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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.70 (2024) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/2233
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| タイトル: | Comparison of metabolic parameters between oral and total parenteral nutrition in children with severe eating disorders |
| 著者: | Suzuki, Yuichi
Itagaki, Shuntaro
Nodera, Maki
Suyama, Kazuhide
Yabe, Hirooki
Hosoya, Mitsuaki |
| 学内所属: | 小児科学講座
神経精神医学講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 70 |
| 号: | 2 |
| 開始ページ: | 75 |
| 終了ページ: | 85 |
| 発行日: | 2024年 |
| 抄録: | Background: This study investigated changes of lipid parameters in children with severe eating disorders during refeeding in order to explore the optimal timing for lipid preparation administration. Methods: We prospectively assessed the physical conditions of patients with eating disorders after the start of nutrition therapy. The assessments were performed at admission and at 2 and 4 weeks. Lipid metabolism was assessed based on triglyceride (TG), total cholesterol (TC), and free carnitine (FC) levels, as well as acylcarnitine/free carnitine (AC/FC) ratio. Results: A total of 18 patients were included. Of these, 12 and 6 received an oral diet (OD group) and total parenteral nutrition (TPN group), respectively. The mean body mass indexes at hospital admission were 12.8 kg/m2 in the OD group and 12.7 kg/m2 in the TPN group. At 2 weeks after the start of refeeding, TC, TG, and AC/FC levels were significantly lower in the TPN group than in the OD group. Other blood test results did not show any significant differences between the two groups. Conclusions: Fat-free glucose-based nutrition promoted lipid metabolism over a 2-week period after the start of refeeding, suggesting that balanced energy and lipid intake are essential, even in TPN. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/2233 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/2233/1/FksmJMedSci_70_p75.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.2023-02 |
| PubMed番号: | 38599829 |
| 関連ページ: | https://doi.org/10.5387/fms.2023-02 |
| 権利情報: | © 2024 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license. |
| 権利情報: | https://creativecommons.org/licenses/by-nc-sa/4.0/ |
| 出現コレクション: | Vol.70 (2024)
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