Protein-calorie malnutrition does not predict subtle vitamin K depletion in hospitalized patients.

Abstract:

OBJECTIVE:Recent studies suggest that subtle vitamin K depletion has far-reaching consequences. As this entity is not associated with prothrombin time elevation, it is important to determine whether alternate methods can help identify it. We investigated subtle vitamin K depletion in a hospital setting and determined whether protein calorie malnutrition predicts its presence. DESIGN, SETTING, SUBJECTS:Using a high-pressure liquid chromatography (HPLC) assay of plasma phylloquinone and a food frequency questionnaire for phylloquinone intake, we examined the phylloquinone status of 27 hospitalized patients with normal coagulation parameters, no liver disease, and no recent warfarin use. We assessed protein-calorie nutritional status with Reilly's criteria and anthropometrics. RESULTS:51% of patients (95% CI = 31% to 70%) had evidence of subtle vitamin K depletion as defined by a subnormal plasma phylloquinone concentration. Patients whose phylloquinone intake was less than the Recommended Daily Allowance (RDA) over the preceding year had lower plasma phylloquinone concentrations when compared to other patients: median (range) 0.106 nmol/l (0.022-0.461) versus 0.301 nmol/l (0.067-3.928), respectively (P = 0.023). Plasma phylloquinone concentrations were no different, however, between well-nourished and malnourished patients: median (range) 0.245 nmol/l (0.022-0.522) versus 0.188 nmol/l (0.067-3.928), respectively (P=0.782). CONCLUSIONS:Subtle vitamin K depletion is common among hospitalized patients and protein-calorie malnutrition does not predict its presence.

journal_name

Eur J Clin Nutr

authors

Jatoi A,Lennon C,O'Brien M,Booth SL,Sadowski J,Mason JB

doi

10.1038/sj.ejcn.1600670

subject

Has Abstract

pub_date

1998-12-01 00:00:00

pages

934-7

issue

12

eissn

0954-3007

issn

1476-5640

journal_volume

52

pub_type

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