Do patients with lymphoedema cholestasis syndrome 1/Aagenaes syndrome need dietary counselling outside cholestatic episodes?
| Autor: | Tor-Arne Hagve, Ingunn Bergstad, Monica Drivdal, E B Løken, Øystein Aagenaes |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Aging Aagenaes syndrome Adolescent Nutritional Sciences medicine.medical_treatment Saturated fat alpha-Tocopherol Critical Care and Intensive Care Medicine Body Mass Index Young Adult Cholestasis Patient Education as Topic Internal medicine Vitamin D and neurology Medicine Humans Lymphedema Child Calcifediol 25-Hydroxyvitamin D 2 Nutrition and Dietetics business.industry Vitamin E Syndrome Middle Aged medicine.disease Micronutrient Eicosapentaenoic acid Confidence interval Diet Records Diet Endocrinology Nutrition Assessment Female business Needs Assessment |
| Zdroj: | Clinical nutrition (Edinburgh, Scotland). 29(4) |
| ISSN: | 1532-1983 |
| Popis: | summary Background&Aims: Patients with lymphoedema cholestasis syndrome 1/Aagenaes Syndrome need a fat reduced diet when cholestatic. We wanted to assess the need for dietary counselling outside cholestatic episodes, and hypothetized that no counselling was needed. Methods: Fifteen patients above 10 years of age without symptoms of cholestasis were compared with a sex and age matched control group. Diet from a four-day weighed record and blood samples were compared between the two groups and with general Norwegian recommendations. Results: The patients had a similar diet to the healthy controls, except for statistically significant lower intake of energy from total fat (p ¼ 0.04) and saturated fat (0.02), and fish (0.05). The patients met the dietary recommendations for macronutrients, except for saturated fat, monounsaturated fat, refined sugar and fibre. Supplements were needed to meet the micronutrient recommendations. Patients had a significantly lower serum level of a-tocopherol (0.01) compared with the control group, and the serum 25-OH D level was below reference ranges. Conclusions: The patients would benefit from counselling on fat quality, carbohydrates including fibre intake, and individual needs for vitamins D and E. To secure serum 25-OH D and a-tocopherol levels within reference ranges, regular examinations to determine the need for supplementary vitamins D and E are recommended. |
| Databáze: | OpenAIRE |
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