{"id":1625,"date":"2025-10-01T11:00:24","date_gmt":"2025-10-01T14:00:24","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=1625"},"modified":"2025-10-01T11:28:06","modified_gmt":"2025-10-01T14:28:06","slug":"importancia-dos-micronutrientes-nutricao-parenteral","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/importancia-dos-micronutrientes-nutricao-parenteral\/","title":{"rendered":"Qual \u00e9 a Import\u00e2ncia dos Micronutrientes em Nutri\u00e7\u00e3o Parenteral?"},"content":{"rendered":"<p>Micronutrientes \u2014 isto \u00e9, vitaminas e oligoelementos \u2014 s\u00e3o componentes essenciais da nutri\u00e7\u00e3o parenteral. Entretanto, suas necessidades podem ser afetadas por diversas condi\u00e7\u00f5es. Muitas vezes, al\u00e9m do aporte regular de micronutrientes, \u00e9 necess\u00e1rio refor\u00e7ar seu uso para repor defici\u00eancias (1).<\/p>\n<p>A seguir, conhe\u00e7a qual \u00e9 a import\u00e2ncia dos micronutrientes em nutri\u00e7\u00e3o parenteral, quais s\u00e3o algumas das condi\u00e7\u00f5es cl\u00ednicas de aten\u00e7\u00e3o, e recomenda\u00e7\u00f5es de diretrizes recentes.<\/p>\n<h2>Por que os micronutrientes em nutri\u00e7\u00e3o parenteral s\u00e3o importantes?<\/h2>\n<p>A inclus\u00e3o adequada de micronutrientes na nutri\u00e7\u00e3o parenteral \u00e9 vital, pois estes desempenham in\u00fameras fun\u00e7\u00f5es no organismo, incluindo (2, 3, 4, 5):<\/p>\n<ul>\n<li>Integridade epitelial e cicatriza\u00e7\u00e3o de feridas;<\/li>\n<li>A\u00e7\u00e3o antioxidante;<\/li>\n<li>Suporte imunol\u00f3gico;<\/li>\n<li>Cofatores enzim\u00e1ticos (produ\u00e7\u00e3o de energia);<\/li>\n<li>Preven\u00e7\u00e3o da anemia e doen\u00e7as cardiovasculares;<\/li>\n<li>Integridade \u00f3ssea.<\/li>\n<\/ul>\n<p><strong>A nutri\u00e7\u00e3o parenteral fornecida sem micronutrientes proporcionais ao longo do tempo resultar\u00e1 no desenvolvimento de defici\u00eancia, disfun\u00e7\u00e3o metab\u00f3lica e, em alguns casos, at\u00e9 mesmo a morte <\/strong>(6).<\/p>\n<p>V\u00e1rias consequ\u00eancias delet\u00e9rias foram associadas a defici\u00eancias de micronutrientes, incluindo <strong>m\u00e1 cicatriza\u00e7\u00e3o de feridas, fraqueza muscular, resposta imunol\u00f3gica inadequada e disfun\u00e7\u00e3o org\u00e2nica<\/strong> (6).<\/p>\n<p>Como tal, os micronutrientes constituem um componente crucial da terapia nutricional (6). As prepara\u00e7\u00f5es comerciais fornecem doses padronizadas, geralmente com quantidades superiores aos requisitos basais, pois s\u00e3o destinadas a pacientes que j\u00e1 est\u00e3o nutricionalmente deficientes ou em risco de perdas nutricionais.<\/p>\n<p>Entretanto, \u00e9 fundamental o monitoramento e avalia\u00e7\u00e3o individualizada de cada paciente, realizando ajustes sempre que necess\u00e1rio.<\/p>\n<h2>Micronutrientes em nutri\u00e7\u00e3o parenteral: quais s\u00e3o as condi\u00e7\u00f5es cl\u00ednicas de aten\u00e7\u00e3o?<\/h2>\n<p>As condi\u00e7\u00f5es na UTI que foram associadas \u00e0 deple\u00e7\u00e3o de micronutrientes incluem (6):<\/p>\n<ul>\n<li>Grandes queimaduras;<\/li>\n<li>Feridas cir\u00fargicas ou traum\u00e1ticas;<\/li>\n<li>F\u00edstulas gastrointestinais (GI);<\/li>\n<li>Doen\u00e7as gastrointestinais ou ressec\u00e7\u00f5es resultando em diminui\u00e7\u00e3o da \u00e1rea de absor\u00e7\u00e3o;<\/li>\n<li>Terapia de substitui\u00e7\u00e3o renal cont\u00ednua.