{"id":1673,"date":"2021-12-01T17:08:37","date_gmt":"2021-12-01T17:08:37","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=1673"},"modified":"2023-10-24T12:33:45","modified_gmt":"2023-10-24T15:33:45","slug":"importancia-oligoelementos-nutricao-parenteral","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/importancia-oligoelementos-nutricao-parenteral\/","title":{"rendered":"Oligoelementos na nutri\u00e7\u00e3o parenteral: qual \u00e9 a import\u00e2ncia?"},"content":{"rendered":"

\"Fun\u00e7\u00f5es<\/p>\n

\n

Leia tamb\u00e9m:<\/strong> Qual \u00e9 a import\u00e2ncia dos micronutrientes em nutri\u00e7\u00e3o parenteral? <\/a><\/p>\n

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Principais causas de defici\u00eancia de oligoelementos1<\/sup><\/h2>\n\n\n\n\n\n\n\n\n\n
\n

Causa<\/strong><\/p>\n<\/td>\n

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Efeito<\/strong><\/p>\n<\/td>\n<\/tr>\n

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Doen\u00e7as ou traumas espec\u00edficos<\/p>\n<\/td>\n

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Podem reduzir a capacidade de ingest\u00e3o alimentar<\/p>\n<\/td>\n<\/tr>\n

\n

Uso prolongado de antibi\u00f3ticos<\/p>\n<\/td>\n

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Altera a microbiota intestinal, afetando a s\u00edntese e a disponibilidade de nutrientes, especialmente vitaminas<\/p>\n<\/td>\n<\/tr>\n

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Estresse metab\u00f3lico<\/p>\n<\/td>\n

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Aumenta a utiliza\u00e7\u00e3o de nutrientes nos processo do metabolismo intermedi\u00e1rio e oxidativo<\/p>\n<\/td>\n<\/tr>\n

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Diarreia, sonda, f\u00edstula e\/ou di\u00e1lise<\/p>\n<\/td>\n

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Promovem a perda de nutrientes hidrossol\u00faveis<\/p>\n<\/td>\n<\/tr>\n

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Grandes queimaduras<\/p>\n<\/td>\n

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Ocorre perda elevada de minerais como zinco, cobre e sel\u00eanio<\/p>\n<\/td>\n<\/tr>\n

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Estados inflamat\u00f3rios<\/p>\n<\/td>\n

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Pode haver libera\u00e7\u00e3o intracelular e excre\u00e7\u00e3o urin\u00e1ria de minerais importantes, especialmente zinco<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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Leia tamb\u00e9m: Nutri\u00e7\u00e3o parenteral intradial\u00edtica (NPID) contribuindo com a melhora do estado nutricional<\/a><\/p>\n

