The Urinary Metabolomic Fingerprint in Extremely Preterm Infants on Total Parenteral Nutrition vs. Enteral Feeds

Autor: Miguel Guardado, Martina Steurer, Cheryl Chapin, Ryan D. Hernandez, Philip L. Ballard, Dara Torgerson
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Metabolites, Vol 13, Iss 9, p 971 (2023)
Druh dokumentu: article
ISSN: 2218-1989
DOI: 10.3390/metabo13090971
Popis: Total Parenteral Nutrition (TPN), which uses intravenous administration of nutrients, minerals and vitamins, is essential for sustaining premature infants until they transition to enteral feeds, but there is limited information on metabolomic differences between infants on TPN and enteral feeds. We performed untargeted global metabolomics on urine samples collected between 23–30 days of life from 314 infants born p < 0.05. Of these, 88% were in the direction of higher abundance in the urine of infants on enteral feeds. In a subset of infants in a longitudinal analysis, both concurrent and delayed changes in metabolite levels were observed with the initiation of enteral feeds. These infants had higher concentrations of essential amino acids, lipids, and vitamins, which are necessary for growth and development, suggesting the nutritional benefit of an enteral feeding regimen.
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