Parenteral nutrition for infants: effect of high versus low calcium and phosphorus content.

Abstract:

:Calcium (Ca) and phosphorus (P) homeostasis were determined in 18 infants (birth weight, 2,810 +/- 135 g; gestational age, 37.4 +/- 0.5 weeks; mean +/- SEM) who received high or low Ca and P content (Ca, P) parenteral nutrition (PN) with a fixed, low dose of vitamin D (25 IU/dl). Nine infants were randomized into low (standard) Ca, P (20 mg Ca and 15.5 mg P/dl) and nine into high Ca, P (60-80 mg Ca and 46.5-62 mg P/dl) PN, and then were studied for up to 6 weeks. The high Ca, P group had stable serum 1,25 dihydroxyvitamin D [1,25(OH)2D], which consistently remained within the normal range (less than 116 pg/ml). Tubular reabsorption of phosphorus (TRP) also was stable and remained consistently less than 90%. The low Ca, P group had elevated and higher 1,25(OH)2D (p = 0.03) than the high Ca, P group. The mean serum 1,25(OH)2D concentration rose from 32 to 112, 115, and 133 pg/ml over a period of 6 weeks. TRP also was higher (p = 0.02) and remained consistently greater than 90%. There were no significant differences between groups in serum parathyroid hormone, calcitonin, Ca, Mg, P, alkaline phosphatase, vitamin D binding protein, and 25 hydroxyvitamin D concentrations; urine Ca/creatinine and Mg/creatinine ratios, and fractional excretion of sodium (Na). Thus, a "high" Ca (60 mg/dl) and P (46.5 mg/dl) content in PN solutions can result in stable serum 1,25(OH)2D and TRP, presumably reflecting minimal stress to Ca and P homeostatic mechanisms without further increase in urinary Ca excretion.

authors

Koo WW,Tsang RC,Steichen JJ,Succop P,Babcock D,Oestreich AE,Noseworthy J,Horn J,Farrell MK

subject

Has Abstract

pub_date

1987-01-01 00:00:00

pages

96-104

issue

1

eissn

0277-2116

issn

1536-4801

journal_volume

6

pub_type

临床试验,杂志文章,随机对照试验
  • Dysbiosis in Snoring Children: An Interlink to Comorbidities?

    abstract:BACKGROUND AND OBJECTIVES:Early microbial colonization has a key impact on infant health through nutritional, immunological, and metabolic programming. The origin of child snoring is multifactorial and complex, and may thereby also generate long-term health problems. The link between child snoring and gut microbes rema...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0000000000002161

    authors: Collado MC,Katila MK,Vuorela NM,Saarenpää-Heikkilä O,Salminen S,Isolauri E

    更新日期:2019-02-01 00:00:00

  • Reporting outcome measures in trials of infant colic.

    abstract:OBJECTIVES:Infant colic (IC), with an estimated prevalence of 5% to 25%, has a high impact on health care costs. Furthermore, reported negative sequelae are disturbed parent-infant interaction, increased susceptibility to abdominal pain, and even child abuse. Its etiology remains unknown, leading to a wide variety in i...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章,评审

    doi:10.1097/MPG.0000000000000412

    authors: Steutel NF,Benninga MA,Langendam MW,de Kruijff I,Tabbers MM

    更新日期:2014-09-01 00:00:00

  • Follow-up after pH-metry and pH impedance in pediatric gastroesophageal reflux disease.

    abstract:OBJECTIVES:It is unclear how diagnostic tests for gastroesophageal reflux disease (GERD) in children relate to the course of symptoms during follow-up. METHODS:During 1 year, all children (ages 0-18 years), who underwent pH-metry and/or pH multichannel intraluminal impedance (MII), were included after written informed...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0000000000000582

    authors: van der Pol RJ,van den Ouweland M,Loots CM,Vandenplas Y,Benninga MA,van Wijk MP

