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Published on: November 27, 2016
[Lipid metabolism in severely acute diarrheic disease in infants]
Insights
Infants with severe acute diarrhea show increased triglycerides due to lipid mobilization and dietary changes. Cholesterol ester levels decrease initially but tend to normalize over time in these pediatric patients.
Area of Science:
- Pediatric Gastroenterology
- Clinical Biochemistry
- Nutritional Science
Context:
- Acute diarrheal disease in infants can significantly impact lipid metabolism.
- Understanding these metabolic changes is crucial for effective clinical management and nutritional support.
- Previous research has explored various aspects of infant diarrhea, but lipid profiles require further detailed investigation.
Purpose:
- To investigate alterations in lipid profiles, including total lipids, cholesterol (total and esterified), and triglycerides, in infants experiencing serious acute diarrheic disease.
- To analyze changes in these lipid parameters during the acute phase and at a 10-day follow-up interval.
- To examine the lipidogram, specifically focusing on lipoprotein fractions (alpha and prebeta), in affected infants.
Summary:
- This study analyzed lipid profiles in 34 infants with severe acute diarrhea.
- Triglyceride levels consistently increased, indicating lipid mobilization, exacerbated by hypolipidic and hypocaloric diets.
- Esterified cholesterol initially decreased but showed a trend toward normalization, while total lipids increased in a subset of cases. Elevated alpha- and prebeta-lipoproteins were observed in the acute phase.
Impact:
- Provides insights into the metabolic disturbances associated with acute diarrheal illness in infants.
- Highlights the dynamic changes in lipid metabolism during illness and recovery, informing nutritional interventions.
- Contributes to a better understanding of lipid and lipoprotein alterations in pediatric gastroenterological conditions.
Abstract:
In a group of 34 infants with serious acute diarrheic disease, the authors study the total lipids, total and esterified cholesterol, triglycerides and lipidogram, in the acute phase of the disease and at a 10-day-interval from the first determination. Triglycerides have constantly increased values both at admittance and at the second determination, as a consequence of lipid mobilization in acute stage. This process continues due to the hypolipidic and hypocaloric diet. Esterified fraction of cholesterol has initially important decreases, tending to become normal in the interval studies, more evident in the healthy infant. Total lipids are increased in 10.5% of the cases and the lipidogram shows an increase of alpha-lipoproteins and prebeta-lipoproteins in 10.5% and 17.5% respectively of the cases in the first determination.
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