The Japanese Critical Care Nutrition Guideline 2024
Abstract Nutrition therapy is important in the management of critically ill patients and is continuously evolving as new evidence emerges. The Japanese Critical Care Nutrition Guideline 2024 (JCCNG 2024) is specific to Japan and is the latest set of clinical practice guidelines for nutrition therapy...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-03-01
|
| Series: | Journal of Intensive Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40560-025-00785-z |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850181785205342208 |
|---|---|
| author | Kensuke Nakamura Ryo Yamamoto Naoki Higashibeppu Minoru Yoshida Hiroomi Tatsumi Yoshiyuki Shimizu Hiroo Izumino Taku Oshima Junji Hatakeyama Akira Ouchi Rie Tsutsumi Norihiko Tsuboi Natsuhiro Yamamoto Ayumu Nozaki Sadaharu Asami Yudai Takatani Kohei Yamada Yujiro Matsuishi Shuhei Takauji Akihito Tampo Yusuke Terasaka Takeaki Sato Saiko Okamoto Hideaki Sakuramoto Tomoka Miyagi Keisei Aki Hidehito Ota Taro Watanabe Nobuto Nakanishi Hiroyuki Ohbe Chihiro Narita Jun Takeshita Masano Sagawa Takefumi Tsunemitsu Shinya Matsushima Daisuke Kobashi Yorihide Yanagita Shinichi Watanabe Hiroyasu Murata Akihisa Taguchi Takuya Hiramoto Satomi Ichimaru Muneyuki Takeuchi Joji Kotani |
| author_facet | Kensuke Nakamura Ryo Yamamoto Naoki Higashibeppu Minoru Yoshida Hiroomi Tatsumi Yoshiyuki Shimizu Hiroo Izumino Taku Oshima Junji Hatakeyama Akira Ouchi Rie Tsutsumi Norihiko Tsuboi Natsuhiro Yamamoto Ayumu Nozaki Sadaharu Asami Yudai Takatani Kohei Yamada Yujiro Matsuishi Shuhei Takauji Akihito Tampo Yusuke Terasaka Takeaki Sato Saiko Okamoto Hideaki Sakuramoto Tomoka Miyagi Keisei Aki Hidehito Ota Taro Watanabe Nobuto Nakanishi Hiroyuki Ohbe Chihiro Narita Jun Takeshita Masano Sagawa Takefumi Tsunemitsu Shinya Matsushima Daisuke Kobashi Yorihide Yanagita Shinichi Watanabe Hiroyasu Murata Akihisa Taguchi Takuya Hiramoto Satomi Ichimaru Muneyuki Takeuchi Joji Kotani |
| author_sort | Kensuke Nakamura |
| collection | DOAJ |
| description | Abstract Nutrition therapy is important in the management of critically ill patients and is continuously evolving as new evidence emerges. The Japanese Critical Care Nutrition Guideline 2024 (JCCNG 2024) is specific to Japan and is the latest set of clinical practice guidelines for nutrition therapy in critical care that was revised from JCCNG 2016 by the Japanese Society of Intensive Care Medicine. An English version of these guidelines was created based on the contents of the original Japanese version. These guidelines were developed to help health care providers understand and provide nutrition therapy that will improve the outcomes of children and adults admitted to intensive care units or requiring intensive care, regardless of the disease. The intended users of these guidelines are all healthcare professionals involved in intensive care, including those who are not familiar with nutrition therapy. JCCNG 2024 consists of 37 clinical questions and 24 recommendations, covering immunomodulation therapy, nutrition therapy for special conditions, and nutrition therapy for children. These guidelines were developed in accordance with the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system by experts from various healthcare professionals related to nutrition therapy and/or critical care. All GRADE-based recommendations, good practice statements (GPS), future research questions, and answers to background questions were finalized by consensus using the modified Delphi method. Strong recommendations for adults include early enteral nutrition (EN) within 48 h and the provision of pre/synbiotics. Weak