Influence of Total Parenteral Nutrition on Plasma Fibronectin in Malnourished Subjects with or without Inflammatory Response

Plasma fibronectin, which is an α2-glycoprotein of importance for the immunodefence, has been reported to decrease after starvation and in severely ill patients with cancer. To evaluate the usefulness of fibronectin as an indicator of nutritional repletion, 18 patients with gastrointestinal disorder...

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Veröffentlicht in:JPEN. Journal of parenteral and enteral nutrition 1984-09, Vol.8 (5), p.493-496
Hauptverfasser: Sandstedt, Stefan, Cederblad, Gitten, Larsson, Jörgen, Schildt, Bo, Symreng, Tommy
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container_issue 5
container_start_page 493
container_title JPEN. Journal of parenteral and enteral nutrition
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creator Sandstedt, Stefan
Cederblad, Gitten
Larsson, Jörgen
Schildt, Bo
Symreng, Tommy
description Plasma fibronectin, which is an α2-glycoprotein of importance for the immunodefence, has been reported to decrease after starvation and in severely ill patients with cancer. To evaluate the usefulness of fibronectin as an indicator of nutritional repletion, 18 patients with gastrointestinal disorders were studied over a 2-wk period of total parenteral nutrition (TPN). According to nutritional assessment on admission the patients were divided into well nourished (n = 6) and malnourished (n = 12). For comparison nine patients with anorexia nervosa were also studied over a 3-wk period of TPN. Before and after TPN fibronectin, albumin, prealbumin, transferrin, and two acute-phase reactants, haptoglobin and orosomucoid were measured in plasma. The majority of the malnourished patients had an inflammatory reaction in contrast to only a few of the well-nourished and anorexia nervosa patients. Of the proteins measured, only fibronectin rose significantly in the malnourished patients (malnourished and anorexia nervosa), but not in the well nourished patients during TPN. Our results may indicate the usefulness of fibronectin as an indicator of short-term TPN in malnourished subjects, irrespective of the presence or absence of inflammatory response. (Journal of Parenteral and Enteral Nutrition 8:000-000, 1984)
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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anorexia Nervosa - therapy</topic><topic>Biological and medical sciences</topic><topic>Blood Proteins - analysis</topic><topic>Crohn Disease - complications</topic><topic>Emergency and intensive care: injuries, diseases due to physical agents. Diving. Drowning. Disaster medicine</topic><topic>Emergency and intensive care: metabolism and nutrition disorders. 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subjects Adolescent
Adult
Aged
Alpha-Globulins - analysis
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anorexia Nervosa - therapy
Biological and medical sciences
Blood Proteins - analysis
Crohn Disease - complications
Emergency and intensive care: injuries, diseases due to physical agents. Diving. Drowning. Disaster medicine
Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition
Evaluation Studies as Topic
Female
Fibronectins - blood
Gastrointestinal Neoplasms - complications
Humans
Inflammation - blood
Intensive care medicine
Male
Medical sciences
Middle Aged
Nutrition Disorders - blood
Nutrition Disorders - etiology
Nutrition Disorders - therapy
Parenteral Nutrition
Parenteral Nutrition, Total
Random Allocation
title Influence of Total Parenteral Nutrition on Plasma Fibronectin in Malnourished Subjects with or without Inflammatory Response
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