2023
Long-term home parenteral nutrition and profile of amino acids in serum and their loss in urine
DASTYCH, Milan; Michal ŠENKYŘÍK; Alena MIKUŠKOVÁ a Milan DASTYCHZákladní údaje
Originální název
Long-term home parenteral nutrition and profile of amino acids in serum and their loss in urine
Autoři
Vydání
British Journal of Nutrition, CAMBRIDGE, Cambridge University Press, 2023, 0007-1145
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30308 Nutrition, Dietetics
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 3.000
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/23:00130207
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
Home parenteral nutrition; Essential amino acids; Ion exchange chromatography; Quality of life
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 26. 1. 2024 10:41, Mgr. Tereza Miškechová
Anotace
V originále
Amino acids are an essential part of parenteral nutrition. This study aimed to determine the serum profile of amino acids and their loss in urine in patients with long-term home parenteral nutrition (HPN) during 12 h of infusion in comparison with similar parameters in the remaining 12 has well as in healthy participants. We enrolled forty-five patients with long-term HPN for 6-75 (median, 33) months. The indication for HPN was short bowel syndrome secondary to radical resection of the small intestine following complications of Crohn's disease. HPN was administered via two-chamber all-in-one bags prepared in a hospital pharmacy overnight for 12 h each day. The average dose of amino acids, carbohydrates and fats administered was 1.5, 3.4 and 0.68 g/kg per d, respectively, at an infusion rate of 0.11, 0.28 and 0.06 g/kg per h, respectively. The levels of essential amino acids in the serum of the patients were not significantly different from those in healthy individuals; however, of the non-essential amino acids, cystine and glutamine levels were lower and glycine and ornithine levels were higher in the patients (P < 0.05). Excretion of amino acids in the urine during 12 h of infusion at an infusion rate of 0.11 g/kg per h was 301 mg, while it was 104 mg during the remaining 12 h (P < 0.0001). Our patients on long-term HPN had a normal serum profile of essential amino acids. The total urinary excretion of amino acids during 12 h of infusion accounted for only 0.34 % (0-23-0.46) of the administered dose.