Document Detail


Relationship between urea and ammonium excretion in the urine of very-low-birth-weight infants appropriate for gestational age.
MedLine Citation:
PMID:  2360909     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In 14 very-low-birth-weight infants appropriate for gestational age the serum concentrations of urea and the excretions of urea and ammonium in the urine were studied on the 10th, 21st, and 42nd day of postnatal life. All infants were fed with a human milk preparation (6 g human milk lyophilisate per 100 ml fresh human milk). The enteral feeding could be started on the first day of life so that protein intakes were not different on the three study days (2.94 vs. 2.98 vs 3.13 g/kg.d). The renal excretion of urea increased significantly from the 10th to the 42nd day of life (1.2 +/- 0.13 vs 2.1 +/- 0.24 mmol/kg.d) whereas the excretion of ammonium decreased during the same time (0.53 +/- 0.06 vs 0.29 +/- 0.05 mmol/kg.d). There was a significantly negative correlation between the excretion of urea and of ammonia on all study days. The weight gain was sufficient for the given protein intakes (18.9 +/- 3.4 g/kg.d). The results indicate a transient limited capacity of the urea synthesizing system in the liver of very-low-birth-weight infants during the first weeks of life which should be considered if metabolic responses to protein intake are studied and evaluated in these infants.
Authors:
G Boehm; E Gedlu; D M Müller; K Beyreiss; N C Räihä
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Biomedica biochimica acta     Volume:  49     ISSN:  0232-766X     ISO Abbreviation:  Biomed. Biochim. Acta     Publication Date:  1990  
Date Detail:
Created Date:  1990-08-01     Completed Date:  1990-08-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8304435     Medline TA:  Biomed Biochim Acta     Country:  GERMANY, EAST    
Other Details:
Languages:  eng     Pagination:  69-74     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, Karl-Marx-University, Leipzig, GDR.
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MeSH Terms
Descriptor/Qualifier:
Acid-Base Equilibrium
Ammonia / urine*
Food, Formulated
Gestational Age
Humans
Infant, Low Birth Weight*
Infant, Newborn
Kidney / metabolism
Metabolic Clearance Rate
Milk Proteins
Nitrogen / metabolism
Urea / blood,  metabolism,  urine*
Weight Gain
Chemical
Reg. No./Substance:
0/Milk Proteins; 57-13-6/Urea; 7664-41-7/Ammonia; 7727-37-9/Nitrogen

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


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