    更新日期:2015-02-01 00:00:00

  • Enterovirus infection during pregnancy is not a risk factor for celiac disease in the offspring.

    abstract:BACKGROUND:There is a strong genetic influence on the susceptibility to celiac disease but it is also evident that environmental factors play a role in the development of the disease. Diverging studies about adenovirus infection as a possible triggering factor in the pathogenesis have been reported. Our study was under...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 评论,杂志文章

    doi:10.1097/00005176-200211000-00011

    authors: Carlsson AK,Lindberg BA,Bredberg AC,Hyöty H,Ivarsson SA

    更新日期:2002-11-01 00:00:00

  • Liver function in early congenital syphilis: does penicillin cause a deterioration?

    abstract::In this prospective study, neonates with clinical congenital syphilis were investigated to determine if penicillin therapy caused a deterioration in liver function. The relationship between circulating immune complexes and liver involvement was monitored, and the efficacy of steroid therapy as an adjunct in the treatm...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005176-199104000-00003

    authors: Venter A,Pettifor JM,Duursma J,Pudifin DJ,Smyth A,Becker PJ

    更新日期:1991-04-01 00:00:00

  • Predictors of Long-term Clinical and Endoscopic Remission in Children With Crohn Disease Treated With Infliximab.

    abstract:OBJECTIVES:We aimed to identify early noninvasive predictors of clinical and endoscopic remission in children with Crohn disease (CD) under infliximab (IFX). METHODS:Prospective observational study conducted in children with moderate-to-severe CD starting IFX. All patients underwent weighted pediatric CD activity inde...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0000000000002262

    authors: D'Arcangelo G,Oliva S,Dilillo A,Viola F,Civitelli F,Isoldi S,Cucchiara S,Aloi M

    更新日期:2019-06-01 00:00:00

  • Impact of early and high amino acid supplementation on ELBW infants at 2 years.

    abstract:OBJECTIVE:The aim of the present study was to examine the effects of early and high intravenous (IV) amino acid (AA) supplementation on growth, health, and neurodevelopment of extremely-low-birth-weight (ELBW) infants throughout their first 2 years of life. METHODS:Infants were prospectively randomized in a double-mas...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MPG.0b013e31824887a0

    authors: Blanco CL,Gong AK,Schoolfield J,Green BK,Daniels W,Liechty EA,Ramamurthy R

    更新日期:2012-05-01 00:00:00

  • Effect of Oral Insulin on the Severity and Recovery of Methotrexate-Induced Gastrointestinal Mucositis in the Rat.

    abstract:OBJECTIVES:Gastrointestinal (GI) mucositis is an adverse-effect of chemo- and radiotherapy. Oral insulin has been suggested as possible intestinal growth factor and possible intervention for GI mucositis. We aimed to determine the effect of oral insulin on the severity and recovery of mucositis in a methotrexate (MTX)-...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0000000000001237

    authors: Kuiken NS,Rings EH,Havinga R,van der Aa SA,Groen AK,Tissing WJ

    更新日期:2017-02-01 00:00:00

  • Dietary regulation of intestinal lactase and sucrase in adult rats: quantitative comparison of effect of lactose and sucrose.

    abstract::To characterize the mechanisms leading to dietary evoked increases of lactase and sucrase activities by carbohydrates, we performed a quantitative comparison of the effects of lactose and sucrose on the corresponding disaccharidases in the jejunum of 2-month-old rats. For 7-10 days the rats were fed a low-starch (5 ca...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-198512000-00024

    authors: Goda T,Bustamante S,Koldovský

    更新日期:1985-12-01 00:00:00

  • Long-term nutritional and neurodevelopmental outcome of liver transplantation in infants aged less than 12 months.

