Faculty Collaboration Database

Influence of gestational age and birth weight in neonatal cholesterol response to total parenteral nutrition. J Clin Lipidol 2016;10(4):891-897.e1

Date

09/01/2016

Pubmed ID

27578120

DOI

10.1016/j.jacl.2016.03.005

Scopus ID

2-s2.0-84973868350 (requires institutional sign-in at Scopus site)   2 Citations

Abstract

BACKGROUND: Premature and critically ill infants receiving total parenteral nutrition (TPN) are at risk for dyslipidemia, and altered cholesterol levels in early life may contribute to later cardiovascular risk. Data regarding plasma cholesterol response to TPN in young infants are lacking.

OBJECTIVE: To determine the changes in plasma cholesterol levels during the first week of life in infants receiving TPN and a comparison group of infants who did not receive TPN during routine care.

METHODS: In a prospective, pilot cohort study, 38 neonates (30 TPN vs. 8 No-TPN) underwent serial blood sampling during the first week of life. Gas chromatography-mass spectrometry was used to measure cholesterol in plasma and TPN administered to study participants.

RESULTS: Baseline cholesterol level was similar between groups. In contrast to infants who did not receive TPN, cholesterol levels during the first week of life were significantly higher than baseline in infants receiving TPN (maximum cholesterol response 34% vs. 103% change from baseline, No-TPN vs. TPN, respectively, P = .036). After adjusting for cumulative cholesterol received by infants receiving TPN, maximum cholesterol response remained inversely related to gestational age and birth weight (P < .05).

CONCLUSION: Plasma cholesterol significantly increases during the first week of life in neonates receiving TPN. A higher cholesterol response was induced by TPN in infants of lower gestational age and birth weight.

Author List

Nghiem-Rao TH, Dahlgren AF, Kalluri D, Cao Y, Simpson PM, Patel SB

Authors

T Hang Nghiem-Rao MD Associate Professor in the Pediatrics department at Medical College of Wisconsin
Pippa M. Simpson PhD Adjunct Professor in the Pediatrics department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Cholesterol
Female
Gestational Age
Humans
Infant
Infant, Newborn
Male
Parenteral Nutrition, Total
Premature Birth