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SHR Neuro Krebs Kardio Lipid Stoffw Microb

de, Man, AME; Amrein, K; Casaer, MP; Dizdar, OS; van, Zanten, ARH; Gundogan, K; Lepp, L; Rezzi, S; Shenkin, A; Berger, MM, , ESPEN, MN, special, interest, group.
LLL 44-4 : Micronutrients in acute disease and critical illness.
Clin Nutr ESPEN. 2024; 61:437-446 Doi: 10.1016/j.clnesp.2024.04.011
Web of Science PubMed FullText FullText_MUG

 

Co-Autor*innen der Med Uni Graz
Amrein Karin
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Abstract:
Micronutrients (MN), i.e. trace elements and vitamins, are essential components of the diet in relatively small amounts in any form of nutrition, with special needs in critically ill patients. Critical illness is characterised by the presence of inflammation and oxidative stress. MNs are tightly involved in antioxidant and immune defences. In addition, some conditions, and treatments result in large losses of biological fluids containing MNs: therefore, acute renal injury requiring renal replacement therapy, acute intestinal failure, and major burns and trauma are at high risk of acute depletion of body stores, and of deficiency. MN requirements are increased above standard DRI. Blood level interpretation is complicated by inflammation: some biomarkers assist the status determination. Due to the acute challenges of critical illness, it of utmost importance to cover the needs to maintain the organism's endogenous immune and antioxidant defences, and capacity to repair tissues. Practical strategies are proposed.
Find related publications in this database (using NLM MeSH Indexing)
Humans - administration & dosage
Micronutrients - blood
Critical Illness - administration & dosage
Oxidative Stress - administration & dosage
Antioxidants - metabolism
Acute Disease - administration & dosage
Nutritional Requirements - administration & dosage
Trace Elements - blood
Inflammation - administration & dosage
Nutritional Status - administration & dosage
Vitamins - blood
Biomarkers - blood

Find related publications in this database (Keywords)
Refeeding syndrome
Intestinal failure
In flammation
Immunity
Sepsis
Acute kidney injury
Heart failure
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