Current total parenteral nutrition solutions for the neonate are inadequate
作者:
Janet Brunton,
Ronald Ball,
Paul Pencharz,
期刊:
Current Opinion in Clinical Nutrition and Metabolic Care
(OVID Available online 2000)
卷期:
Volume 3,
issue 4
页码: 299-304
ISSN:1363-1950
年代: 2000
出版商: OVID
数据来源: OVID
摘要:
The amino acid requirements of the parenterally fed neonate are poorly defined. Newborn infants are at risk for amino acid deficiency and toxicity, due to lack of small intestinal metabolism and metabolic immaturity. We discuss recent evidence that identifies inadequacies of commercial amino acid solutions with respect to the balance and quantity of aromatic amino acids, and sulphur amino acids. We present data demonstrating that impaired small intestinal metabolism (or lack of first pass metabolism) alters the whole body requirement for methionine, threonine, and arginine, and discuss the potential adverse effects of excess or inadequate parenteral amino acid intake.
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