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When It Matters Most: Muscle and Nutrition in Critical Care

Program Date: 21 April 2023

Publication Date: 5 October 2023

Continuing Education Units: Nurse Contact: 1.0; Dietitian CPEU: 1.0; Physician CME: 1.0

Course Description:

In this course, Carla Prado, PhD, RD, and David Evans, MD, FACS, FCCM, FASPEN will review the role of muscle mass in the critical care setting; summarize ideal body composition measurement techniques for ICU patients with and without obesity; and illustrate the benefits of early nutrition intervention on outcomes in this patient population. Originally presented live at ASPEN 2023 Nutrition Science and Practice Conference on April 21, 2023.

Course Objectives:

• Review the role of muscle mass in the critical care setting.

• Summarize ideal body composition measurement techniques for ICU patients with and without obesity.

• Illustrate the benefits of early nutrition intervention on outcomes in this patient population.

Run Time: 52

Course Instructor Bio(s)

Carla Prado, PhD, RD

Director, Human Nutrition Research Unit

Associate Professor/CAIP Chair

Nutrition, Food & Health

University of Alberta

Edmonton, Alberta, Canada

Dr Carla Prado is a Professor at the University of Alberta in Canada and a Campus Alberta Innovate Program (CAIP) chair in Nutrition, Food and Health. She is also the Director of the Human Nutrition Research Unit. Dr Prado received her PhD in human nutrition and metabolism from the University of Alberta, Canada, and is a Registered Dietitian in both Canada and Brazil. Dr Prado is an expert in assessing nutritional status through the precise measurement of body composition and energy metabolism. The focus of her current research program is to develop targeted nutrition interventions for the prevention and treatment of low muscle mass in patients with diverse conditions. She is currently the principal investigator for four randomized controlled trials investigating the impact of nutrition intervention on body composition and health. She is currently a member of the GLIM Body Composition Working Group, and the Sarcopenic Obesity Consensus Group (ESPEN/EASO). She is an Associate Editor of Clinical Nutrition and the Journal of Cachexia, Sarcopenia and Muscle.

David Evans, MD, FACS, FCCM, FASPEN

Trauma, Acute Care, Critical Care Surgeon and Nutrition Support Specialist

OhioHealth Grant Medical Center

Adjunct Clinical Professor of Surgery, Ohio University

Columbus, OH, USA

David C. Evans is a trauma, acute care, and critical care surgeon at OhioHealth Grant Medical Center in Columbus, Ohio, USA, and Medical Director of the System Nutrition Support Team at OhioHealth — a 12-hospital network. David is also an Adjunct Clinical Professor of Surgery at Ohio University. Prior to his current role, he led the nutrition support and trauma programs at The Ohio State University. His interests include nutrition support in surgical and ICU patients and research in surgery and trauma care. He has served as an investigator in multiple clinical trials focused on the areas of nutrition and infection and is the author of more than 100 peer-reviewed publications.

Ainsley M. Malone, MS, RDN, LD, CNSC, FAND, FASPEN

Clinical Practice Specialist

American Society for Parenteral and Enteral Nutrition

Nutrition Support Dietitian

Mount Carmel East Hospital

Columbus, OH, USA

Ainsley M. Malone, MS, RDN, LD, CNSC, FAND, FASPEN is a Nutrition Support Dietitian at Mount Carmel East Hospital in Columbus, Ohio. She previously taught graduate-level courses for 8 years as an adjunct instructor in the College of Health Professions at Rosalind Franklin University. She holds a master’s degree from Finch University/Chicago Medical School (now Rosalind Franklin University). Ms. Malone is also a Clinical Practice Specialist at the American Society for Parenteral and Enteral Nutrition (ASPEN), which is headquartered in Silver Spring, Maryland. At ASPEN, she served as president (2013-2014), was previously chair of the Malnutrition Committee, and acted as their representative to the Malnutrition Workgroup within the Academy of Nutrition and Dietetics.

She is dedicated to service and furthering the profession and has held multiple positions within the Academy of Nutrition and Dietetics. These include Director of the House of Delegates, Chair of the Academy’s Positions and Evidence-Based Practice committees, Chair of the Critical Illness Evidence Analysis Workgroup, and Chair of the Dietitians in Nutrition Support dietetic practice group. There, she is also co-editor for the pocket guides Enteral Nutrition, Parenteral Nutrition, and Nutrition Assessment. She was a 2015 recipient of the Medallion Award for outstanding service.

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