    abstract:BACKGROUND:Liver transplantation is established treatment for children with end-stage liver disease and has a 5-year survival rate of 80% to 85%, even in infants under 12 months. Long-term outcome in nutritional rehabilitation and normal development is unknown. This study aimed to prospectively evaluate growth and psyc...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-200003000-00011

    authors: van Mourik ID,Beath SV,Brook GA,Cash AJ,Mayer AD,Buckels JA,Kelly DA

    更新日期:2000-03-01 00:00:00

  • Pilot Study of Functional Magnetic Resonance Imaging Responses to Somatic Pain Stimuli in Youth With Functional and Inflammatory Gastrointestinal Disease.

    abstract:BACKGROUND:Brain-gut axis signaling modifies gastrointestinal symptomatology. Altered neural processing of intestinal pain signals involves interoceptive brain regions in adults with functional and inflammatory gastrointestinal disorders. Although these disorders frequently present in childhood, there are no published ...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0000000000001390

    authors: Huang JS,Terrones L,Simmons AN,Kaye W,Strigo I

    更新日期:2016-11-01 00:00:00

  • Supplementation of milk with iron bound to lactoferrin using weanling mice: L. Effects on hematology and tissue iron.

    abstract::Lactoferrin is an iron-binding protein present in high concentrations in human milk. The efficacy of supplementing iron bound to lactoferrin to iron-deficient and iron-sufficient young mice was evaluated in comparison with supplementation of iron as iron chloride. Mice fed a nonsupplemented milk diet (approximately 1 ...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-198311000-00021

    authors: Fransson GB,Keen CL,Lönnerdal B

    更新日期:1983-11-01 00:00:00

  • ESPGHAN 2012 Guidelines for Coeliac Disease Diagnosis: Validation Through a Retrospective Spanish Multicentric Study.

    abstract:OBJECTIVES:A large retrospective multicentre study was conducted in Spain to evaluate the efficiency of the new European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) criteria for the diagnosis of coeliac disease (CD). METHODS:The study protocol was approved by the ethics committee of Hos...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MPG.0000000000000870

    authors: Donat E,Ramos JM,Sánchez-Valverde F,Moreno A,Martinez MJ,Leis R,Peña-Quintana L,Castillejo G,Fernández S,Garcia Z,Ortigosa L,Balmaseda E,Marugán JM,Eizaguirre FJ,Lorenzo H,Barrio J,Ribes-Koninckx C,SEGHNP Working Group

    更新日期:2016-02-01 00:00:00

  • Blood urea nitrogen concentrations in low-birth-weight preterm infants during parenteral and enteral nutrition.

    abstract:OBJECTIVES:Early amino acid administration has been recommended in preterm neonates to avoid protein catabolism. In the present work, blood urea nitrogen (BUN) was used to evaluate the quantity of protein intake in preterm infants. The aim of the study was to investigate the relation between protein intake and BUN duri...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0b013e3181cd270f

    authors: Roggero P,Giannì ML,Morlacchi L,Piemontese P,Liotto N,Taroni F,Mosca F

    更新日期:2010-08-01 00:00:00

  • Plasma amino acids after a feed of human milk or formula at three months of age.

    abstract::Prefeeding plasma amino acid concentrations were higher and glycine-to-valine ratios lower in formula-fed infants as compared to breast-fed infants at 3 months of age. After a human milk meal (true protein, 0.8 g/100 ml) or formula meal (1.5 g/100 ml), all essential and several nonessential amino acids peaked at 30-60...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:

    authors: Tikanoja T,Simell O

    更新日期:1983-05-01 00:00:00

  • A study of liver HBV DNA during follow-up of acute viral hepatitis in children.

    abstract::Twenty-nine children with acute icteric hepatitis were classified as follows after serological tests for the agents of viral hepatitis: hepatitis B 17 patients, hepatitis A 3 patients, hepatitis A + B 1 patient, possible non-A, non-B hepatitis 8 patients. In four of these cases, hepatitis A or non-A, non-B occurred in...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-198807000-00005

    authors: Marconi M,Scotto J,Laliam M,Hadchouel M,Dazza MC,Larouzé B

    更新日期:1988-07-01 00:00:00

  • Breath methane production in children with constipation and encopresis.

