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Nutrient intake from habitual oral diet in patients with severe short bowel syndrome living in the southeastern United States.
Nutrition 2008; 24(4):330-9N

Abstract

OBJECTIVES

Little data are published on the habitual home oral diet of patients with short bowel syndrome (SBS).

METHODS

We assessed nutrient intake from oral food and beverages in 19 stable patients with severe SBS who live in the southeastern United States. Intestinal absorption of energy, fat, nitrogen (N), and carbohydrate (CHO) was determined in a metabolic ward.

RESULTS

We studied 12 women and 7 men, age 48 +/- 3 y of age (mean +/- SE) receiving parenteral nutrition for 31 +/- 8 mo following massive small bowel resection (118 +/- 25 cm residual small bowel). The patients demonstrated severe malabsorption of energy (59 +/- 3% of oral intake), fat (41 +/- 5%), N (42 +/- 5%) and CHO (76 +/- 3%). Oral energy intake was 2656 +/- 242 kcal/d (39 +/- 3 kcal/kg/d) and oral protein intake was 1.4 +/- 0.1 g/kg/d. Food/beverage intake constituted 49 +/- 4% of total (enteral plus parenteral) daily fluid intake, 66 +/- 4% of total daily kcal and 58 +/- 5% of total daily N intake. Oral fat intake averaged 92 +/- 11 g/day (approximately 35% of total oral energy). Oral fluid intake averaged 2712 +/- 240 ml/d, primarily from water, soft drinks, sweet tea and coffee. Simple sugars comprised 42 +/- 3% of oral CHO intake. Usual dietary intake of multiple micronutrients were below the Recommended Dietary Allowances (RDA) in a large percentage of patients: vitamin A (47%), vitamin D (79%), vitamin E (79%), vitamin K (63%), thiamine (42%), vitamin B6 (68%), vitamin B12 (11%), vitamin C (58%), folate (37%), iron (37%), calcium (63%), magnesium (79%) and zinc (68%). Only seven patients (37%) were taking oral multivitamin-mineral supplements and only six subjects (32%) were taking oral iron and calcium supplements, respectively.

CONCLUSION

In these SBS patients, an oral diet provided a significant proportion of daily nutrient intake. The types of foods and fluids consumed are likely to worsen malabsorption and thus increase PN requirements. Oral intake of essential micronutrients was very low in a significant proportion of these individuals.

Authors+Show Affiliations

Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18328409

Citation

Estívariz, Concepción F., et al. "Nutrient Intake From Habitual Oral Diet in Patients With Severe Short Bowel Syndrome Living in the Southeastern United States." Nutrition (Burbank, Los Angeles County, Calif.), vol. 24, no. 4, 2008, pp. 330-9.
Estívariz CF, Luo M, Umeakunne K, et al. Nutrient intake from habitual oral diet in patients with severe short bowel syndrome living in the southeastern United States. Nutrition. 2008;24(4):330-9.
Estívariz, C. F., Luo, M., Umeakunne, K., Bazargan, N., Galloway, J. R., Leader, L. M., & Ziegler, T. R. (2008). Nutrient intake from habitual oral diet in patients with severe short bowel syndrome living in the southeastern United States. Nutrition (Burbank, Los Angeles County, Calif.), 24(4), pp. 330-9. doi:10.1016/j.nut.2007.12.016.
Estívariz CF, et al. Nutrient Intake From Habitual Oral Diet in Patients With Severe Short Bowel Syndrome Living in the Southeastern United States. Nutrition. 2008;24(4):330-9. PubMed PMID: 18328409.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nutrient intake from habitual oral diet in patients with severe short bowel syndrome living in the southeastern United States. AU - Estívariz,Concepción F, AU - Luo,Menghua, AU - Umeakunne,Kayellen, AU - Bazargan,Niloofar, AU - Galloway,John R, AU - Leader,Lorraine M, AU - Ziegler,Thomas R, PY - 2007/05/29/received PY - 2007/11/05/revised PY - 2007/12/20/accepted PY - 2008/3/11/pubmed PY - 2008/7/1/medline PY - 2008/3/11/entrez SP - 330 EP - 9 JF - Nutrition (Burbank, Los Angeles County, Calif.) JO - Nutrition VL - 24 IS - 4 N2 - OBJECTIVES: Little data are published on the habitual home oral diet of patients with short bowel syndrome (SBS). METHODS: We assessed nutrient intake from oral food and beverages in 19 stable patients with severe SBS who live in the southeastern United States. Intestinal absorption of energy, fat, nitrogen (N), and carbohydrate (CHO) was determined in a metabolic ward. RESULTS: We studied 12 women and 7 men, age 48 +/- 3 y of age (mean +/- SE) receiving parenteral nutrition for 31 +/- 8 mo following massive small bowel resection (118 +/- 25 cm residual small bowel). The patients demonstrated severe malabsorption of energy (59 +/- 3% of oral intake), fat (41 +/- 5%), N (42 +/- 5%) and CHO (76 +/- 3%). Oral energy intake was 2656 +/- 242 kcal/d (39 +/- 3 kcal/kg/d) and oral protein intake was 1.4 +/- 0.1 g/kg/d. Food/beverage intake constituted 49 +/- 4% of total (enteral plus parenteral) daily fluid intake, 66 +/- 4% of total daily kcal and 58 +/- 5% of total daily N intake. Oral fat intake averaged 92 +/- 11 g/day (approximately 35% of total oral energy). Oral fluid intake averaged 2712 +/- 240 ml/d, primarily from water, soft drinks, sweet tea and coffee. Simple sugars comprised 42 +/- 3% of oral CHO intake. Usual dietary intake of multiple micronutrients were below the Recommended Dietary Allowances (RDA) in a large percentage of patients: vitamin A (47%), vitamin D (79%), vitamin E (79%), vitamin K (63%), thiamine (42%), vitamin B6 (68%), vitamin B12 (11%), vitamin C (58%), folate (37%), iron (37%), calcium (63%), magnesium (79%) and zinc (68%). Only seven patients (37%) were taking oral multivitamin-mineral supplements and only six subjects (32%) were taking oral iron and calcium supplements, respectively. CONCLUSION: In these SBS patients, an oral diet provided a significant proportion of daily nutrient intake. The types of foods and fluids consumed are likely to worsen malabsorption and thus increase PN requirements. Oral intake of essential micronutrients was very low in a significant proportion of these individuals. SN - 0899-9007 UR - https://www.unboundmedicine.com/medline/citation/18328409/Nutrient_intake_from_habitual_oral_diet_in_patients_with_severe_short_bowel_syndrome_living_in_the_southeastern_United_States_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0899-9007(08)00003-8 DB - PRIME DP - Unbound Medicine ER -