Document Detail


Absorptive capacity for dietary fat in elderly patients with debilitating disorders.
MedLine Citation:
PMID:  2493229     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine the effectiveness of vigorous realimentation with dietary fat, 17 subjects aged 64.0 +/- 2.1 years (mean +/- 1 SEM) were pump-fed via a nasogastric tube for an average of 22 days. The diet was liquid and nutritionally complete, high in unsaturated fat (67% of energy) and in the caloric density (12.6 kJ/mL or 3 Kcal/mL) [corrected]. Advanced malnutrition was manifested by 74% of the ideal body weight, subnormal anthropometric measurements, and low serum protein levels. At an intake of 17,986 +/- 945 kJ (4068 +/- 225 Kcal [corrected]) and 344 +/- 18 g of fat per day, the rate of nutrient absorption was 93% for energy and fat and 88% for protein. An increase in the daily fecal fat to 23 +/- 6 g was not associated with diarrhea. While serum triglyceride levels remained unchanged, the total cholesterol level decreased, with a relative increase in the high-density lipoprotein level. Effective utilization of nutrients resulted in a positive nitrogen balance and increases in body weight, triceps skinfold, the midarm muscle circumference, total iron binding capacity, and serum urea nitrogen level.
Authors:
V Simko; S Michael
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Archives of internal medicine     Volume:  149     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1989 Mar 
Date Detail:
Created Date:  1989-04-06     Completed Date:  1989-04-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  557-60     Citation Subset:  AIM; IM    
Affiliation:
Section of Gastroenterology, Brooklyn Veterans Administration Medical Center, NY 11209.
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MeSH Terms
Descriptor/Qualifier:
Aged
Dietary Fats / metabolism*
Dietary Proteins / administration & dosage
Energy Intake*
Enteral Nutrition*
Food, Formulated*
Humans
Intestinal Absorption*
Male
Middle Aged
Nutrition Disorders / therapy*
Time Factors
Weight Gain
Chemical
Reg. No./Substance:
0/Dietary Fats; 0/Dietary Proteins
Comments/Corrections
Comment In:
Arch Intern Med. 1990 Apr;150(4):912, 914-5   [PMID:  2109586 ]
Erratum In:
Arch Intern Med 1989 Sep;149(9):2100

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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