Evidence map›Paper›PMID 32651634›Full record

Trial reportEuropean journal of applied physiology2020

Intermittent versus continuous enteral nutrition attenuates increases in insulin and leptin during short-term bed rest.

Javier T Gonzalez, Marlou L Dirks, Andrew M Holwerda, Imre W K Kouw, Luc J C van Loon

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of applied physiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02521025 nacompletednot on this map

The Impact of Continuous Versus Intermittent Feeding on Changes in Insulin Sensitivity During Bed-rest

TypeinterventionalSponsorMaastricht University Medical CenterRan2015 to 2016Enrolled20ConditionsAtrophy, Disuse, Insulin ResistanceArmsIntermittent feeding pattern, Continuous feeding pattern
NCT06330610 narecruitingnot on this mapstarted 2024, after this paper: background citation

Evaluation de l'efficacité du Support Nutritionnel entéral Intermittent Sur la défaillance d'Organes de Patients de réanimation Sous Ventilation assistée ENteral NUTrition - Continue Intermittent

TypeinterventionalSponsorUniversity Hospital, RouenRan2024 to 2027Enrolled174ConditionsIntermittent Fasting, Septic Shock, Organ Failure, MultipleArmsIntermittent enteral nutrition
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Javier T GonzalezDepartment for Health, University of Bath, Bath, UK. J.T.Gonzalez@bath.ac.uk.ORCID http://orcid.org/0000-0002-9939-0074
Marlou L DirksDepartment of Human Biology, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+ (MUMC+), Maastricht, The Netherlands.
Andrew M HolwerdaDepartment of Human Biology, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+ (MUMC+), Maastricht, The Netherlands.
Imre W K KouwDepartment of Human Biology, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+ (MUMC+), Maastricht, The Netherlands.
Luc J C van LoonDepartment of Human Biology, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+ (MUMC+), Maastricht, The Netherlands.
Maastricht University Medical Centre · NLUniversity of Bath · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare endocrine responses to intermittent vs continuous enteral nutrition provision during short-term bed rest.

methodsTwenty healthy men underwent 7 days of bed rest, during which they were randomized to receive enteral nutrition (47%E as carbohydrate, 34%E as fat, 16%E as protein and 3%E as fibre) in a continuous (CONTINUOUS; n = 10; 24 h day

resultsDuring bed rest, plasma leptin concentrations were elevated to a lesser extent with INTERMITTENT vs CONTINUOUS (iAUC: 0.42 ± 0.38 vs 0.95 ± 0.48 nmol L

conclusionIntermittent enteral nutrition attenuates the progressive rise in plasma leptin and insulinemia seen with continuous feeding during bed rest, suggesting that continuous feeding increases insulin requirements to maintain euglycemia. This raises the possibility that hepatic insulin sensitivity is impaired to a greater extent with continuous versus intermittent feeding during bed rest. To attenuate endocrine and metabolic changes with enteral feeding, an intermittent feeding strategy may, therefore, be preferable to continuous provision of nutrition. This trial was registered on clinicaltrials.gov as NCT02521025.

Indexed as

AdultBed RestBlood GlucoseEnteral NutritionFemaleGlucagon-Like Peptide 1GlucoseHumansInsulinInsulin ResistanceLeptinMaleRestBlood GlucoseGlucagon-Like Peptide 1GlucoseInsulinLeptinGlucagonGlucagon-like peptide-1GlucoseInsulinInsulin sensitivityMetabolism

Identifiers

PMID32651634
PMCPMC7419443
OpenAlexW3041249740

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.