    abstract::Breath methane excretion is uncommon in children compared with adults. Certain intracolonic conditions, however, have been associated with enhanced methane generation. We hypothesized that encopretic and constipated children, who have abnormal colonic transit times, more likely would excrete methane than healthy child...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-199005000-00010

    authors: Fiedorek SC,Pumphrey CL,Casteel HB

    更新日期:1990-05-01 00:00:00

  • Fecal secretory immunoglobulin A in breast milk versus formula feeding in early infancy.

    abstract::We studied the effects of breast milk feeding versus formula feeding during the first 8 weeks of life on the development of local gastrointestinal humoral immune response by measuring fecal secretory immunoglobulin A (SIgA). Forty-four infants were studied and classified into two groups: breast milk (n = 21) and stand...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:

    authors: Koutras AK,Vigorita VJ

    更新日期:1989-07-01 00:00:00

  • Celiac Diasease-associated lncRNA Named HCG14 Regulates NOD1 Expression in Intestinal Cells.

    abstract:OBJECTIVE:The aim of the study is to identify additional celiac disease associated loci in the major histocompatibility complex (MHC) independent from classical HLA risk alleles (HLA-DR3-DQ2) and to characterize their potential functional impact in celiac disease pathogenesis at the intestinal level. METHODS:We perfor...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0000000000001970

    authors: Santin I,Jauregi-Miguel A,Velayos T,Castellanos-Rubio A,Garcia-Etxebarria K,Romero-Garmendia I,Fernandez-Jimenez N,Irastorza I,Castaño L,Bilbao JR

    更新日期:2018-08-01 00:00:00

  • Dietary intake of Austrian diabetic children 10 to 14 years of age.

    abstract:BACKGROUND:The dietary intake of 63 children with insulin-dependent diabetes mellitus (IDDM; age 10 to 14 years) was weighed by dietitians for 2 days during a summer camp for youth with diabetes. Data were analyzed for the content of macronutrients with the help of a computer database program. METHODS:The dietary inta...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-199908000-00009

    authors: Schober E,Langergraber B,Rupprecht G,Rami B

    更新日期:1999-08-01 00:00:00

  • Enteric protein loss measured by fecal alpha 1-antitrypsin clearance in the assessment of Crohn's disease activity: a study of children and adolescents.

    abstract::We compared conventional measures of disease activity with 24-h fecal alpha 1-antitrypsin clearance in 59 children and adolescents with Crohn's disease and 30 with ulcerative colitis. Among the Crohn's patients clearance was increased significantly in those with abnormal erythrocyte sedimentation rates (ESR) (greater ...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-198611000-00015

    authors: Griffiths AM,Drobnies A,Soldin SJ,Hamilton JR

    更新日期:1986-11-01 00:00:00

  • Effect of ursodeoxycholic acid therapy on hepatic function in children with intrahepatic cholestatic liver disease.

    abstract:BACKGROUND:Ursodeoxycholic acid (UDCA) has been shown to improve pruritus, alanine aminotransferase (ALT), and cholesterol levels in children with intrahepatic cholestatic liver disease. However, the effect of UDCA on quantitative tests of hepatic function in children is uncertain. METHODS:A 2.5-year, open label, cros...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 临床试验,杂志文章

    doi:10.1097/00005176-199801000-00009

    authors: Narkewicz MR,Smith D,Gregory C,Lear JL,Osberg I,Sokol RJ

    更新日期:1998-01-01 00:00:00

  • T cell subsets in human colostrum.

