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Randomized Controlled Trial
. 2006 Feb;47(2):404-11.
doi: 10.1194/jlr.M500423-JLR200. Epub 2005 Nov 18.

Metabolic effects of intravenous LCT or MCT/LCT lipid emulsions in preterm infants

Frauke Lehner  1 , Hans Demmelmair, Wulf Röschinger, Tamás Decsi, Mária Szász, Károly Adamovich, Ralf Arnecke, Berthold Koletzko
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Free article
Randomized Controlled Trial

Metabolic effects of intravenous LCT or MCT/LCT lipid emulsions in preterm infants

Frauke Lehner et al. J Lipid Res. 2006 Feb.
Free article

Abstract

Most lipid emulsions for parenteral feeding of premature infants are based on long-chain triacylglycerols (LCTs), but inclusion of medium-chain triacylglycerols (MCTs) might provide a more readily oxidizable energy source. The influence of these emulsions on fatty acid composition and metabolism was studied in 12 premature neonates, who were randomly assigned to an LCT emulsion (control) or an emulsion with a mixture of MCT and LCT (1:1). On study day 7, all infants received [13C]linoleic (LA) and [13C]alpha-linolenic acid (ALA) tracers orally. Plasma phospholipid (PL) and triacylglycerol (TG) fatty acid composition and 13C enrichments of plasma PL fatty acids were determined on day 8. After 8 days of lipid infusion, plasma TGs in the MCT/LCT group had higher contents of C8:0 (0.50 +/- 0.60% vs. 0.10 +/- 0.12%; means +/- SD) and C10:0 (0.66 +/- 0.51% vs. 0.15 +/- 0.17%) than controls. LA content of plasma PLs was slightly lower in the MCT/LCT group (16.47 +/- 1.16% vs. 18.57 +/- 2.09%), whereas long-chain polyunsaturated derivatives (LC-PUFAs) of LA and ALA tended to be higher. The tracer distributions between precursors and products (LC-PUFAs) were not significantly different between groups. Both lipid emulsions achieve similar plasma essential fatty acid (EFA) contents and similar proportional conversion of EFAs to LC-PUFAs. The MCT/LCT emulsion seems to protect EFAs and LC-PUFAs from beta-oxidation.

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