<\/li>\n<\/ul>\n<h5><strong>Queimaduras<\/strong><\/h5>\n<p>A maioria dos pacientes com queimaduras n\u00e3o necessita de nutri\u00e7\u00e3o parenteral (NP), mas pode necessitar de reposi\u00e7\u00e3o intravenosa de micronutrientes, dependendo da magnitude da les\u00e3o (6).<\/p>\n<p>Para cada fase, determinados micronutrientes ganham mais import\u00e2ncia (6):<\/p>\n<ul>\n<li><strong>Fase inicial de ressuscita\u00e7\u00e3o<\/strong>: vitamina C possui um papel potencial na redu\u00e7\u00e3o da necessidade de ressuscita\u00e7\u00e3o vol\u00eamica.<\/li>\n<li><strong>Fase de cicatriza\u00e7\u00e3o de feridas<\/strong>: grandes perdas de Cu, Se e Zn foram demonstradas durante a primeira semana ap\u00f3s a les\u00e3o, enquanto a reposi\u00e7\u00e3o ativa reduz complica\u00e7\u00f5es infecciosas, melhora a ades\u00e3o do enxerto de pele e reduz o tempo de interna\u00e7\u00e3o na UTI.<\/li>\n<li><strong>Fase de recupera\u00e7\u00e3o\/reabilita\u00e7\u00e3o<\/strong>: a defici\u00eancia de vitamina D foi demonstrada em grandes queimaduras e \u00e9 causada por danos \u00e0 pele e aus\u00eancia de exposi\u00e7\u00e3o solar.<\/li>\n<\/ul>\n<h5><strong>Pacientes cir\u00fargicos<\/strong><\/h5>\n<p>Anormalidades em micronutrientes s\u00e3o comuns ap\u00f3s algumas cirurgias do trato gastrointestinal. Abaixo, a figura descreve os locais de absor\u00e7\u00e3o mais comuns de micronutrientes, e a tabela resume as defici\u00eancias frequentes ap\u00f3s a cirurgia do TGI (6).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2116\" src=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/09\/lam-204-infografico-micronutrientes-em-np-final.png\" alt=\"\" width=\"1024\" height=\"600\" srcset=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/09\/lam-204-infografico-micronutrientes-em-np-final.png 1024w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/09\/lam-204-infografico-micronutrientes-em-np-final-300x176.png 300w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/09\/lam-204-infografico-micronutrientes-em-np-final-768x450.png 768w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/09\/lam-204-infografico-micronutrientes-em-np-final-580x340.png 580w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p>&nbsp;<\/p>\n<table width=\"651\">\n<tbody>\n<tr>\n<td width=\"274\"><strong>\u00c1rea do trato gastrointestinal ressecada<\/strong><\/td>\n<td width=\"377\"><strong>Poss\u00edvel defici\u00eancia de micronutrientes<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"274\">Ressec\u00e7\u00e3o g\u00e1strica<\/td>\n<td width=\"377\">\u25cf\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Vitamina D, K e B12<\/p>\n<p>\u25cf\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ferro<\/td>\n<\/tr>\n<tr>\n<td width=\"274\">Cirurgia de bypass g\u00e1strico<\/td>\n<td width=\"377\">\u25cf\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Vitamina K<\/p>\n<p>\u25cf\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Cobre<\/td>\n<\/tr>\n<tr>\n<td width=\"274\">Ressec\u00e7\u00e3o da ves\u00edcula biliar<\/td>\n<td width=\"377\">\u25cf\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Vitaminas A, D, E e K<\/td>\n<\/tr>\n<tr>\n<td width=\"274\">Cirurgia de