recommendations for adults include the use of a nutrition protocol, EN rather than parenteral nutrition, the provision of higher protein doses, post-pyloric EN, continuous EN, omega-3 fatty acid-enriched EN, the provision of probiotics, and indirect calorimetry use. Weak recommendations for children include early EN within 48 h, bolus EN, and energy/protein-dense EN formulas. A nutritional assessment is recommended by GPS for both adults and children. JCCNG 2024 will be disseminated through educational activities mainly by the JCCNG Committee at various scientific meetings and seminars. Since studies on nutritional treatment for critically ill patients are being reported worldwide, these guidelines will be revised in 4 to 6 years. We hope that these guidelines will be used in clinical practice for critically ill patients and in future research. |
| format | Article |
| id | doaj-art-31958dd78df44a64bd541dbafebb414d |
| institution | OA Journals |
| issn | 2052-0492 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Intensive Care |
| spelling | doaj-art-31958dd78df44a64bd541dbafebb414d2025-08-20T02:17:49ZengBMCJournal of Intensive Care2052-04922025-03-0113116610.1186/s40560-025-00785-zThe Japanese Critical Care Nutrition Guideline 2024Kensuke Nakamura0Ryo Yamamoto1Naoki Higashibeppu2Minoru Yoshida3Hiroomi Tatsumi4Yoshiyuki Shimizu5Hiroo Izumino6Taku Oshima7Junji Hatakeyama8Akira Ouchi9Rie Tsutsumi10Norihiko Tsuboi11Natsuhiro Yamamoto12Ayumu Nozaki13Sadaharu Asami14Yudai Takatani15Kohei Yamada16Yujiro Matsuishi17Shuhei Takauji18Akihito Tampo19Yusuke Terasaka20Takeaki Sato21Saiko Okamoto22Hideaki Sakuramoto23Tomoka Miyagi24Keisei Aki25Hidehito Ota26Taro Watanabe27Nobuto Nakanishi28Hiroyuki Ohbe29Chihiro Narita30Jun Takeshita31Masano Sagawa32Takefumi Tsunemitsu33Shinya Matsushima34Daisuke Kobashi35Yorihide Yanagita36Shinichi Watanabe37Hiroyasu Murata38Akihisa Taguchi39Takuya Hiramoto40Satomi Ichimaru41Muneyuki Takeuchi42Joji Kotani43Department of Critical Care Medicine, Yokohama City University HospitalDepartment of Emergency and Critical Care Medicine, Keio University School of MedicineDepartment of Anesthesia and Critical Care, Kobe City Medical Center General HospitalDepartment of Emergency and Critical Care Medicine, St. Marianna University School of MedicineDepartment of Intensive Care Medicine, Sapporo Medical University School of MedicineDepartment of Intensive Care Medicine, Osaka Women’s and Children’s HospitalAcute and Critical Care Center, Nagasaki University HospitalDepartment of Emergency and Critical Care Medicine, Chiba University Graduate School of MedicineDepartment of Emergency and Critical Care Medicine, Osaka Medical and Pharmaceutical UniversityDepartment of Adult Health Nursing, College of Nursing, Ibaraki Christian UniversityDepartment of Anesthesiology and Critical Care, Hiroshima University HospitalDepartment of Critical Care Medicine and Anesthesia, National Center for Child Health and DevelopmentDepartment of Anesthesiology and Critical Care Medicine, Yokohama City University School of MedicineDepartment of Pharmacy, Kyoto-Katsura HospitalDepartment of Cardiology, Musashino Tokushukai HospitalDepartment of Primary Care and Emergency Medicine, Kyoto University HospitalDepartment of Traumatology and Critical Care Medicine, National Defense Medical College HospitalAdult and Elderly Nursing, Faculty of Nursing, Tokyo University of Information ScienceDepartment of Emergency Medicine, Hokkaido University HospitalDepartment of Emergency Medicine, Asahikawa Medical UniversityDepartment of Emergency Medicine, Kyoto Katsura HospitalTohoku University Hospital Emergency CenterDepartment of Nursing, Hitachi