Circadian Rhythm in Critical Illness
NCT07063303 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 24
Last updated 2025-10-03
Summary
The goal of this clinical trial is to determine whether intermittent enteral feeding positively influences circadian rhythms in critically ill patients in intensive care units (ICUs). The main research questions are:
1. Does intermittent feeding improve circadian rhythms in ICU patients?
2. How does intermittent feeding affect metabolic markers and recovery outcomes? Researchers will compare intermittent feeding to continuous feeding, the current standard method, to assess its impact on circadian stability and patient health.
Participants will:
1. Receive intermittent enteral feeding or continuous enteral feeding for at least 10 days
2. Undergo blood sample collection at three time points daily (morning, afternoon, midnight) to analyze circadian gene expression and metabolic markers
3. Have their clinical condition, nutrition status, and recovery progress monitored throughout the study
Conditions
- Critical Illness
Interventions
- OTHER
-
Intermittent feeding
Feeding Frequency: Enteral nutrition will be provided every 4 to 6 hours via nasogastric tube. Feeding Volume: Each session will deliver 240 to 720 mL of enteral formula. Feeding Duration: Each feeding session will last approximately 20 to 60 minutes.
- OTHER
-
Continuous feeding
Feeding Frequency: Enteral nutrition will be administered continuously for 20 hours per day via nasogastric tube. Feeding Volume: The total daily volume will be divided evenly over the 20-hour infusion period, based on individual nutritional requirements. Feeding Duration: Each 24-hour cycle includes 20 hours of continuous feeding followed by a 4-hour rest period.
Sponsors & Collaborators
-
Atılım University
lead OTHER
Principal Investigators
-
Aslı Akyol Mutlu, Prof. · Hacettepe University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-07-01
- Primary Completion
- 2025-09-29
- Completion
- 2025-09-29
Countries
- Turkey (Türkiye)
Study Locations
More Related Trials
-
Effects of Neutrophil/Lymphocyte, Platelet/Lymphocyte, CRP/Albumin and Lactate on Mortality in Trauma Patients Admitted to Intensive Care
NCT06667310 ·Status: COMPLETED
-
Predictors of Mortality in Traumatic Brain Injury Patients in Intensive Care Unit
NCT06183749 ·Status: NOT_YET_RECRUITING
-
A Longitudinal Investigation of Energy Expenditure and Substrate Utilization in Critically Ill Patients
NCT05124860 ·Status: COMPLETED
-
The Prevalence of Chronic Critical Illness in Turkey
NCT03262883 ·Status: COMPLETED
-
Effect of FAST HUGS WITH ICU Approach on Length of Intensive Care Unit Stay in Patients With Hypoxic Respiratory Failure
NCT06901050 ·Status: RECRUITING ·Phase: NA
-
Views of Nurses on Alarm Fatigue in ICUs
NCT05163340 ·Status: COMPLETED
-
Burnout Syndrome in the Intensive Care Unit Before and During a Palliative Care Trial
NCT07069010 ·Status: RECRUITING
-
Early Versus Delayed Enteral Nutrition in Critically Ill Adults With COVID-19
NCT06134674 ·Status: COMPLETED
-
Frailty in Critical Care Unit's Patients
NCT06117462 ·Status: NOT_YET_RECRUITING
-
Correlation of Clinical Frailty Scale and Modified Frailty Index in Intensive Care Patients
NCT04515160 ·Status: UNKNOWN
-
Prevalence of Potentially Inappropriate Treatments
NCT03520270 ·Status: COMPLETED
-
Impact of Sleep Deprivation on Malnutrition in ICU (Intensive Care Unit) Patients
NCT07032441 ·Status: NOT_YET_RECRUITING
-
Effectiveness of High Flow Oxygen Therapy in Patients With Hematologic Malignancy Acute Hypoxemic Respiratory Failure
NCT03133520 ·Status: COMPLETED ·Phase: NA
-
Optimizing Stress Ulcer Prophylaxis Practices and Reducing Associated Costs in Intensive Care Units: a Nonrandomized Controlled Study
NCT06586333 ·Status: COMPLETED ·Phase: NA
-
Investigation of The Prevalence of Sepsis in Adults in Multicenter Intensive Care Unıts in Turkey
NCT03179189 ·Status: UNKNOWN
-
Predictive Value of the mNutric Score and Survival Analysis in Critically Ill Patients Hospitalised in the Intensive Care Unit
NCT06912204 ·Status: COMPLETED
-
Infusion Set Replacement Intervals for Critically Ill Patients
NCT05359601 ·Status: RECRUITING ·Phase: NA
-
Braden Pressure Ulcer Scale for Prediction of the Intensive Care Length of Stay
NCT06697340 ·Status: COMPLETED
-
Geriatrics in the Intensive Care Unit
NCT07001410 ·Status: NOT_YET_RECRUITING
-
Comparison of Body Weights Via Visual Estimation, Anthropometric Calculation, and Actual Measured in Critically Ill Patients
NCT06269861 ·Status: COMPLETED ·Phase: NA
-
Evaluation of the Clinical Relationship Between Procalcitonin Level and Bacteremia Agent in Intensive Care Unit Patients
NCT06958354 ·Status: COMPLETED
-
Early Enteral Feeding and Clinical Outcomes in ICU Patients
NCT07131098 ·Status: COMPLETED ·Phase: NA
-
ICU Mortality Predictors of Trauma Patients
NCT03894111 ·Status: COMPLETED
-
MR-proADM and CT-proET-1 During ICU Treatment
NCT03651635 ·Status: COMPLETED
-
Palliation of Thirst in ICU Patients
NCT01015755 ·Status: COMPLETED ·Phase: EARLY_PHASE1