bypass jejuno-ileal<\/td>\n<td width=\"377\">\u25cf\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Vitaminas A, D, E, K<\/p>\n<p>\u25cf\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 C\u00e1lcio<\/td>\n<\/tr>\n<tr>\n<td width=\"274\">Whipple (duodenectomia pancre\u00e1tica)<\/td>\n<td width=\"377\">\u25cf\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Vitaminas A, D, E, K, B12<\/p>\n<p>\u25cf\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ferro<\/td>\n<\/tr>\n<tr>\n<td width=\"274\">Jejuno proximal<\/td>\n<td width=\"377\">\u25cf\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Zinco, cobre<\/td>\n<\/tr>\n<tr>\n<td width=\"274\">\u00cdleo terminal<\/td>\n<td width=\"377\">\u25cf\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Vitamina B12<\/td>\n<\/tr>\n<tr>\n<td width=\"274\">S\u00edndrome do intestino curto<\/td>\n<td width=\"377\">\u25cf\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Vitamina B2, B9, A, E, K<\/p>\n<p>\u25cf\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Cromo, zinco e ferro<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h5><strong>Preven\u00e7\u00e3o da s\u00edndrome de realimenta\u00e7\u00e3o<\/strong><\/h5>\n<p>A s\u00edndrome de realimenta\u00e7\u00e3o pode ocorrer devido a complica\u00e7\u00f5es metab\u00f3licas em pacientes com desnutri\u00e7\u00e3o grave que come\u00e7am a ser alimentados pela via parenteral.<\/p>\n<p>A infus\u00e3o muito r\u00e1pida de carboidratos pode resultar em um r\u00e1pido esgotamento de <strong>tiamina (vitamina B1)<\/strong>, levando \u00e0 cardiomiopatia e\/ou encefalopatia de Wernicke. Portanto, de forma preventiva, ao realimentar pacientes desnutridos, devem ser sempre fornecidas quantidades suficientes de vitamina B1 (3).<\/p>\n<h5><strong>Aten\u00e7\u00e3o \u00e0 nutri\u00e7\u00e3o parenteral domiciliar<\/strong><\/h5>\n<p>O estado de micronutrientes de pacientes com NP domiciliar \u00e9 foco de preocupa\u00e7\u00e3o, pois seus n\u00edveis continuam a ser demonstrados como vulner\u00e1veis (6).<\/p>\n<p>Segundo a Sociedade Europeia de Nutri\u00e7\u00e3o Cl\u00ednica e Metabolismo (ESPEN), um intervalo de avalia\u00e7\u00e3o entre 6 a 12 meses \u00e9 apropriado, especialmente em pacientes sob uso prolongado e naqueles em processo de reabilita\u00e7\u00e3o intestinal e desmame da NPD (7).<\/p>\n<h2>Micronutrientes em nutri\u00e7\u00e3o parenteral: doses recomendadas em diretrizes<\/h2>\n<p>Em 2022, a ESPEN definiu as doses padr\u00f5es de micronutrientes a serem fornecidas na nutri\u00e7\u00e3o parenteral (8). Confira na tabela abaixo.<\/p>\n<table width=\"628\">\n<tbody>\n<tr>\n<td width=\"217\"><strong>Micronutriente<\/strong><\/td>\n<td width=\"196\"><strong>Nutri\u00e7\u00e3o parenteral <\/strong><\/td>\n<td width=\"215\"><strong>Altas necessidades em nutri\u00e7\u00e3o parenteral*<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Cromo<\/td>\n<td width=\"196\">\u00a010 a 15 \u03bcg<\/td>\n<td width=\"215\">\u00a015 \u03bcg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Cobre<\/td>\n<td width=\"196\">\u00a00,3 a 0,5 mg<\/td>\n<td width=\"215\">0,5 a 1,0 mg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Fluoreto<\/td>\n<td width=\"196\">\u00a00 a 1 mg<\/td>\n<td width=\"215\">0 a 1 mg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Iodo<\/td>\n<td