Lysine kinetics in preterm infants: the importance of enteral feeding

Autor: S R D van der Schoor, Peter J. Reeds, Frans Stellaard, J D L Wattimena, Hans A. Büller, J.B. van Goudoever, Pjj Sauer
Přispěvatelé: General Paediatrics, Pediatrics, Internal Medicine
Rok vydání: 2004
Předmět:
Zdroj: Gut, 53(1), 38-43. BMJ Publishing Group
Gut, 53(1), 38-43. BMJ PUBLISHING GROUP
Gut, 53, 38-43. BMJ Publishing Group
ISSN: 0017-5749
DOI: 10.1136/gut.53.1.38
Popis: Introduction: Lysine is the first limiting essential amino acid in the diet of newborns. First pass metabolism by the intestine of dietary lysine has a direct effect on systemic availability. We investigated whether first pass lysine metabolism in the intestine is high in preterm infants, particularly at a low enteral intake. Patients and methods: Six preterm infants ( birth weight 0.9 ( 0.1) kg) were studied during two different periods: period A ( n = 6): 40% of intake administered enterally, 60% parenterally; lysine intake 92 ( 6) mumol/( kgxh); and period B ( n = 4): 100% enteral feeding; lysine intake 100 ( 3) mumol/( kgxh). Dual stable isotope tracer techniques were used to assess splanchnic and whole body lysine kinetics. Results: Fractional first pass lysine uptake by the intestine was significantly higher during partial enteral feeding ( period A 32 ( 10)% v period B 18 ( 7)%; p
Databáze: OpenAIRE