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A double-blind, randomized clinical trial of the effect of omega-3 fatty acids on the oxidative stress of preterm neonates fed through parenteral nutrition

Skouroliakou M, Konstantinou D, Koutri K, Kakavelaki C, Stathopoulou M, Antoniadi M, Xemelidis N, Kona V, Markantonis S

European journal of clinical nutrition · 92 citas

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Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
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Resultado principal
Solo mecanismos

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2010-06-16 · Eur J Clin Nutr · vol. 64 · número 9 · págs. 940–947
Editorial
Springer Nature
Citado
128 citas · más que el 98% de estudios similares · 8.2× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
27 trabajos
Acceso
Acceso abierto (copia en repositorio) · OTHER-OA
Áreas de investigación
Clinical Nutrition and Gastroenterology · Fatty Acid Research and Health · Infant Nutrition and Health
Palabras clave
omega-3 fatty acids, preterm infants, parenteral nutrition, lipid emulsions, SMOFlipid, Intralipid, oxidative stress, antioxidant capacity, vitamin E, vitamin A
MeSH
humans, vitamin a, vitamin e, fatty acids, omega-3, fat emulsions, intravenous, antioxidants, treatment outcome, parenteral nutrition, length of stay, double-blind method, oxidation-reduction, oxidative stress, infant, newborn, infant, premature, greece, female, male, infant nutritional physiological phenomena

9 autores

  • Maria Skouroliakou🇬🇷 · autor de correspondenciaHarokopio University of Athens
  • D Konstantinou
  • Katerina Koutri
  • Christina Kakavelaki🇬🇷Harokopio University of Athens
  • Maria G. Stathopoulou🇬🇷Harokopio University of Athens
  • Marita Antoniadi
  • N Xemelidis🇬🇷National and Kapodistrian University of Athens
  • V Kona🇬🇷Harokopio University of Athens
  • S Markantonis🇬🇷National and Kapodistrian University of Athens

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background/objectives

The aim of this study was to research and draw conclusions about the effect of a parenteral nutrition (PN) fat emulsion, rich in omega-3 fatty acids, on the antioxidant markers of preterm infants, when compared with a standard fat emulsion. This was a double-blind, parallel-group study conducted in Athens, Greece, using an equal randomization method.

Subjects/methods

Thirty-eight infants were selected using a double-blind method and a computer-generated randomization list. Both groups received PN, based on the same protocols. Group A received SMOFlipid fat emulsion, while group B received the standard fat emulsion (Intralipid). Serum levels of vitamin A, E and total antioxidant potential (TAP) were measured on days 0, 7 and 14 of PN support. Clinical and biochemical data were collected on days 0, 14 and on the day of discharge.

Results

Serum levels of vitamin E and A were significantly increased in group A, while only vitamin A serum level was increased in group B on the fourteenth day (group A: vitamin E: P-value=0.002, vitamin A: P-value=0.000, group B: vitamin E: P-value=0.065, vitamin A: P-value=0.000). TAP was increased only in the intervention group (group A: P-value=0.000, group B: P-value=0.287). Mild anemia was developed in both groups, while no differences were detected in the infection rate, days of hospitalization, days of ventilator support and days of phototherapy.

Conclusions

Oxidative stress was significantly reduced in those neonates fed with omega-3 fatty acids, whereas no effect was observed in the neonates fed with standard lipids. Intervention had no effect on infants' growth and clinical outcome.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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