Vitamin C in Home Parenteral Nutrition: A Need for Monitoring

Autor: Julienne Grillot, Sabrina Ait, Charlotte Bergoin, Thomas Couronne, Emilie Blond, Catherine Peraldi, Didier Barnoud, Cécile Chambrier, Madeleine Lauverjat
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Nutrients, Vol 12, Iss 6, p 1667 (2020)
Druh dokumentu: article
ISSN: 2072-6643
DOI: 10.3390/nu12061667
Popis: To date, there are no recommendations about screening plasma vitamin C concentration and adjust its supplementation in patients on long-term home parenteral nutrition (HPN). The aim of this study was to evaluate vitamin C status and determine if a commercial multivitamin preparation (CMVP) containing 125 mg of vitamin C is sufficient in stable patients on HPN. All clinically stable patients receiving HPN or an intravenous fluid infusion at least two times per week for at least 6 months, hospitalized for nutritional assessment, were retrospectively included, for a total of 186 patients. We found that 29% of the patients had vitamin C insufficiency (i.e., p = 0.002) and intake of only 125 mg of vitamin C (p = 0.001) were negatively associated with vitamin C levels, and duration of follow-up in our referral center (p = 0.009) was positively associated with vitamin C levels. In multivariate analysis, only CRP (p = 0.001) and intake of 125 mg of vitamin C (p < 0.0001) were independently associated with low plasma vitamin C concentration. Patients receiving only CMVP with a low plasma vitamin C level significantly received personal compounded HPN (p = 0.008) and presented an inflammatory syndrome (p = 0.002). Vitamin C insufficiency is frequent in individuals undergoing home parenteral nutrition; therefore, there is a need to monitor plasma vitamin C levels, especially in patients on HPN with an inflammatory syndrome and only on CMVP.
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