Enteral versus parenteral nutrition: comparison of energy metabolism in healthy subjects.

Details

Serval ID
serval:BIB_059703606525
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Enteral versus parenteral nutrition: comparison of energy metabolism in healthy subjects.
Journal
American Journal of Physiology. Endocrinology and Metabolism
Author(s)
Vernet O., Christin L., Schutz Y., Danforth E., Jequier E.
ISSN
0193-1849 (Print)
ISSN-L
0002-9513
Publication state
Published
Issued date
1986
Volume
250
Number
1 Pt 1
Pages
E47-E54
Language
english
Abstract
Continuous respiratory exchange measurements were performed on 10 healthy young women for 1 h before, 3 h during, and 3 h after either parenteral (iv) or intragastric (ig) administration of a nutrient mixture (52% glucose, 18% amino acid, and 30% lipid energy) infused at twice the postabsorptive resting energy expenditure (REE). REE rose from 0.98 +/- 0.02 (iv) and 0.99 +/- 0.02 kcal/min (ig) postabsorptively to 1.13 +/- 0.03 (iv) and 1.13 +/- 0.02 kcal/min (ig), resulting in nutrient-induced thermogenesis of 10 +/- 0.6 and 9.3 +/- 0.9%, respectively, when related to the metabolizable energy. The respiratory quotient rose from preinfusion values of 0.81 +/- 0.02 (iv) and 0.80 +/- 0.01 (ig) to 0.86 +/- 0.01 (iv) and 0.85 +/- 0.01 (ig). After nutrient administration the respiratory quotient fell significantly to below the preinfusion values. Plasma glucose and insulin concentrations rose during nutrient administration but were higher during the intravenous route. It is concluded that, although the response time to intragastric administration was delayed, the thermic effects and overall substrate oxidations were comparable during intravenous or intragastric administration, albeit, at lower plasma glucose and insulin concentrations via the intragastric route.
Keywords
Adult, Blood Glucose/metabolism, Energy Metabolism, Enteral Nutrition, Epinephrine/blood, Fatty Acids, Nonesterified/blood, Female, Heart Rate, Humans, Insulin/blood, Lipids/blood, Mathematics, Norepinephrine/blood, Oxidation-Reduction, Parenteral Nutrition, Respiration, Time Factors
Pubmed
Web of science
Create date
21/01/2008 13:07
Last modification date
20/08/2019 12:27
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