Changes in whole-blood PUFA and their predictors during recovery from severe acute malnutrition
Children with severe acute malnutrition (SAM) with complications require in-patient management including therapeutic feeding. Little attention has been given to the effects of these feeds on the essential fatty acid status of children with SAM. The objective of this study was to describe changes in...
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| Veröffentlicht in: | British journal of nutrition 2016-05, Vol.115 (10), p.1730-1739 |
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| creator | Babirekere-Iriso, Esther Mortensen, Charlotte G. Mupere, Ezekiel Rytter, Maren J. H. Namusoke, Hanifa Michaelsen, Kim F. Briend, André Stark, Ken D. Friis, Henrik Lauritzen, Lotte |
| description | Children with severe acute malnutrition (SAM) with complications require in-patient management including therapeutic feeding. Little attention has been given to the effects of these feeds on the essential fatty acid status of children with SAM. The objective of this study was to describe changes in the PUFA composition in whole blood in children with SAM during treatment and to determine predictors of change. This prospective study took place in a paediatric nutrition rehabilitation unit in Kampala, Uganda, and assessed whole-blood fatty acid composition of children with SAM at admission, transition, discharge and follow-up (8 and 16 weeks). ANCOVA was used to identify predictors of change in whole-blood PUFA. The study included 120 children with SAM and twenty-nine healthy control children of similar age and sex. Among the SAM children, 38 % were female and 64 % had oedema. Whole-blood n-6 PUFA proportions increased from admission to follow-up, except for arachidonic acid, which decreased by 0·79 (95 % CI 0·46, 1·12) fatty acid percentage (FA%) from admission to transition and 0·10 (95 % CI 0·23, 0·44) FA% at discharge. n-3 Long-chain (LC) PUFA decreased by 0·21 (95 % CI 0·03, 0·40) FA% at discharge and 0·22 (95 % CI 0·01, 0·42) FA% at 8 weeks of follow-up. This decrease was greater in children from families with recent fish intake and those with nasogastric tube feeding. Current therapeutic feeds do not correct whole-blood levels of LCPUFA, particularly n-3 LCPUFA, in children with SAM. Increased attention is needed to the contents of n-3 LCPUFA in therapeutic feeds. |
| doi_str_mv | 10.1017/S0007114516000817 |
| format | Article |
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H. ; Namusoke, Hanifa ; Michaelsen, Kim F. ; Briend, André ; Stark, Ken D. ; Friis, Henrik ; Lauritzen, Lotte</creator><creatorcontrib>Babirekere-Iriso, Esther ; Mortensen, Charlotte G. ; Mupere, Ezekiel ; Rytter, Maren J. H. ; Namusoke, Hanifa ; Michaelsen, Kim F. ; Briend, André ; Stark, Ken D. ; Friis, Henrik ; Lauritzen, Lotte</creatorcontrib><description>Children with severe acute malnutrition (SAM) with complications require in-patient management including therapeutic feeding. Little attention has been given to the effects of these feeds on the essential fatty acid status of children with SAM. The objective of this study was to describe changes in the PUFA composition in whole blood in children with SAM during treatment and to determine predictors of change. This prospective study took place in a paediatric nutrition rehabilitation unit in Kampala, Uganda, and assessed whole-blood fatty acid composition of children with SAM at admission, transition, discharge and follow-up (8 and 16 weeks). ANCOVA was used to identify predictors of change in whole-blood PUFA. The study included 120 children with SAM and twenty-nine healthy control children of similar age and sex. Among the SAM children, 38 % were female and 64 % had oedema. Whole-blood n-6 PUFA proportions increased from admission to follow-up, except for arachidonic acid, which decreased by 0·79 (95 % CI 0·46, 1·12) fatty acid percentage (FA%) from admission to transition and 0·10 (95 % CI 0·23, 0·44) FA% at discharge. n-3 Long-chain (LC) PUFA decreased by 0·21 (95 % CI 0·03, 0·40) FA% at discharge and 0·22 (95 % CI 0·01, 0·42) FA% at 8 weeks of follow-up. This decrease was greater in children from families with recent fish intake and those with nasogastric tube feeding. Current therapeutic feeds do not correct whole-blood levels of LCPUFA, particularly n-3 LCPUFA, in children with SAM. Increased attention is needed to the contents of n-3 LCPUFA in therapeutic feeds.