Abstract
Nutritional status and growth were evaluated in 19 children who received home parenteral nutrition(TPN). In 9 pts(age 32±17 SD months, group I), TPN was the only source of nutrition; 10 pts(age 34±16 months, group II) received less TPN and ingested 30 to 70% of their total caloric intake. Energy and amino acid intake from TPN was 81±26 and 110±41% of RDA in group I and 67±15 and 67±29% in Group II. Group I and II had received TPN for 32±10 and 33±17 months, respectively, at evaluation. All pts in Group I and four pts in Group II had short bowel syndrome; five in Group II had pseudo-obstruction syndrome. At the onset of TPN, height and weight were significantly below normal in both groups. At the time of evaluation, group I had normal height (Z scores(Z) = -0.63±2.11) and, for chronological age, normal weight (Z=0.94 ± 2.13), mid-arm circumference (MAC)(Z=-0.47±1.47), mid-arm muscle circumference (MAMC)(Z=0.69±1.0), and triceps skinfold thickness (TSF)(Z=0.40±0.87). In contrast, in Group II patients, height (Z=-1.15±1.02), MAC(Z=-1.53±1.33), and TSF(Z=-1.17±0.64) were significantly below normal, and their weight, MAMC and TSF were lower than in Group I. These data indicate that children undergoing long term TPN can obtain and maintain normal height, weight and other anthropometric parameters of nutritional status. The poorer growth and nutritional status in Group II may be due to an overestimation of the food ingested and absorbed; they need more calories from TPN to normalize growth.
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Dahlstrom, A., Strandvik, B., Kppple, J. et al. 638 NUTRITION STATUS INF ED AND UNDFED CHILDREN RECEIVING HOME PARENTERAL. Pediatr Res 19, 217 (1985). https://doi.org/10.1203/00006450-198504000-00668
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DOI: https://doi.org/10.1203/00006450-198504000-00668