Calcium and phosphorus retention in the preterm infant during total parenteral nutrition. A comparative randomised study between organic and inorganic phosphate as a source of phosphorus

Devlieger, H; Meyers, Y; Willems, L; de Zegher, F; Van Lierde, S; Proesmans, W; Eggermont, E

HERO ID

4002590

Reference Type

Journal Article

Year

1993

Language

English

PMID

16843326

HERO ID 4002590
In Press No
Year 1993
Title Calcium and phosphorus retention in the preterm infant during total parenteral nutrition. A comparative randomised study between organic and inorganic phosphate as a source of phosphorus
Authors Devlieger, H; Meyers, Y; Willems, L; de Zegher, F; Van Lierde, S; Proesmans, W; Eggermont, E
Journal Clinical Nutrition
Volume 12
Issue 5
Page Numbers 277-281
Abstract The preterm infant fed parenterally is prone to some demineralisation due in part to insufficient Calcium (Ca) and Phosphorus (P) retention. In an attempt to augment Ca and P retention, we prepared a standardised parenteral solution containing calcium gluconate and glucose-1-phosphate (Phocytan) as source of phosphorus, yielding a daily supply of 75 mg/kg Ca and 45 mg/kg P. 28 very low birthweight infants were randomly assigned to receive either this solution (high Ca P ; n = 15) or a conventional formulation containing calcium gluconate and potassium mono- and dibasic phosphate delivering 42 mg/kg Ca and 36 mg/kg P daily (low Ca P ; n = 13). In the high Ca P daily retention was respectively 80% and 99% for Ca and P whereas in the low Ca P group, retention was 70% and 82%. Serum parathormone levels were significantly lower in the high Ca P group. We conclude that parenteral nutrition with a new high Ca P supplement results in an augmented Ca and P retention in very low birthweight infants. This may help to prevent neonatal bone demineralization.
Doi 10.1016/0261-5614(93)90046-7
Pmid 16843326
Wosid WOS:A1993MF39900005
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English