</description><identifier>ISSN: 0007-1145</identifier><identifier>EISSN: 1475-2662</identifier><identifier>DOI: 10.1017/S0007114516000817</identifier><identifier>PMID: 26996197</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Blood ; Child Nutritional Physiological Phenomena ; Child, Preschool ; Childrens health ; Developing countries ; Diet ; Enteral nutrition ; Fatty acids ; Fatty Acids, Essential - administration & dosage ; Fatty Acids, Essential - blood ; Fatty Acids, Omega-3 - administration & dosage ; Fatty Acids, Omega-3 - blood ; Fatty Acids, Omega-6 - administration & dosage ; Fatty Acids, Omega-6 - blood ; Female ; Follow-Up Studies ; Human and Clinical Nutrition ; Humans ; Infant ; LDCs ; Male ; Malnutrition ; Prospective Studies ; Severe Acute Malnutrition - diet therapy ; Severe Acute Malnutrition - drug therapy ; Surveys and Questionnaires ; Uganda</subject><ispartof>British journal of nutrition, 2016-05, Vol.115 (10), p.1730-1739</ispartof><rights>Copyright © The Authors 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c449t-e61ec3f04edb780f036532e77ff2b1cb5af43b96f3808666fad3231513906b753</citedby><cites>FETCH-LOGICAL-c449t-e61ec3f04edb780f036532e77ff2b1cb5af43b96f3808666fad3231513906b753</cites><orcidid>0000-0002-2848-2940</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007114516000817/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,27903,27904,55606</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26996197$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Babirekere-Iriso, Esther</creatorcontrib><creatorcontrib>Mortensen, Charlotte G.</creatorcontrib><creatorcontrib>Mupere, Ezekiel</creatorcontrib><creatorcontrib>Rytter, Maren J. H.</creatorcontrib><creatorcontrib>Namusoke, Hanifa</creatorcontrib><creatorcontrib>Michaelsen, Kim F.</creatorcontrib><creatorcontrib>Briend, André</creatorcontrib><creatorcontrib>Stark, Ken D.</creatorcontrib><creatorcontrib>Friis, Henrik</creatorcontrib><creatorcontrib>Lauritzen, Lotte</creatorcontrib><title>Changes in whole-blood PUFA and their predictors during recovery from severe acute malnutrition</title><title>British journal of nutrition</title><addtitle>Br J Nutr</addtitle><description>Children with severe acute malnutrition (SAM) with complications require in-patient management including therapeutic feeding. Little attention has been given to the effects of these feeds on the essential fatty acid status of children with SAM. The objective of this study was to describe changes in the PUFA composition in whole blood in children with SAM during treatment and to determine predictors of change. This prospective study took place in a paediatric nutrition rehabilitation unit in Kampala, Uganda, and assessed whole-blood fatty acid composition of children with SAM at admission, transition, discharge and follow-up (8 and 16 weeks). ANCOVA was used to identify predictors of change in whole-blood PUFA. The study included 120 children with SAM and twenty-nine healthy control children of similar age and sex. Among the SAM children, 38 % were female and 64 % had oedema. Whole-blood n-6 PUFA proportions increased from admission to follow-up, except for arachidonic acid, which decreased by 0·79 (95 % CI 0·46, 1·12) fatty acid percentage (FA%) from admission to transition and 0·10 (95 % CI 0·23, 0·44) FA% at discharge. n-3 Long-chain (LC) PUFA decreased by 0·21 (95 % CI 0·03, 0·40) FA% at discharge and 0·22 (95 % CI 0·01, 0·42) FA% at 8 weeks of follow-up. This decrease was greater in children from families with recent fish intake and those with nasogastric tube feeding. Current therapeutic feeds do not correct whole-blood levels of LCPUFA, particularly n-3 LCPUFA, in children with SAM. Increased attention is needed to the contents of n-3 LCPUFA in therapeutic feeds.</description><subject>Blood</subject><subject>Child Nutritional Physiological Phenomena</subject><subject>Child, Preschool</subject><subject>Childrens health</subject><subject>Developing countries</subject><subject>Diet</subject><subject>Enteral nutrition</subject><subject>Fatty acids</subject><subject>Fatty Acids, Essential - administration & dosage</subject><subject>Fatty Acids, Essential - blood</subject><subject>Fatty Acids, Omega-3 - administration & dosage</subject><subject>Fatty Acids, Omega-3 - blood</subject><subject>Fatty Acids, Omega-6 - administration & dosage</subject><subject>Fatty Acids, Omega-6 - blood</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Human and Clinical Nutrition</subject><subject>Humans</subject><subject>Infant</subject><subject>LDCs</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Prospective Studies</subject><subject>Severe Acute Malnutrition - diet therapy</subject><subject>Severe Acute Malnutrition - drug therapy</subject><subject>Surveys and Questionnaires</subject><subject>Uganda</subject><issn>0007-1145</issn><issn>1475-2662</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkU9LxDAQxYMo7vrnA3iRgBcv1UzTJs1xWVwVBAX1XNJ2shtpmzVplf32dnUVUQRPM_B-8x7DI-QI2BkwkOf3jDEJkKQghi0DuUXGkMg0ioWIt8l4LUdrfUT2Qnh6Z5jaJaNYKCVAyTHJpwvdzjFQ29LXhasxKmrnKnr3OJtQ3Va0W6D1dOmxsmXnfKBV7207px5L94J-RY13DQ047Eh12XdIG123fedtZ117QHaMrgMebuY-eZxdPEyvopvby-vp5CYqk0R1EQrAkhuWYFXIjBnGRcpjlNKYuICySLVJeKGE4RnLhBBGVzzmkAJXTBQy5fvk9MN36d1zj6HLGxtKrGvdoutDDlINQUJk8h9oxjmXwMSAnvxAn1zv2-GRNRVzxqViAwUfVOldCB5NvvS20X6VA8vXReW_ihpujjfOfdFg9XXx2cwA8I2pbgpvqzl-y_7T9g0Qwpt7</recordid><startdate>20160528</startdate><enddate>20160528</enddate><creator>Babirekere-Iriso, Esther</creator><creator>Mortensen, Charlotte G.