J 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 DASTYCH

Základní údaje

Originální název

Long-term home parenteral nutrition and profile of amino acids in serum and their loss in urine

Autoři

DASTYCH, Milan (203 Česká republika, domácí), Michal ŠENKYŘÍK (203 Česká republika, domácí), Alena MIKUŠKOVÁ (203 Česká republika) a Milan DASTYCH (203 Česká republika, garant, domácí)

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: 3.600 v roce 2022

Kód RIV

RIV/00216224:14110/23:00130207

Organizační jednotka

Lékařská fakulta

UT WoS

000850370000001

Klíčová slova anglicky

Home parenteral nutrition; Essential amino acids; Ion exchange chromatography; Quality of life

Štítky

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.