Some nutrient interrelations during total intravenous alimentation in adult man—A review

Selected aspects of total parenteral nutrition in man are reviewed with emphasis on carbohydrate, lipid, and hormonal interactions. In an experiment to test for the essentiality of a specific amino acid, a normal adult man received all major and minor nutrients, except lipids, by intravenous aliment...

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Veröffentlicht in:Lipids 1976-04, Vol.11 (4), p.299-306
Hauptverfasser: Wixom, Robert L., Sheng, Yung‐Boo, Anderson, Helen L., Yamanaka, William K., Terry, Boyd E.
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container_end_page 306
container_issue 4
container_start_page 299
container_title Lipids
container_volume 11
creator Wixom, Robert L.
Sheng, Yung‐Boo
Anderson, Helen L.
Yamanaka, William K.
Terry, Boyd E.
description Selected aspects of total parenteral nutrition in man are reviewed with emphasis on carbohydrate, lipid, and hormonal interactions. In an experiment to test for the essentiality of a specific amino acid, a normal adult man received all major and minor nutrients, except lipids, by intravenous alimentation for 48 days. A chemical deficiency of essential fatty acids without clinical symptoms was promptly observed in four plasma lipid fractions and the phospholipid fraction of erythrocytes. With the glucose providing 2,600 kcal/day, blood glucose remained normal, but a hypertrigly ceridemia was observed. Plasma insulin rose and cortisol fell. To meet the essential fatty acid and energy requirements of man, critical experiments are needed to define the safe utilization of lipid emulsions during prolonged intravenous nutrition.
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subjects Adult
Amino Acids - administration & dosage
Amino Acids, Essential - deficiency
Blood Glucose
Emulsions
Fatty Acids - blood
Fatty Acids, Essential - deficiency
Glucose - administration & dosage
Hepatic Artery
Histidine - deficiency
History of medicine
History, 17th Century
History, 20th Century
Humans
Hydrocortisone - blood
Infant
Insulin - blood
Lipids - administration & dosage
Lipids - blood
Male
Nutritional Physiological Phenomena
Parenteral Nutrition - history
Risk
Vena Cava, Superior
title Some nutrient interrelations during total intravenous alimentation in adult man—A review
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