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Journal of Parenteral and Enteral Nutrition
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Continuous vs Discontinuous Enteral Nutrition: Compared Effects on Serum Lipids and Lipoproteins in Humans

Philippe Beau, MD

From the Gastroenterology and Nutritional Support Unit, University Hospital, Poitiers Cédex, France

Jacques Labat, MD

From the Gastroenterology and Nutritional Support Unit, University Hospital, Poitiers Cédex, France

The present study was designed to assess the cholesterol-lowering effect of enteral nutrition when administered either as discontinuous or as continuous infusion. Twelve neurologic patients were randomly assigned to receive exclusive continuous (n = 6) or discontinuous (n = 6) enteral feeding for 7 days. Serum lipids, apoproteins, and 24-hour urinary C-peptide concentrations were determined on days 0 and 7. The fall during continuous nutrition was significantly greater than that during discontinuous nutrition for serum cholesterol (14% vs 2.4%; p < .05), low-density lipoprotein cholesterol (17.4% vs 3.9%; p = .02), and apoprotein B (19% vs 0.2%; p < .05) concentrations. Mean 24-hour urinary C-peptide excretion increase was significantly greater (p < .05) during discontinuous (78%) than during continuous enteral nutrition (15.6%). These results suggest that the cholesterol-lowering effect of enteral nutrition was induced mainly by the continuous delivery of the nutrients and was related to changes in insulin secretion. (Journal of Parenteral and Enteral Nutrition 18:331–334, 1994)

Journal of Parenteral and Enteral Nutrition, Vol. 18, No. 4, 331-334 (1994)
DOI: 10.1177/014860719401800409
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