Clinical sequelae from overfeeding in enterally fed critically ill adults: Where is the evidence?

Identification: JPEN200801
Credits (Post Test and/or Evaluation Required)
Available until 08/31/2021
  • 1.00 - Dietitian
  • 1.00 - Nurse
  • 1.00 - Pharmacist
  • 1.00 - Physician
  • 1.00 - Other


*To take the exam click the CE Information tab*

CE Credit: CE credit available for dietitians, nurses, pharmacists and physicians

Total Credit Hours: 1.0

Release Date: August 1, 2020

Expiration Date (all CE credit must be claimed by the expiration date): August 31, 2021

Issue: 6

Volume: 44

Journal: Journal of Parenteral and Enteral Nutrition (JPEN)

Author (s):

Lee-anne Chapple, APD, PhD, NHMRC Early Career Fellow, ICU Research, Royal Adelaide Hospital, Adelaide, Australia

Luke Weinel, BSc, BHSc(Hons), Eye Bank of South Australia Coordinator, Flinders Medical Center, Department of Ophthalmology; Master’s Student – Master of Medical Statistics (Clinical Specialization), University of Newcastle, Callaghan, Australia

Emma Ridley, BNutDietet, APD, MPH, PhD, Senior Research Fellow, Nutrition Program Lead & NHMRC Emerging Leadership Fellow, Australian and New Zealand Intensive Care Research Center, School of Public Health and Preventive Medicine, Melbourne, Australia

Daryl Jones, BSc (Hons), MB BS, FRACP, FCICM, MD, PhD, Intensive Care Physician, Department of Intensive Care, Austin Hospital Department of Intensive Care, Melbourne, Australia

Marianne Chapman, BMBS, PhD, DA (UK), FFARCSI, FANZCA, FCICM, Professor, Discipline of Acute Care Medicine, School of Medicine, Faculty of Health Sciences, University of Adelaide, Sydney, Australia

Sandra Peake, BM BS, BSc (Hons), FCICM, PhD, Senior Staff Specialist in Intensive Care, The Queen Elizabeth Hospital, Woodville, South Australia; Discipline of Acute Care Medicine, School of Medicine, University of Adelaide, Adelaide, Australia

Link to article: Link

Journal-based CE Activity Overall Goal:

The JPEN Editor, in concurrence with ASPEN’s Education and Professional Development Committee, selected this article to be offered for CE credit to fill an observed learning need in the arena of clinical nutrition and metabolism. This CE activity serves to promote the process of life-long learning for physicians, dietitians, pharmacists, and nurses by providing peer-reviewed journal articles that fully qualify for continuing education credits.

Goal and Target Audience:

This educational activity is directed toward clinical nutrition and metabolism professionals and others who wish to update their knowledge of clinical nutrition and metabolism. By participating in this educational activity, the reader may expect to:

  • Acquire knowledge in the area of clinical nutrition and metabolism research
  • Update or confirm your understanding of appropriate clinical nutrition and metabolism practices.
  • Identify further learning needs as they relate to the subject matter.

Learning Objectives:

  1. Describe the different risks of overfeeding with parenteral nutrition as opposed to enteral nutrition
  2. Summarize the evidence regarding enteral calorie overfeeding on clinical outcomes in critically ill adults
  3. Analyze the literature on enteral calorie overfeeding in critically ill adults
  4. Identify the benefit of overfeeding patients to ensure adequate protein versus the risk of overfeeding on outcomes of glycaemia and gastrointestinal function.
  5. Interpret the evidence base for enteral calorie overfeeding relative to individual clinical practice

Requirements for Successful Completion:
To obtain CE credit for this activity, attendees must read the journal article in its entirety, complete an online assessment for each article and achieve a score of 100%, and complete an online activity evaluation. All are located in ASPEN’s eLearning Center ( All CE credit must be claimed prior to the expiration date, no exceptions. Dietitians and other CDR credentialed practitioners must also complete and retain a copy of the CDR issued Critical Thinking Self-Study Evaluation Tool. Pharmacists must provide their birthday (MMDD) and NABP e-PID. Details are available at

Accreditation Statements/Continuing Education Credit

Nurses, Pharmacists and Physicians
In support of improving patient care, The American Society for Parenteral and Enteral Nutrition (ASPEN) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

This activity is for a maximum of 1 contact hour (0.1 CEU) per journal article and is a knowledge activity.

