PMID: 2508461Oct 1, 1989Paper

Thermic effect of parenteral nutrition in septic and nonseptic individuals

The American Journal of Clinical Nutrition
J ArnoldM H Irving

Abstract

This study compared the metabolic responses to parenteral nutrition in five septic and six nonseptic individuals. Oxygen uptake (VO2) was measured for 1 h preinfusion and during the first 2 h of parenteral nutrition infusion. While baseline VO2 was 19% higher in the septic compared with nonseptic patients (p less than 0.01), both groups responded similarly to nutrition: VO2 increased 25% and 27% above baseline in the nonseptic and septic groups, respectively (NS between groups). Respiratory quotient increased 9% in the nonseptic (p less than 0.01) and 5% in the septic (p less than 0.05) patients during infusion. Plasma glucose and insulin increased identically in both groups. Cortisol was consistently higher in the septic patients whereas glucagon decreased similarly in both groups with feeding. Norepinephrine increased 25% in response to the nutrition and remained elevated in the nonseptic group. The results illustrate the effect nutrient-induced thermogenesis may have in the energy balance of parenterally fed patients.

Citations

Jul 31, 2003·Journal of Veterinary Medicine. A, Physiology, Pathology, Clinical Medicine·J ZentekI Nolte
Mar 1, 1992·JPEN. Journal of Parenteral and Enteral Nutrition·Y HayashidaT Mori
Jan 20, 2017·American Journal of Physiology. Regulatory, Integrative and Comparative Physiology·Kristen T CrowellCharles H Lang
Jun 1, 1994·The American Journal of Physiology·G L CarlsonM H Irving
Oct 30, 2001·The Proceedings of the Nutrition Society·G L Carlson
Jun 1, 1995·Journal of the American College of Nutrition·E R Briones, F L Iber
Dec 1, 2020·Temperature : Multidisciplinary Biomedical Journal·Roberto Refinetti
Jul 1, 1992·The American Journal of Physiology·J ArnoldM H Irving
Oct 1, 1993·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·E ForsbergA Thörne
Apr 1, 1994·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·M SakaueT Mori
May 20, 1998·Baillière's Clinical Endocrinology and Metabolism·G L Carlson

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