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Recomenda\u00e7\u00f5es para a administra\u00e7\u00e3o di\u00e1ria de minerais em nutri\u00e7\u00e3o parenteral5<\/sup><\/h2>\n\n\n\n\n\n\n\n\n\n\n\n
Oligoelemento<\/b><\/td>\n Recomenda\u00e7\u00f5es da ASPEN de 2012 Am\u00e9rica do Norte para formula\u00e7\u00e3o em Nutri\u00e7\u00e3o Parenteral<\/b>6<\/sup><\/span><\/td>\nDiretrizes de oligoelementos AuSPEN de 2014 Austr\u00e1lia e Nova Zel\u00e2ndia<\/b>7<\/sup><\/td>\nDiretrizes 2016 da ESPEN para Fal\u00eancia Intestinal cr\u00f4nica em adultos<\/b>8<\/sup><\/td>\nRecomenda\u00e7\u00e3o de consenso para oferta de oligoelementos na Nutri\u00e7\u00e3o Parenteral 2019<\/b>5<\/sup><\/td>\n<\/tr>\n
Zinco (Zn)<\/span><\/td>\n39\u201376 \u03bcmol (2,5\u20135 mg)<\/span><\/td>\n50\u2013100 \u03bcmol (3,2\u20136,5 mg)<\/span><\/td>\n38-61 \u03bcmol (2,5-4mg)<\/span><\/td>\n39-100 \u03bcmol (2,5-6,5 mg)<\/span><\/td>\n<\/tr>\n
Cobre (Cu)<\/span><\/td>\n4,7\u20137,8 \u03bcmol (300\u2013500 \u03bcg)<\/span><\/td>\n5\u20138 \u03bcmol (317\u2013508 \u03bcg)<\/span><\/td>\n4,7\u20139,6 \u03bcmol (0,3\u20130,5 mg)<\/span><\/td>\n4,7\u20139,6 \u03bcmol (300\u2013610\u03bcg)<\/span><\/td>\n<\/tr>\n
Sel\u00eanio (Se)<\/span><\/td>\n0,75-1,25 \u03bcmol (60-100 \u03bcg)<\/span><\/td>\n0,75-1,25 \u03bcmol (60-100 \u03bcg)<\/span><\/td>\n0,2\u20130,8 \u03bcmol (16\u201363 \u03bcg)<\/span><\/td>\n0,25-1,25 \u03bcmol (20\u2013100 \u03bcg)<\/span><\/td>\n<\/tr>\n
Mangan\u00eas (Mn)<\/span><\/td>\n1 \u03bcmol (55 \u03bcg)<\/span><\/td>\n1 \u03bcmol (55 \u03bcg)<\/span><\/td>\n1,1-1,8 \u03bcmol (60-100 \u03bcg)<\/span><\/td>\n1\u20131,8 \u03bcmol (55\u2013100 \u03bcg)<\/span><\/td>\n<\/tr>\n
Ferro (Fe)<\/span><\/td>\nSem recomenda\u00e7\u00e3o de rotina nos Estados Unidos<\/span><\/td>\n20 \u03bcmol (1,1 mg) pode n\u00e3o ser necess\u00e1rio<\/span><\/td>\n17,9 mmol (1 mg)<\/span><\/td>\n1\u20131,2 mg quando h\u00e1 indica\u00e7\u00e3o<\/span><\/td>\n<\/tr>\n
Cromo (Cr)<\/span><\/td>\n0,2\u20130,3 \u03bcmol (10\u201315 \u03bcg)<\/span><\/td>\n0,2\u20130,3 \u03bcmol (10\u201315 \u03bcg) pode n\u00e3o ser necess\u00e1rio<\/span><\/td>\nSem recomenda\u00e7\u00e3o<\/span><\/td>\n0,2\u20130,3 \u03bcmol (10\u201315 \u03bcg)<\/span><\/td>\n<\/tr>\n
Molibd\u00eanio (Mo)<\/span><\/td>\nSem recomenda\u00e7\u00e3o de rotina nos Estados Unidos<\/span><\/td>\n0,2 \u03bcmol (19 \u03bcg) provavelmente n\u00e3o \u00e9 necess\u00e1rio<\/span><\/td>\nSem recomenda\u00e7\u00e3o<\/span><\/td>\nSem recomenda\u00e7\u00e3o<\/span><\/td>\n<\/tr>\n
Iodo (I)<\/span><\/td>\nSem recomenda\u00e7\u00e3o de rotina nos Estados Unidos<\/span><\/td>\n1 \u03bcmol (126 \u03bcg)<\/span><\/td>\n0,5-1,2 \u03bcmol (70-150 \u03bcg)<\/span><\/td>\n0,5-1,2 \u03bcmol (70-150 \u03bcg) quando h\u00e1 indica\u00e7\u00e3o<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Gostou desse artigo? Leia mais sobre Nutri\u00e7\u00e3o Parenteral aqui.<\/a><\/p>\n

Refer\u00eancias<\/h2>\n
    \n
  1. CARVALHO, W. B. Necessidades de micronutrientes em nutri\u00e7\u00e3o parenteral<\/i>. Rev. Assoc. Med. Bras. 49 (2). Jun. 2003. Dispon\u00edvel em: https:\/\/doi.org\/10.1590\/S0104-42302003000200021<\/span><\/a><\/u>. Acesso em: 24 jun. 2021.<\/span><\/span><\/span><\/li>\n<\/ol>\n
      \n
    1. <\/a> SeyffaA. S. Os alimentos: calorias, macronutrientes e micronutrientes<\/i>. Manual do Profissional SBD 2007 c.1 1-7. Dispon\u00edvel em: https:\/\/crn5.org.br\/wp-content\/uploads\/2013\/05\/Manual-Calorias-Macronutrientes-e-Micronutrientes.pdf<\/span><\/a><\/u>. Acesso em: 24 jun. 2021.<\/span><\/span><\/span><\/span><\/li>\n<\/ol>\n
        \n
      1. \n

