7 days.
Karadeniz Technical University Medical Faculty Department of Anesthesiology and Reanimation
Trabzon, Turkey (Türkiye)
Changes in rectus femoris muscle cross-sectional area
Will be evaluated by ultrasound.
Time frame: Baseline and 7 days
Changes in mid-upper arm and calf circumferences
Will be measured by tape measure.
Time frame: Baseline and 7 days
Changes in triceps and biceps skinfold thickness Changes in triceps and biceps skinfold thickness
Will be measured by caliper.
Time frame: Baseline and 7 days
Changes in biochemical parameters related to muscle homeostasis, oxidative stress and inflammation
Biochemical parameters related to muscle wasting such as TNF-a, IL-6, TOS, P3NP
Time frame: Baseline and 7 days
Intensive care unit length of stay
Time from study inclusion to intensive care unit discharge.
Time frame: Time of admission to the ICU until the time of discharge from the intensive care unit, up to 1 year
Hospital Length of Stay
Time from study inclusion to hospital discharge.
Time frame: Time of discharge from the ICU until hospital discharge, up to 1 year
28-day mortality
Mortality rate
Time frame: 28 day
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