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pubmed-article:2809914pubmed:abstractTextBecause 10% and 20% intravenously administered lipid emulsions (intralipid preparations) differ in their phospholipid/triglyceride ratio (0.12 and 0.06, respectively), 28 low birth weight infants requiring parenteral nutrition for at least 1 week were selected at random to receive either emulsion to determine the effects on plasma lipids and lipoproteins. Triglyceride intake was progressively increased to reach 2 gm/kg per day between days 4 and 7. During that period, all plasma lipids in samples taken 6 hours after infusion were higher in the 10% intralipid group. In comparison with day 0 values, triglyceride concentrations decreased (63 +/- 7 to 45 +/- 4 mg/dl; p less than 0.05) in the 20% group. Cholesterol levels increased in both groups, but the rise was more than twofold higher in the 10% group. Phospholipid increase was approximately 25% in the 20% group but more than 125% in patients receiving the 10% emulsion (p less than 0.005). The changes in plasma cholesterol and phospholipid levels were almost entirely in low-density lipoproteins. After 7 days, eight infants from each group were given the alternate emulsion, which resulted in a reversal of lipid patterns in each patient. We conclude that the higher phospholipid intake in 10% than in 20% intralipid is associated with higher plasma triglyceride concentrations and leads to accumulation of cholesterol and phospholipids in low-density lipoproteins. Emulsions with lower phospholipid content may be preferable for low birth weight infants and perhaps other patient populations with impaired removal of parenteral fat emulsions.lld:pubmed
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pubmed-article:2809914pubmed:volume115lld:pubmed
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pubmed-article:2809914pubmed:pagination787-93lld:pubmed
pubmed-article:2809914pubmed:dateRevised2010-11-18lld:pubmed
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pubmed-article:2809914pubmed:articleTitlePlasma lipid and plasma lipoprotein concentrations in low birth weight infants given parenteral nutrition with twenty or ten percent lipid emulsion.lld:pubmed
pubmed-article:2809914pubmed:affiliationNeonatal Unit, Saint-Pierre Hospital, Vrije Universiteit, Brussels, Belgium.lld:pubmed
pubmed-article:2809914pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:2809914pubmed:publicationTypeClinical Triallld:pubmed
pubmed-article:2809914pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
pubmed-article:2809914pubmed:publicationTypeRandomized Controlled Triallld:pubmed
pubmed-article:2809914pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
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