ASPEN designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credits TM per article. Physicians should only claim credit commensurate with the extent of their participation in the activity.

ASPEN is approved by the California Board of Registered Nursing, Provider CEP 3970.

ACPE UAN: JA0002345-0000-20-081-H04-P

Knowledge activity.


ASPEN, Provider Number AM005, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). CDR level 2. Dietitians may post comments on this program on


Non-Commercialism: ASPEN subscribes to the ACCME Standards for Commercial Support. ASPEN does not provide programs that constitute advertisement or include promotional materials. ASPEN does not endorse any products.

Computer Requirements and Technical Support: Participants will need a computer with internet connection to access the online assessment and evaluation for each journal article. If the journal article is read electronically, then the ability to read a PDF document is also necessary. Users should enable pop-ups if attempting to read article electronically. For technical difficulties please contact Digitell Inc. Customer Support at: 1-800-679-3646

Office hours are between 9AM to 5PM ET, Monday through Friday

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Refund Policy: Refunds are not available.

Grievances: Grievances must be submitted in writing to Director of Education at ASPEN 8401 Colesville Road, Suite 510, Silver Spring, MD 20910.

Commercial Support and Sponsorship:
No commercial support or sponsorship has been received for this continuing education activity.

Commercial Relationships Disclosures and Conflicts of Interest (COI) of Authors and Editor-in-Chief and Associate Editors

Among the authors, Marianne Chapman, Daryl Jones, Sandra Peake, Luke Weinel have nothing to disclose.

Lee-anne Chapple: Nutricia Global, honorarium/travel; guest speaker

Emma Ridley: Baxter Healthcare Corporation; Unrestricted grant funding, Chief Investigator; Nutricia Australia, honorarium, speaker

Among the JPEN Associate Editors, David August, Ronald Koretz, Ding-You Li, Jean-Charles Preiser, and Diana Mager have nothing to disclose.

Lillian Harvey-Banchik: Abbott, speaker's bureau, compensation.

Joseph Boullata: Bbraun, honoraria, speaker and consultant; Fresenius Kabi USA, honoraria, speaker.

Kathleen Gura: Northsea Therapeutics, consulting fee, consultant; Xellia Pharmaceuticals, consulting fee, member of pharmaceutical advisory board; Baxter, honorarium, member of advisory board; Otsuka Pharmaceutical Company, consulting fee, consultant.

Russell Merritt: Abbott, Abbvie, J&J, stockholder, no current role, result of former employment; Takeda, Site PI and Speaker, received honorarium and research support; Alcresta, advisory board, consultant fees; Abbott labs, retiree, pension, no current role; Einshot Biohealth, consulting fees, consultant. .

Juan Ochoa: Nestle Health Science, honorarium, speaker; Baxter, honorarium, advisory board; Aesculap, honorarium, advisory role/consultant; HNC (nutrition council), honoraria, speaker

Sadeq Quraishi: Clinical Fellow - Nestle Nutrition Institute, travel/accommodations; Consultant and Speaker - Abbott Nutrition, honoraria; Consultant and Speaker - Alcresta, honoraria; Consultant and Speaker - Frensenius Kabi, honoraria

JPEN Editor-in-Chief Kelly Tappenden: Viovectiv, honorarium, consultant; Abbott Nutrition, speaker, honorarium; Shire Pharmaceuticals, honorarium, speaker; Baxter Healthcare, honorarium, consultant.

No conflicts related to disclosure information present and subsequently no need for resolution. Standard journal peer-review process also in place as another layer of review to ensure no conflicts to resolve.

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Credits: None available.