width=\"196\">\u00a0130 \u03bcg<\/td>\n<td width=\"215\">\u00a0130 \u03bcg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Ferro<\/td>\n<td width=\"196\">\u00a01 mg<\/td>\n<td width=\"215\">\u00a01 mg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Mangan\u00eas<\/td>\n<td width=\"196\">\u00a055 \u03bcg<\/td>\n<td width=\"215\">\u00a055 \u03bcg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Molibd\u00eanio<\/td>\n<td width=\"196\">19 a 25 \u03bcg<\/td>\n<td width=\"215\">\u00a019 a 25 \u03bcg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Sel\u00eanio<\/td>\n<td width=\"196\">60 a 100 \u03bcg<\/td>\n<td width=\"215\">\u00a0150 a 20 \u03bcg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Zinco<\/td>\n<td width=\"196\">3 a 5 mg<\/td>\n<td width=\"215\">6 a 12 mg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Vitamina A (retinol)<\/td>\n<td width=\"196\">800 a 1100 \u03bcg<\/td>\n<td width=\"215\">\u00a01100 \u03bcg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Vitamina D3 (colecalciferol)<\/td>\n<td width=\"196\">\u00a0200 UI\/5 \u03bcg<\/td>\n<td width=\"215\">800 a 1000 UI\/20 a 25 \u03bcg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Vitamina E (\u03b1-tocoferol)<\/td>\n<td width=\"196\">\u22659 mg<\/td>\n<td width=\"215\">20 mg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Vitamina K1 (filoquinona)<\/td>\n<td width=\"196\">150 \u03bcg<\/td>\n<td width=\"215\">1 a 10 mg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Vitamina B1 (tiamina)<\/td>\n<td width=\"196\">2,5 mg<\/td>\n<td width=\"215\">100 a 200 mg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Vitamina B2 (riboflavina)<\/td>\n<td width=\"196\">3,6 mg<\/td>\n<td width=\"215\">10 mg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Vitamina B3 (niacina)<\/td>\n<td width=\"196\">40 mg<\/td>\n<td width=\"215\">40 mg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Vitamina B5 (\u00e1cido pantot\u00eanico)<\/td>\n<td width=\"196\">15 mg<\/td>\n<td width=\"215\">15 mg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Vitamina B6 (piridoxina)<\/td>\n<td width=\"196\">4 mg<\/td>\n<td width=\"215\">6 mg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Vitamina B7 (biotina)<\/td>\n<td width=\"196\">60 \u03bcg<\/td>\n<td width=\"215\">60 \u03bcg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Vitamina B9 (\u00e1cido f\u00f3lico)<\/td>\n<td width=\"196\">400 \u03bcg<\/td>\n<td width=\"215\">600 a 1000 \u03bcg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Vitamina B12 (cianocobalamina)<\/td>\n<td width=\"196\">5 \u03bcg<\/td>\n<td width=\"215\">5 \u03bcg<\/td>\n<\/tr>\n<tr>\n<td width=\"217\">Vitamina C (\u00e1cido asc\u00f3rbico)<\/td>\n<td width=\"196\">100 a 200 mg<\/td>\n<td width=\"215\">200 a 500 mg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em>*Segundo os especialistas, podem ocorrer necessidades aumentadas em pacientes com perdas aumentadas cont\u00ednuas, como perdas gastrointestinais, em terapia de substitui\u00e7\u00e3o renal cont\u00ednua, em pacientes hipermetab\u00f3licos ou com deple\u00e7\u00e3o antes do in\u00edcio da nutri\u00e7\u00e3o parenteral e na gravidez.