Feed modification for increased energy and protein density as nutrition therapy in critically ill children: A protocol for a scoping review

Summary: Background and aims: Meeting the nutritional requirements of critically ill infants and young children with breastmilk or formula alone is often challenging due to disease-related increased requirements and fluid restriction. ‘Feed modification’ is a nutrition therapy strategy to increase...

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Main Authors: Jacinta Winderlich, Bridget Little, Alice Anderson, Felix Oberender, Andrew A. Udy, Emma J. Ridley
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Clinical Nutrition Open Science
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667268522000511
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author Jacinta Winderlich
Bridget Little
Alice Anderson
Felix Oberender
Andrew A. Udy
Emma J. Ridley
author_facet Jacinta Winderlich
Bridget Little
Alice Anderson
Felix Oberender
Andrew A. Udy
Emma J. Ridley
author_sort Jacinta Winderlich
collection DOAJ
description Summary: Background and aims: Meeting the nutritional requirements of critically ill infants and young children with breastmilk or formula alone is often challenging due to disease-related increased requirements and fluid restriction. ‘Feed modification’ is a nutrition therapy strategy to increase energy and protein density, and includes fortification of expressed breast milk, preparation of standard powdered formula at an increased concentration and utilisation of concentrated ready-to-feed liquid formulas. However, despite anecdotal evidence suggesting frequent and varied use internationally, the evidence for feed modification is unclear and has not been reviewed systematically. This article describes the methods for a scoping review to collate the key definitions, concepts, methods and evidence for use of modified feeds for increased energy and protein density as nutrition therapy in critically ill children. Methods: A scoping review will be completed, including searches of MEDLINE, Embase, Emcare and CINAHL databases. Grey literature will be searched using ProQuest, Web of Science, Trove Australian theses, WorldCat Dissertations and Theses, EThOS, Dart European and conference collections via Ovid. Study selection and data charting will be undertaken by two reviewers. Results of this review will be presented in a tabular format and include frequency counts. Literature related to use of feed modification for increased energy and protein density in children up to the age of 5 years from the year 2010 to present and in English language only will be included. This review will be the first of its kind and of interest to all areas of paediatrics utilising feed modification for increased energy and protein density.
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spelling doaj.art-212a9b64b4b049dc82f0d1a675857b002022-12-22T03:00:30ZengElsevierClinical Nutrition Open Science2667-26852022-12-01461319Feed modification for increased energy and protein density as nutrition therapy in critically ill children: A protocol for a scoping reviewJacinta Winderlich0Bridget Little1Alice Anderson2Felix Oberender3Andrew A. Udy4Emma J. Ridley5Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Australia; Paediatric Intensive Care Unit, Monash Children's Hospital, Melbourne, Australia; Corresponding author.Starship Child Health, Auckland, New ZealandLibrary Services, Monash Health, Melbourne, AustraliaPaediatric Intensive Care Unit, Monash Children's Hospital, Melbourne, AustraliaAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Australia; Department of Intensive Care and Hyperbaric Medicine, The Alfred, Melbourne, AustraliaAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Australia; Nutrition Department, Alfred Health, Melbourne, AustraliaSummary: Background and aims: Meeting the nutritional requirements of critically ill infants and young children with breastmilk or formula alone is often challenging due to disease-related increased requirements and fluid restriction. ‘Feed modification’ is a nutrition therapy strategy to increase energy and protein density, and includes fortification of expressed breast milk, preparation of standard powdered formula at an increased concentration and utilisation of concentrated ready-to-feed liquid formulas. However, despite anecdotal evidence suggesting frequent and varied use internationally, the evidence for feed modification is unclear and has not been reviewed systematically. This article describes the methods for a scoping review to collate the key definitions, concepts, methods and evidence for use of modified feeds for increased energy and protein density as nutrition therapy in critically ill children. Methods: A scoping review will be completed, including searches of MEDLINE, Embase, Emcare and CINAHL databases. Grey literature will be searched using ProQuest, Web of Science, Trove Australian theses, WorldCat Dissertations and Theses, EThOS, Dart European and conference collections via Ovid. Study selection and data charting will be undertaken by two reviewers. Results of this review will be presented in a tabular format and include frequency counts. Literature related to use of feed modification for increased energy and protein density in children up to the age of 5 years from the year 2010 to present and in English language only will be included. This review will be the first of its kind and of interest to all areas of paediatrics utilising feed modification for increased energy and protein density.http://www.sciencedirect.com/science/article/pii/S2667268522000511Modified feedFortificationNutritionDietary energyPediatric critical careScoping review
spellingShingle Jacinta Winderlich
Bridget Little
Alice Anderson
Felix Oberender
Andrew A. Udy
Emma J. Ridley
Feed modification for increased energy and protein density as nutrition therapy in critically ill children: A protocol for a scoping review
Clinical Nutrition Open Science
Modified feed
Fortification
Nutrition
Dietary energy
Pediatric critical care
Scoping review
title Feed modification for increased energy and protein density as nutrition therapy in critically ill children: A protocol for a scoping review
title_full Feed modification for increased energy and protein density as nutrition therapy in critically ill children: A protocol for a scoping review
title_fullStr Feed modification for increased energy and protein density as nutrition therapy in critically ill children: A protocol for a scoping review
title_full_unstemmed Feed modification for increased energy and protein density as nutrition therapy in critically ill children: A protocol for a scoping review
title_short Feed modification for increased energy and protein density as nutrition therapy in critically ill children: A protocol for a scoping review
title_sort feed modification for increased energy and protein density as nutrition therapy in critically ill children a protocol for a scoping review
topic Modified feed
Fortification
Nutrition
Dietary energy
Pediatric critical care
Scoping review
url http://www.sciencedirect.com/science/article/pii/S2667268522000511
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