General HospitalDepartment of Acute Care Nursing, Japanese Red Cross Kyushu International College of NursingAnesthesiology and Critical Care Medicine, Master’s Degree Program, Graduate School of Medicine, Yokohama City UniversityDepartment of Pharmacy, Kokura Memorial HospitalDepartment of Pediatrics, School of Medicine, The University of TokyoDepartment of Intensive Care Medicine, Showa University School of MedicineDivision of Disaster and Emergency Medicine, Department of Surgery Related, Kobe University Graduate School of MedicineDepartment of Emergency and Critical Care Medicine, Tohoku University HospitalDepartment of Emergency Medicine, Shizuoka General HospitalDepartment of Anesthesiology, Osaka Women’s and Children’s HospitalDepartment of Surgery, Tokyo Women’s Medical University Adachi Medical CenterDepartment of Preventive Services, Graduate School of Medicine, Kyoto UniversityDepartment of Physical Therapy, Faculty of Health Science, Kyorin UniversityDepartment of Critical Care and Emergency Medicine, Japanese Red Cross Maebashi HospitalDepartment of Health Sciences, Institute of Biomedical Sciences, Nagasaki UniversityDepartment of Physical Therapy, Faculty of Rehabilitation, Gifu University of Health ScienceDepartment of Rehabilitation Medicine, Kyorin University HospitalDepartment of Anesthesia, Kyoto University HospitalDepartment of Internal Medicine, Tokyo Bay Urayasu Ichikawa Medical CenterFood and Nutrition Service Department, Fujita Health University HospitalDepartment of Critical Care Medicine, National Cerebral and Cardiovascular CenterDivision of Disaster and Emergency Medicine, Department of Surgery Related, Kobe University Graduate School of MedicineAbstract Nutrition therapy is important in the management of critically ill patients and is continuously evolving as new evidence emerges. The Japanese Critical Care Nutrition Guideline 2024 (JCCNG 2024) is specific to Japan and is the latest set of clinical practice guidelines for nutrition therapy in critical care that was revised from JCCNG 2016 by the Japanese Society of Intensive Care Medicine. An English version of these guidelines was created based on the contents of the original Japanese version. These guidelines were developed to help health care providers understand and provide nutrition therapy that will improve the outcomes of children and adults admitted to intensive care units or requiring intensive care, regardless of the disease. The intended users of these guidelines are all healthcare professionals involved in intensive care, including those who are not familiar with nutrition therapy. JCCNG 2024 consists of 37 clinical questions and 24 recommendations, covering immunomodulation therapy, nutrition therapy for special conditions, and nutrition therapy for children. These guidelines were developed in accordance with the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system by experts from various healthcare professionals related to nutrition therapy and/or critical care. All GRADE-based recommendations, good practice statements (GPS), future research questions, and answers to background questions were finalized by consensus using the modified Delphi method. Strong recommendations for adults include early enteral nutrition (EN) within 48 h and the provision of pre/synbiotics. Weak recommendations for adults include the use of a nutrition protocol, EN rather than parenteral nutrition, the provision of higher protein doses, post-pyloric EN, continuous EN, omega-3 fatty acid-enriched EN, the provision of probiotics, and indirect calorimetry use. Weak recommendations for children include early EN within 48 h, bolus EN, and energy/protein-dense