        CASTRO, M.L. et al. Posicionamento BRASPEN sobre o uso de micronutrientes via parenteral em adultos. BRASPEN J 2021; 36 (1): 3-19. Dispon\u00edvel em: https:\/\/wdcom.s3.sa-east-1.amazonaws.com\/hosting\/braspen\/journal\/2021\/journal\/jan-mar-2021\/artigos\/01-Posicionamento-BRASPEN.pdf<\/span><\/a><\/u><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<\/li>\n<\/ol>\n

          \n
        1. Recomenda\u00e7\u00f5es Nutricionais para Adultos em Terapia Nutricional Enteral e Parenteral. Sociedade Brasileira de Nutri\u00e7\u00e3o Parenteral e Enteral; Sociedade Brasileira de Cl\u00ednica M\u00e9dica; Associa\u00e7\u00e3o Brasileira de Nutrologia. 2011. Dispon\u00edvel em: https:\/\/diretrizes.amb.org.br\/_BibliotecaAntiga\/recomendacoes_nutricionais_de_adultos_em_terapia_nutricional_enteral_e_parenteral.pdf<\/span><\/a><\/u>. Acesso em: 24 jun. 2021.<\/span><\/span><\/span><\/li>\n<\/ol>\n
            \n
          1. BLAAUW, R. et al. Parenteral Provision of Micronutrients to Adult Patients: An Expert Consensus Paper<\/i>. American Society for Parenteral and Enteral Nutrition, 2019. Dispon\u00edvel em: https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/full\/10.1002\/jpen.1525<\/span><\/span><\/a><\/u>. Acesso em: 15 ago. 2021.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<\/ol>\n
              \n
            1. VANEK, V.W., et al. A.S.P.E.N. position paper: recommendations for changes in commercially available parenteral multivitamin and multi-trace element products.<\/i> Nutr Clin Pr. 2012 ; 27: 440 – 491. Dispon\u00edvel em: https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/full\/10.1177\/0884533612446706<\/span><\/a><\/u>. Acesso em: 15 ago. 2021.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<\/ol>\n
                \n
              1. OSLAND, E.J. et al. Australasian Society for Parenteral and Enteral Nutrition guidelines for supplementation of trace elements during parenteral nutrition<\/i>. Asia Pac J Clin Nutr. 2014;23(August):545-554. Dispon\u00edvel em: https:\/\/search.informit.org\/doi\/abs\/10.3316\/ielapa.873486242782104<\/span><\/a><\/u>. Acesso em: 15 ago. 2021.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<\/ol>\n
                  \n
                1. Pironi, L.; Arends, J.; Bozzetti, F. et al. ESPEN guidelines on chronic intestinal failure in adults<\/i>. Clin Nutr. 2016;35:247-307. Dispon\u00edvel em: https:\/\/pubmed.ncbi.nlm.nih.gov\/26944585\/<\/span><\/a><\/u>. Acesso em: 15 ago. 2021.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<\/ol>\n

                   <\/p>\n","protected":false},"excerpt":{"rendered":"

                  Leia tamb\u00e9m: Qual \u00e9 a import\u00e2ncia dos micronutrientes em nutri\u00e7\u00e3o parenteral? Principais causas de defici\u00eancia de oligoelementos1 Causa Efeito Doen\u00e7as ou traumas espec\u00edficos Podem reduzir a capacidade de ingest\u00e3o alimentar Uso prolongado de antibi\u00f3ticos Altera a microbiota intestinal, afetando a s\u00edntese e a disponibilidade de nutrientes, especialmente vitaminas Estresse metab\u00f3lico Aumenta a utiliza\u00e7\u00e3o de nutrientes […]<\/p>\n","protected":false},"author":1,"featured_media":1737,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[49,9],"tags":[123,67,85],"class_list":["post-1673","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-5","category-nutricao-parenteral","tag-minerais","tag-nutricao-parenteral","tag-oligoelementos"],"acf":[],"yoast_head":"\nOligoelementos na nutri\u00e7\u00e3o parenteral: entenda a import\u00e2ncia<\/title>\n<meta name=\"description\" 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