</creator><creator>Mupere, Ezekiel</creator><creator>Rytter, Maren J. H.</creator><creator>Namusoke, Hanifa</creator><creator>Michaelsen, Kim F.</creator><creator>Briend, André</creator><creator>Stark, Ken D.</creator><creator>Friis, Henrik</creator><creator>Lauritzen, Lotte</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7T5</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>7TN</scope><scope>7U9</scope><scope>F1W</scope><scope>H95</scope><scope>L.G</scope><orcidid>https://orcid.org/0000-0002-2848-2940</orcidid></search><sort><creationdate>20160528</creationdate><title>Changes in whole-blood PUFA and their predictors during recovery from severe acute malnutrition</title><author>Babirekere-Iriso, Esther ; Mortensen, Charlotte G. ; Mupere, Ezekiel ; Rytter, Maren J. 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H.</au><au>Namusoke, Hanifa</au><au>Michaelsen, Kim F.</au><au>Briend, André</au><au>Stark, Ken D.</au><au>Friis, Henrik</au><au>Lauritzen, Lotte</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in whole-blood PUFA and their predictors during recovery from severe acute malnutrition</atitle><jtitle>British journal of nutrition</jtitle><addtitle>Br J Nutr</addtitle><date>2016-05-28</date><risdate>2016</risdate><volume>115</volume><issue>10</issue><spage>1730</spage><epage>1739</epage><pages>1730-1739</pages><issn>0007-1145</issn><eissn>1475-2662</eissn><abstract>Children with severe acute malnutrition (SAM) with complications require in-patient management including therapeutic feeding. Little attention has been given to the effects of these feeds on the essential fatty acid status of children with SAM. The objective of this study was to describe changes in the PUFA composition in whole blood in children with SAM during treatment and to determine predictors of change. This prospective study took place in a paediatric nutrition rehabilitation unit in Kampala, Uganda, and assessed whole-blood fatty acid composition of children with SAM at admission, transition, discharge and follow-up (8 and 16 weeks). ANCOVA was used to identify predictors of change in whole-blood PUFA. The study included 120 children with SAM and twenty-nine healthy control children of similar age and sex. Among the SAM children, 38 % were female and 64 % had oedema. Whole-blood n-6 PUFA proportions increased from admission to follow-up, except for arachidonic acid, which decreased by 0·79 (95 % CI 0·46, 1·12) fatty acid percentage (FA%) from admission to transition and 0·10 (95 % CI 0·23, 0·44) FA% at discharge. n-3 Long-chain (LC) PUFA decreased by 0·21 (95 % CI 0·03, 0·40) FA% at discharge and 0·22 (95 % CI 0·01, 0·42) FA% at 8 weeks of follow-up. This decrease was greater in children from families with recent fish intake and those with nasogastric tube feeding. Current therapeutic feeds do not correct whole-blood levels of LCPUFA, particularly n-3 LCPUFA, in children with SAM. Increased attention is needed to the contents of n-3 LCPUFA in therapeutic feeds.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>26996197</pmid><doi>10.1017/S0007114516000817</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-2848-2940</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Blood Child Nutritional Physiological Phenomena Child, Preschool Childrens health Developing countries Diet Enteral nutrition Fatty acids Fatty Acids, Essential - administration & dosage Fatty Acids, Essential - blood Fatty Acids, Omega-3 - administration & dosage Fatty Acids, Omega-3 - blood Fatty Acids, Omega-6 - administration & dosage Fatty Acids, Omega-6 - blood Female Follow-Up Studies Human and Clinical Nutrition Humans Infant LDCs Male Malnutrition Prospective Studies Severe Acute Malnutrition - diet therapy Severe Acute Malnutrition - drug therapy Surveys and Questionnaires Uganda |
| title | Changes in whole-blood PUFA and their predictors during recovery from severe acute malnutrition |
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