EN formulas. A nutritional assessment is recommended by GPS for both adults and children. JCCNG 2024 will be disseminated through educational activities mainly by the JCCNG Committee at various scientific meetings and seminars. Since studies on nutritional treatment for critically ill patients are being reported worldwide, these guidelines will be revised in 4 to 6 years. We hope that these guidelines will be used in clinical practice for critically ill patients and in future research.https://doi.org/10.1186/s40560-025-00785-zICUNutritionCritical illnessGuideline |
| spellingShingle | Kensuke Nakamura Ryo Yamamoto Naoki Higashibeppu Minoru Yoshida Hiroomi Tatsumi Yoshiyuki Shimizu Hiroo Izumino Taku Oshima Junji Hatakeyama Akira Ouchi Rie Tsutsumi Norihiko Tsuboi Natsuhiro Yamamoto Ayumu Nozaki Sadaharu Asami Yudai Takatani Kohei Yamada Yujiro Matsuishi Shuhei Takauji Akihito Tampo Yusuke Terasaka Takeaki Sato Saiko Okamoto Hideaki Sakuramoto Tomoka Miyagi Keisei Aki Hidehito Ota Taro Watanabe Nobuto Nakanishi Hiroyuki Ohbe Chihiro Narita Jun Takeshita Masano Sagawa Takefumi Tsunemitsu Shinya Matsushima Daisuke Kobashi Yorihide Yanagita Shinichi Watanabe Hiroyasu Murata Akihisa Taguchi Takuya Hiramoto Satomi Ichimaru Muneyuki Takeuchi Joji Kotani The Japanese Critical Care Nutrition Guideline 2024 Journal of Intensive Care ICU Nutrition Critical illness Guideline |
| title | The Japanese Critical Care Nutrition Guideline 2024 |
| title_full | The Japanese Critical Care Nutrition Guideline 2024 |
| title_fullStr | The Japanese Critical Care Nutrition Guideline 2024 |
| title_full_unstemmed | The Japanese Critical Care Nutrition Guideline 2024 |
| title_short | The Japanese Critical Care Nutrition Guideline 2024 |
| title_sort | japanese critical care nutrition guideline 2024 |
| topic | ICU Nutrition Critical illness Guideline |
| url | https://doi.org/10.1186/s40560-025-00785-z |
| work_keys_str_mv | AT kensukenakamura thejapanesecriticalcarenutritionguideline2024 AT ryoyamamoto thejapanesecriticalcarenutritionguideline2024 AT naokihigashibeppu thejapanesecriticalcarenutritionguideline2024 AT minoruyoshida thejapanesecriticalcarenutritionguideline2024 AT hiroomitatsumi thejapanesecriticalcarenutritionguideline2024 AT yoshiyukishimizu thejapanesecriticalcarenutritionguideline2024 AT hirooizumino thejapanesecriticalcarenutritionguideline2024 AT takuoshima thejapanesecriticalcarenutritionguideline2024 AT junjihatakeyama thejapanesecriticalcarenutritionguideline2024 AT akiraouchi thejapanesecriticalcarenutritionguideline2024 AT rietsutsumi thejapanesecriticalcarenutritionguideline2024 AT norihikotsuboi thejapanesecriticalcarenutritionguideline2024 AT natsuhiroyamamoto thejapanesecriticalcarenutritionguideline2024 AT ayumunozaki thejapanesecriticalcarenutritionguideline2024 AT sadaharuasami thejapanesecriticalcarenutritionguideline2024 AT yudaitakatani thejapanesecriticalcarenutritionguideline2024 AT koheiyamada thejapanesecriticalcarenutritionguideline2024 AT yujiromatsuishi thejapanesecriticalcarenutritionguideline2024 AT shuheitakauji thejapanesecriticalcarenutritionguideline2024 AT akihitotampo thejapanesecriticalcarenutritionguideline2024 AT yusuketerasaka thejapanesecriticalcarenutritionguideline2024 AT takeakisato thejapanesecriticalcarenutritionguideline2024 AT saikookamoto thejapanesecriticalcarenutritionguideline2024 AT hideakisakuramoto thejapanesecriticalcarenutritionguideline2024 AT tomokamiyagi thejapanesecriticalcarenutritionguideline2024 AT keiseiaki thejapanesecriticalcarenutritionguideline2024 AT hidehitoota thejapanesecriticalcarenutritionguideline2024 AT tarowatanabe thejapanesecriticalcarenutritionguideline2024 