{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T17:45:30Z","timestamp":1785519930581,"version":"3.56.0"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T00:00:00Z","timestamp":1742774400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Oral intake is the most common route of nutrition following intensive care unit (ICU) discharge; yet is associated with inadequate intake, and barriers are largely unknown. This study aimed to determine the prevalence and severity of symptoms that may impact oral intake (termed nutrition\u2010impacting symptoms) in ICU survivors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A single\u2010center descriptive cohort study quantified prevalence and severity of nutrition\u2010impacting symptoms in ICU survivors at ICU (T1) and hospital (T2) discharge and at 1 month posthospital discharge (T3) via patient\u2010reported questionnaires. Secondary outcomes were nutrition status (via Subjective Global Assessment) and energy and protein intakes (via 24\u2010h recall). Data are median (IQR) or (percent).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010nine ICU survivors (64 [51\u201371] years; 31% female) were included. The most prevalent nutrition\u2010impacting symptoms were T1: tiredness (96%), loss of appetite (82%), and early satiety (82%); T2: tiredness (93%), early satiety (88%), and dry mouth (78%); and T3: tiredness (95%), early satiety (81%), and low mood (66%). Nutrition\u2010impacting symptoms with the greatest severity (out of 10, higher equates to worse) at each time point were T1: tiredness, constipation, diarrhea, nausea (all 8 [5\u201310]); T2: tiredness and constipation (both 7 [5\u20138]); and T3: tiredness (6 [3\u20138]) and diarrhea (6 [2\u20137]). Malnutrition rates were 34% at T1. Energy and protein intakes were T1: 1046 [548\u20131481]\u2009kcal, 45.2 [23.9\u201361.0]\u2009g; T2: 1370 [958\u20131962]\u2009kcal, 70.9 [39.0\u201392.2]\u2009g; T3: 1580 [1168\u20132042]\u2009kcal, 45.2 [54.6\u2013100.4]\u2009g.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ICU survivors experience multiple nutrition\u2010impacting symptoms of varying prevalence and severity, which improve across the post\u2010ICU continuum.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpen.2753","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T09:24:27Z","timestamp":1742981067000},"page":"742-751","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Nutrition\u2010impacting symptoms in survivors of critical illness: A descriptive cohort study"],"prefix":"10.1002","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9692-1962","authenticated-orcid":false,"given":"Breanna J.","family":"Teleki","sequence":"first","affiliation":[{"name":"College of Nursing and Health Sciences, Flinders University Bedford Park South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Viner Smith","sequence":"additional","affiliation":[{"name":"Adelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide Adelaide South Australia Australia"},{"name":"Intensive Care Research Unit, Royal Adelaide Hospital Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosalie","family":"Yandell","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Sciences, Flinders University Bedford Park South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Summers","sequence":"additional","affiliation":[{"name":"Adelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide Adelaide South Australia Australia"},{"name":"Intensive Care Research Unit, Royal Adelaide Hospital Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9818-2484","authenticated-orcid":false,"given":"Lee\u2010anne S.","family":"Chapple","sequence":"additional","affiliation":[{"name":"Adelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide Adelaide South Australia Australia"},{"name":"Intensive Care Research Unit, Royal Adelaide Hospital Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2023.06.020"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0899-9007(95)00015-1"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202112-2780OC"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.278481"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00075197-200403000-00011"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2022.154140"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2023.12.012"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-017-1932-6"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeu187"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1566002"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.08.037"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S306350"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.1196"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCO.0000000000000637"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13539-012-0099-x"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/082585979100700202"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2010.04.020"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.2675"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.5195\/jmla.2018.319"},{"key":"e_1_2_10_21_1","unstructured":"Delegate Software Australia Pty. 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