<\/em><\/p>\n<p>&nbsp;<\/p>\n<h2>Conclus\u00e3o<\/h2>\n<p>Em suma, a nutri\u00e7\u00e3o parenteral \u00e9 essencial para garantir o fornecimento adequado de micronutrientes, especialmente em pacientes com necessidades espec\u00edficas. O monitoramento constante e ajustes individualizados s\u00e3o fundamentais para evitar defici\u00eancias e otimizar a recupera\u00e7\u00e3o cl\u00ednica.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Refer\u00eancias<\/p>\n<p>1 &#8211; Carvalho WB. Necessidades de micronutrientes em nutri\u00e7\u00e3o parenteral. Rev Assoc Med Bras. 2003 Jun;49(2):145-151.<\/p>\n<p>2 &#8211; Seyffarth AS. Os alimentos: calorias, macronutrientes e micronutrientes. Manual do Profissional SBD. 2007;1-7.<\/p>\n<p>3 &#8211;\u00a0 Frenesius-Kabi. Comp\u00eandio de nutri\u00e7\u00e3o parenteral. Frenesius-Kabi. 1-116.<\/p>\n<p>4 &#8211; Stein MHS, Bettinelli RD, Vieira BM. Terapia nutricional em pacientes grandes queimados \u2013 uma revis\u00e3o bibliogr\u00e1fica. Rev Bras Queimaduras. 2013;12(4):235-244.<\/p>\n<p>5 &#8211; Sociedade Brasileira de Nutri\u00e7\u00e3o Parenteral e Enteral, Sociedade Brasileira de Cl\u00ednica M\u00e9dica, Associa\u00e7\u00e3o Brasileira de Nutrologia. Recomenda\u00e7\u00f5es nutricionais para adultos em terapia nutricional enteral e parenteral. S\u00e3o Paulo: SBNE, 2011.<\/p>\n<p>6 &#8211; Blaauw R, Osland E, Sriram K, Ali A, Allard JP, Ball P, Chan LN, Jurewitsch B, Logan Coughlin K, Manzanares W, Men\u00e9ndez AM, Mutiara R, Rosenfeld R, Sioson M, Visser J, Berger MM. Parenteral Provision of Micronutrients to Adult Patients: An Expert Consensus Paper. JPEN J Parenter Enteral Nutr. 2019 Mar;43 Suppl 1:S5-S23.<\/p>\n<p>7 &#8211; Pironi L, Boeykens K, Bozzetti F, Joly F, Klek S, Lal S, Lichota M, M\u00fchlebach S, Van Gossum A, Wanten G, Wheatley C, Bischoff SC. ESPEN practical guideline: Home parenteral nutrition. Clin Nutr. 2023 Mar;42(3):411-430.<\/p>\n<p>8 &#8211; Berger MM, Shenkin A, Schweinlin A, Amrein K, Augsburger M, Biesalski HK, Bischoff SC, Casaer MP, Gundogan K, Lepp HL, de Man AME, Muscogiuri G, Pietka M, Pironi L, Rezzi S, Cuerda C. ESPEN micronutrient guideline. Clin Nutr. 2022 Jun;41(6):1357-1424.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Micronutrientes \u2014 isto \u00e9, vitaminas e oligoelementos \u2014 s\u00e3o componentes essenciais da nutri\u00e7\u00e3o parenteral. Entretanto, suas necessidades podem ser afetadas por diversas condi\u00e7\u00f5es. Muitas vezes, al\u00e9m do aporte regular de micronutrientes, \u00e9 necess\u00e1rio refor\u00e7ar seu uso para repor defici\u00eancias (1). A seguir, conhe\u00e7a qual \u00e9 a import\u00e2ncia dos micronutrientes em nutri\u00e7\u00e3o parenteral, quais s\u00e3o algumas [&hellip;]<\/p>\n","protected":false},"author":67,"featured_media":2117,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[49],"tags":[112,148,82,331,67,85,323,88,243,143,69,84],"class_list":["post-1625","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-5","tag-cirurgia-gastrointestinal","tag-espen","tag-micronutrientes","tag-nutricao-domiciliar","tag-nutricao-parenteral","tag-oligoelementos","tag-queimaduras","tag-sindrome-de-realimentacao","tag-suporte-nutricional","tag-terapia-nutricional","tag-uti","tag-vitaminas"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Micronutrientes na Nutri\u00e7\u00e3o 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