Document Detail


Nutrient intake from habitual oral diet in patients with severe short bowel syndrome living in the southeastern United States.
MedLine Citation:
PMID:  18328409     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Little data are published on the habitual home oral diet of patients with short bowel syndrome (SBS).
METHODS: We assessed nutrient intake from oral food and beverages in 19 stable patients with severe SBS who live in the southeastern United States. Intestinal absorption of energy, fat, nitrogen (N), and carbohydrate (CHO) was determined in a metabolic ward.
RESULTS: We studied 12 women and 7 men, age 48 +/- 3 y of age (mean +/- SE) receiving parenteral nutrition for 31 +/- 8 mo following massive small bowel resection (118 +/- 25 cm residual small bowel). The patients demonstrated severe malabsorption of energy (59 +/- 3% of oral intake), fat (41 +/- 5%), N (42 +/- 5%) and CHO (76 +/- 3%). Oral energy intake was 2656 +/- 242 kcal/d (39 +/- 3 kcal/kg/d) and oral protein intake was 1.4 +/- 0.1 g/kg/d. Food/beverage intake constituted 49 +/- 4% of total (enteral plus parenteral) daily fluid intake, 66 +/- 4% of total daily kcal and 58 +/- 5% of total daily N intake. Oral fat intake averaged 92 +/- 11 g/day ( approximately 35% of total oral energy). Oral fluid intake averaged 2712 +/- 240 ml/d, primarily from water, soft drinks, sweet tea and coffee. Simple sugars comprised 42 +/- 3% of oral CHO intake. Usual dietary intake of multiple micronutrients were below the Recommended Dietary Allowances (RDA) in a large percentage of patients: vitamin A (47%), vitamin D (79%), vitamin E (79%), vitamin K (63%), thiamine (42%), vitamin B6 (68%), vitamin B12 (11%), vitamin C (58%), folate (37%), iron (37%), calcium (63%), magnesium (79%) and zinc (68%). Only seven patients (37%) were taking oral multivitamin-mineral supplements and only six subjects (32%) were taking oral iron and calcium supplements, respectively.
CONCLUSION: In these SBS patients, an oral diet provided a significant proportion of daily nutrient intake. The types of foods and fluids consumed are likely to worsen malabsorption and thus increase PN requirements. Oral intake of essential micronutrients was very low in a significant proportion of these individuals.
Authors:
Concepción F Estívariz; Menghua Luo; Kayellen Umeakunne; Niloofar Bazargan; John R Galloway; Lorraine M Leader; Thomas R Ziegler
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Nutrition (Burbank, Los Angeles County, Calif.)     Volume:  24     ISSN:  0899-9007     ISO Abbreviation:  Nutrition     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-10     Completed Date:  2008-06-30     Revised Date:  2014-09-14    
Medline Journal Info:
Nlm Unique ID:  8802712     Medline TA:  Nutrition     Country:  United States    
Other Details:
Languages:  eng     Pagination:  330-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Physiological
Dietary Carbohydrates / administration & dosage,  pharmacokinetics
Dietary Fats / administration & dosage,  pharmacokinetics
Dietary Proteins / administration & dosage,  pharmacokinetics
Dietary Supplements
Energy Intake
Energy Metabolism
Female
Food Habits*
Humans
Intestinal Absorption / physiology*
Intestines / physiology
Male
Micronutrients / administration & dosage*,  metabolism
Middle Aged
Minerals / administration & dosage,  metabolism
Nitrogen / metabolism
Nutrition Assessment
Nutritional Physiological Phenomena / physiology*
Nutritional Requirements*
Severity of Illness Index
Short Bowel Syndrome / metabolism*,  pathology
Southeastern United States
Vitamins / administration & dosage,  metabolism
Grant Support
ID/Acronym/Agency:
K24 RR023356/RR/NCRR NIH HHS; R01 DK055850/DK/NIDDK NIH HHS; R01 DK055850-01A1/DK/NIDDK NIH HHS; R01 DK055850-02/DK/NIDDK NIH HHS; R01 DK055850-03/DK/NIDDK NIH HHS; R01 DK055850-03S1/DK/NIDDK NIH HHS; R01 DK055850-04/DK/NIDDK NIH HHS; R01 DK055850-05/DK/NIDDK NIH HHS; R01 DK55850/DK/NIDDK NIH HHS; RR00039/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
0/Dietary Carbohydrates; 0/Dietary Fats; 0/Dietary Proteins; 0/Micronutrients; 0/Minerals; 0/Vitamins; N762921K75/Nitrogen
Comments/Corrections

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