Document Detail


Enteral feeding enriched with carotenoids normalizes the carotenoid status and reduces oxidative stress in long-term enterally fed patients.
MedLine Citation:
PMID:  17052809     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND & AIMS: Circulating carotenoid levels decrease progressively in patients receiving long-term enteral tube feeding with carotenoid-free formulas. Low dietary intake and low blood levels of carotenoids are associated with a higher risk of morbidity and mortality from chronic diseases. The aim of this study was to examine the effects of a low dose carotenoid mixture (3-mg/1500kcal) for 3 months on serum carotenoid levels and oxidative stress in patients receiving long-term enteral nutrition as the sole source of nutrition. METHODS: This randomized, double blind, controlled study compared patients receiving enteral nutrition with carotenoids (N=26) and without carotenoids (control group; N=25). RESULTS: Patients on long-term enteral nutrition had low baseline serum carotenoid levels. Three months of enteral feeding enriched with carotenoids significantly (P<0.01) increased serum carotenoid levels compared with the control group. Oxidative stress as measured by NF-kappaB levels was decreased at 3 months compared with the control group (P<0.05). No significant changes in MDA levels were observed during the study period in either group. CONCLUSIONS: This study demonstrated that enteral nutrition containing small amounts of carotenoids (3-mg/1500kcal) in patients requiring long-term enteral feeding normalizes serum carotenoid levels to the lower end of the range found in age-matched controls. The NF-kappaB data indicate a reduction in oxidative stress in these patients. Therefore, the use of formulas containing a mixture of carotenoids should be recommended for long-term enteral nutrition.
Authors:
Nachum Vaisman; Guido R M M Haenen; Yahalomit Zaruk; Carin Verduyn; Jacques G Bindels; Sjors Verlaan; Erwin P Meijer
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2006-10-18
Journal Detail:
Title:  Clinical nutrition (Edinburgh, Scotland)     Volume:  25     ISSN:  0261-5614     ISO Abbreviation:  Clin Nutr     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-22     Completed Date:  2007-03-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309603     Medline TA:  Clin Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  897-905     Citation Subset:  IM    
Affiliation:
Unit of Clinical Nutrition, Tel-Aviv Sourasky Medical Center, 6 Weizmann Street, Tel-Aviv, 64239, Israel.
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MeSH Terms
Descriptor/Qualifier:
Aged
Antioxidants / administration & dosage*,  metabolism
Carotenoids / administration & dosage*,  blood*
Double-Blind Method
Enteral Nutrition*
Female
Humans
Male
Malondialdehyde / blood
NF-kappa B
Nutritional Status*
Oxidative Stress* / drug effects
Time Factors
Chemical
Reg. No./Substance:
0/Antioxidants; 0/NF-kappa B; 36-88-4/Carotenoids; 542-78-9/Malondialdehyde

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


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