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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1988-9-16
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pubmed:abstractText |
The metabolic derangements of injury are known to influence nitrogen (N) requirements whilst less is known about individual amino acid (AA) requirements. This study was designed to investigate prospectively N vs AA requirement in 36 injured patients treated with total parenteral nutrition (TPN). The non-protein caloric input was 30 kcal kg-1 day-1 and three AA solutions were assessed containing the same AAs but in different proportion. Overall N intake was set at 0.35 g N kg-1 day-1 for solution A and B and 0.24 g N kg-1 day-1 for solution C. Solution B was similar to A, both being enriched in branched chain AAs (BCAA: 0.69 g kg-1 day-1 in B compared with 0.55 g kg-1 day-1 in A) while decreased in aromatic and sulphurated forms (1.75 times the normal need). Solution C was designed to maintain a daily input of BCAA similar to A (0.52 g kg-1 day-1) but with the supply of aromatic and sulphurated AA between solutions A and B, the supply of other AAs (lysine, theonine, histidine, arginine, glycine) being dependent on the selected N intake. For all the essential AAs the supply was always greater than normal allowances. Increasing BCAA over 0.55 g kg-1 day-1 did not improve N balance when N intake was 0.35 g kg-1 day-1, whilst nutrition with solution C was unable to maintain N balance. Moreover we found indirect evidence that this N intake, 0.52 g kg-1 day-1 was more sparing than 0.37 g kg-1 day-1 of BCAA.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0342-4642
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
14
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
399-405
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3136197-Adult,
pubmed-meshheading:3136197-Amino Acids,
pubmed-meshheading:3136197-Amino Acids, Essential,
pubmed-meshheading:3136197-Critical Care,
pubmed-meshheading:3136197-Female,
pubmed-meshheading:3136197-Humans,
pubmed-meshheading:3136197-Male,
pubmed-meshheading:3136197-Nutritional Requirements,
pubmed-meshheading:3136197-Parenteral Nutrition, Total,
pubmed-meshheading:3136197-Wounds and Injuries
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pubmed:year |
1988
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pubmed:articleTitle |
Essential and non-essential amino acid requirement in injured patients receiving total parenteral nutrition.
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pubmed:affiliation |
Istituto di Anestesiologia e Rianimazione dell' Universita', Scientifico Ospedale Maggiore di Milano, Italia.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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