AT nobutonakanishi thejapanesecriticalcarenutritionguideline2024 AT hiroyukiohbe thejapanesecriticalcarenutritionguideline2024 AT chihironarita thejapanesecriticalcarenutritionguideline2024 AT juntakeshita thejapanesecriticalcarenutritionguideline2024 AT masanosagawa thejapanesecriticalcarenutritionguideline2024 AT takefumitsunemitsu thejapanesecriticalcarenutritionguideline2024 AT shinyamatsushima thejapanesecriticalcarenutritionguideline2024 AT daisukekobashi thejapanesecriticalcarenutritionguideline2024 AT yorihideyanagita thejapanesecriticalcarenutritionguideline2024 AT shinichiwatanabe thejapanesecriticalcarenutritionguideline2024 AT hiroyasumurata thejapanesecriticalcarenutritionguideline2024 AT akihisataguchi thejapanesecriticalcarenutritionguideline2024 AT takuyahiramoto thejapanesecriticalcarenutritionguideline2024 AT satomiichimaru thejapanesecriticalcarenutritionguideline2024 AT muneyukitakeuchi thejapanesecriticalcarenutritionguideline2024 AT jojikotani thejapanesecriticalcarenutritionguideline2024 AT kensukenakamura japanesecriticalcarenutritionguideline2024 AT ryoyamamoto japanesecriticalcarenutritionguideline2024 AT naokihigashibeppu japanesecriticalcarenutritionguideline2024 AT minoruyoshida japanesecriticalcarenutritionguideline2024 AT hiroomitatsumi japanesecriticalcarenutritionguideline2024 AT yoshiyukishimizu japanesecriticalcarenutritionguideline2024 AT hirooizumino japanesecriticalcarenutritionguideline2024 AT takuoshima japanesecriticalcarenutritionguideline2024 AT junjihatakeyama japanesecriticalcarenutritionguideline2024 AT akiraouchi japanesecriticalcarenutritionguideline2024 AT rietsutsumi japanesecriticalcarenutritionguideline2024 AT norihikotsuboi japanesecriticalcarenutritionguideline2024 AT natsuhiroyamamoto japanesecriticalcarenutritionguideline2024 AT ayumunozaki japanesecriticalcarenutritionguideline2024 AT sadaharuasami japanesecriticalcarenutritionguideline2024 AT yudaitakatani japanesecriticalcarenutritionguideline2024 AT koheiyamada japanesecriticalcarenutritionguideline2024 AT yujiromatsuishi japanesecriticalcarenutritionguideline2024 AT shuheitakauji japanesecriticalcarenutritionguideline2024 AT akihitotampo japanesecriticalcarenutritionguideline2024 AT yusuketerasaka japanesecriticalcarenutritionguideline2024 AT takeakisato japanesecriticalcarenutritionguideline2024 AT saikookamoto japanesecriticalcarenutritionguideline2024 AT hideakisakuramoto japanesecriticalcarenutritionguideline2024 AT tomokamiyagi japanesecriticalcarenutritionguideline2024 AT keiseiaki japanesecriticalcarenutritionguideline2024 AT hidehitoota japanesecriticalcarenutritionguideline2024 AT tarowatanabe japanesecriticalcarenutritionguideline2024 AT nobutonakanishi japanesecriticalcarenutritionguideline2024 AT hiroyukiohbe japanesecriticalcarenutritionguideline2024 AT chihironarita japanesecriticalcarenutritionguideline2024 AT juntakeshita japanesecriticalcarenutritionguideline2024 AT masanosagawa japanesecriticalcarenutritionguideline2024 AT takefumitsunemitsu japanesecriticalcarenutritionguideline2024 AT shinyamatsushima japanesecriticalcarenutritionguideline2024 AT daisukekobashi japanesecriticalcarenutritionguideline2024 AT yorihideyanagita japanesecriticalcarenutritionguideline2024 AT shinichiwatanabe japanesecriticalcarenutritionguideline2024 AT hiroyasumurata japanesecriticalcarenutritionguideline2024 AT akihisataguchi japanesecriticalcarenutritionguideline2024 AT takuyahiramoto japanesecriticalcarenutritionguideline2024 AT satomiichimaru japanesecriticalcarenutritionguideline2024 AT muneyukitakeuchi japanesecriticalcarenutritionguideline2024 AT jojikotani japanesecriticalcarenutritionguideline2024 |