    abstract::Lymphocytes from 10 paired colostrum and peripheral blood specimens were examined to determine if the colostral T cell population differs from the peripheral blood T cell population in subset distribution. The percentages of lymphocytes staining with OKT3, OKT4, and OKT8 murine monoclonal antibody were determined. Lym...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-198605000-00018

    authors: Keller MA,Faust J,Rolewic LJ,Stewart DD

    更新日期:1986-05-01 00:00:00

  • Acute phase proteins in chronic inflammatory bowel disease in childhood.

    abstract::The serum levels of five acute phase proteins (APP) were measured in 18 children with Crohn's Disease (CD) or ulcerative colitis (UC) and in two control groups. The levels of C-reactive protein, alpha 1-acid glycoprotein, alpha 1-antitrypsin, C9, and Factor B were significantly raised in patients with CD and UC with g...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-198201020-00007

    authors: Campbell CA,Walker-Smith JA,Hindocha P,Adinolfi M

    更新日期:1982-01-01 00:00:00

  • Discriminant analysis for the diagnosis of childhood celiac disease.

    abstract::A new statistical approach to the analysis of laboratory data has been introduced to optimize the use of absorption tests and gliadin antibody measurement for the diagnosis of childhood celiac disease. Serum antigliadin antibodies, as well as blood xylose, iron, and tryglycerides after oral load, were evaluated in 40 ...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-198707000-00008

    authors: Greco L,Troncone R,De Vizia B,Poggi V,Mayer M,Grimaldi M

    更新日期:1987-07-01 00:00:00

  • Parasitic infection of the gut and protein-losing enteropathy.

    abstract::Parasitic infection of the gut is highly prevalent in developing countries and contributes to the severe malnutrition associated with persistent diarrhoea in children. Using random faecal alpha 1-antitrypsin measurements as an index of protein-losing enteropathy, we examined children with and without parasitic infecti...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-199211000-00006

    authors: Sullivan PB,Lunn PG,Northrop-Clewes CA,Farthing MJ

    更新日期:1992-11-01 00:00:00

  • Severity scores in children with acute pancreatitis.

    abstract::Severity scores are used to predict the outcome of acute pancreatitis (AP). Several scores are used in adult patients, but none has been thoroughly validated for specific use in paediatric patients. We retrospectively collected data from 48 children with AP (13 severe and 35 mild). The main causes were trauma (23%), i...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0b013e318254c1c7

    authors: Fabre A,Petit P,Gaudart J,Mas E,Vial J,Olives JP,Sarles J

    更新日期:2012-09-01 00:00:00

  • Endotoxemia in protein-energy malnutrition.

    abstract::The plasma endotoxin levels of 16 severely malnourished Thai children were determined by the Limulus amebocyte lysate assay. Endotoxemia was present in seven children (44%) on admission to the hospital and was associated with the coexistence of vitamin A deficiency. Protein-energy malnutrition is associated with the p...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-198803000-00012

    authors: Klein K,Fuchs GJ,Kulapongs P,Mertz G,Suskind RM,Olson RE

    更新日期:1988-03-01 00:00:00

  • Solutions to nutrition-related health problems of preschool children: education and nutritional policies for children.

    abstract:OBJECTIVE:By reviewing the literature, lessons learned and experience regarding the nutrition-related health problems of preschool children, draw conclusions and make recommendations on education and nutrition policies for young children. RESULTS:The most common causes of under-5 mortality in low-income countries have...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 社论

    doi:10.1097/01.mpg.0000255851.30400.e7

    authors: Darnton-Hill I,Kennedy E,Cogill B,Hossain SM

    更新日期:2006-12-01 00:00:00

  • Atypia of hepatic histiocytes induced by Renografin-60.

    abstract::Recurrent bouts of abdominal pain in a 12-year-old patient were diagnosed as due to intermittent obstruction of the choledochus. The condition was corrected by choledochostomy. Incidental liver biopsy showed atypia of intrahepatic histiocytes. However, electron microscopy identified associated foreign bodies suspected...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-198605000-00025

    authors: Finley AJ,Ishak KG

    更新日期:1986-05-01 00:00:00