{"id":1675,"date":"2021-12-06T09:07:37","date_gmt":"2021-12-06T09:07:37","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=1675"},"modified":"2022-06-01T10:26:52","modified_gmt":"2022-06-01T13:26:52","slug":"necessidade-manganes-nutricao-parenteral","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/necessidade-manganes-nutricao-parenteral\/","title":{"rendered":"Entenda a necessidade do mangan\u00eas na nutri\u00e7\u00e3o parenteral"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1717 size-full aligncenter\" src=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/manganess-a.jpeg\" alt=\"Mol\u00e9cula de mangan\u00eas\" width=\"806\" height=\"453\" srcset=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/manganess-a.jpeg 806w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/manganess-a-300x169.jpeg 300w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/manganess-a-768x432.jpeg 768w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/manganess-a-580x326.jpeg 580w\" sizes=\"auto, (max-width: 806px) 100vw, 806px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>O mangan\u00eas (Mn) \u00e9 um dos micronutrientes essenciais para o corpo humano. Assim como o zinco e outros oligoelementos, ele participa da atividade de in\u00fameras enzimas que garantem o bom funcionamento do organismo, contribuindo para a cicatriza\u00e7\u00e3o de feridas, a fun\u00e7\u00e3o neuronal e o sistema imunol\u00f3gico.<\/p>\n<p>Por isso, o mangan\u00eas deve estar entre os minerais fornecidos a pacientes que recebem nutri\u00e7\u00e3o parenteral. As doses necess\u00e1rias, entretanto, s\u00e3o baixas. \u00c9 importante que seja realizado um acompanhamento cuidadoso tanto para evitar defici\u00eancia, quanto para prevenir o risco de intoxica\u00e7\u00e3o.<sup>1<\/sup><\/p>\n<p>Neste texto, vamos entender um pouco mais sobre as especificidades desse micronutriente na nutri\u00e7\u00e3o parenteral.<\/p>\n<hr \/>\n<p><strong>Leia tamb\u00e9m:<\/strong> <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/vantagens-da-nutricao-parenteral-pronta-para-uso\/\">5 vantagens da nutri\u00e7\u00e3o parenteral pronta para uso<\/a><\/p>\n<hr \/>\n<h2>Excesso de mangan\u00eas<\/h2>\n<p>Os \u00edndices recomendados de provis\u00e3o de mangan\u00eas na dieta parenteral v\u00eam sendo revisados ao longo dos anos a partir do maior entendimento sobre o comportamento desse oligoelemento no organismo. J\u00e1 se sabe, por exemplo, que o fornecimento excessivo de mangan\u00eas provoca o ac\u00famulo no mineral no c\u00e9rebro e, na presen\u00e7a de doen\u00e7a hep\u00e1tica, no f\u00edgado tamb\u00e9m<sup>1<\/sup>.<\/p>\n<p>Especialmente no caso de pacientes tratados com nutri\u00e7\u00e3o parenteral de longo prazo, existe um risco de hipermanganesemia. Esse excesso pode levar \u00e0 toxidade, que tem mais probabilidade de ocorrer quando est\u00e3o presentes os seguintes fatores:<\/p>\n<ul>\n<li>Oferta excessiva (cuidado especial com pacientes criticamente enfermos e estar ciente do efeito cumulativo)<sup>1<\/sup>;<\/li>\n<li>Doen\u00e7a hep\u00e1tica (quando a excre\u00e7\u00e3o biliar \u00e9 impedida, o mineral se acumula no f\u00edgado e no c\u00e9rebro)<sup>1<\/sup>;<\/li>\n<li>Idade (crian\u00e7as s\u00e3o mais propensas do que adultos a ter hipermanganesemia porque a imaturidade dos mecanismos reguladores resulta em maior absor\u00e7\u00e3o e reten\u00e7\u00e3o)<sup>1<\/sup>;<\/li>\n<li>Defici\u00eancia de ferro (a absor\u00e7\u00e3o de mangan\u00eas \u00e9 influenciada pelo balan\u00e7o de ferro, aumentando quando h\u00e1 menos ferro).<sup>2,3<\/sup><\/li>\n<li>Defici\u00eancia de sel\u00eanio em neonatos (taxas adequadas de sel\u00eanio parecem ter um efeito protetor sobre a toxidade);<sup>4<\/sup><\/li>\n<li>Fatores gen\u00e9ticos individuais.<\/li>\n<\/ul>\n<hr \/>\n<p><b>Leia tamb\u00e9m:<\/b> <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=1672&amp;preview=true\">A import\u00e2ncia do sel\u00eanio na nutri\u00e7\u00e3o parenteral<\/a><\/p>\n<hr \/>\n<h2>Defici\u00eancia de mangan\u00eas<\/h2>\n<p>A defici\u00eancia grave de mangan\u00eas tamb\u00e9m pode trazer uma s\u00e9rie de complica\u00e7\u00f5es para os pacientes e costuma se manifestar como sintomas parecidos com a doen\u00e7a de Parkinson, como tremores, hipertonia, bradicinesia e dist\u00farbios da marcha.<sup>1<\/sup><\/p>\n<p>Esse estado grave de defici\u00eancia \u00e9 pouco comum. Um caso relatado de defici\u00eancia grave de mangan\u00eas compreendia uma crian\u00e7a tratada com nutri\u00e7\u00e3o parenteral por s\u00edndrome do intestino curto que desenvolveu osteoporose e perda de peso ap\u00f3s receber dieta que n\u00e3o continha suplementa\u00e7\u00e3o do nutriente.<sup>5<\/sup><\/p>\n<p>Na pr\u00e1tica, entretanto, pode-se observar com mais frequ\u00eancia a defici\u00eancia leve, em que n\u00e3o h\u00e1 sintomas cl\u00ednicos espec\u00edficos, por\u00e9m existe uma piora no resultado cl\u00ednico do paciente, que fica mais suscet\u00edvel a infec\u00e7\u00f5es ou ao atraso na cicatriza\u00e7\u00e3o de feridas. Esses problemas cl\u00ednicos resultam do chamado \u201cmetabolismo sub\u00f3timo\u201d \u2013 um estado no qual o organismo opera de forma aqu\u00e9m \u00e0 sua capacidade ideal devido ao comprometimento da atividade de enzimas necess\u00e1rias aos processos fisiol\u00f3gicos.<sup>1<\/sup><\/p>\n<p>De forma adicional, estudos epidemiol\u00f3gicos sugerem que a defici\u00eancia de magn\u00e9sio pode contribuir para doen\u00e7as que afetam a fun\u00e7\u00e3o cognitiva em adultos e o crescimento e o ganho de peso em beb\u00eas. Assim, apesar de ainda serem necess\u00e1rios mais estudos sobre a hipomanganesemia, a defici\u00eancia de mangan\u00eas deve ser considerada potencialmente prejudicial.<sup>1<\/sup><\/p>\n<h2>Recomenda\u00e7\u00f5es de mangan\u00eas na nutri\u00e7\u00e3o parenteral<\/h2>\n<p>Entre 1979 e 2014, as doses padr\u00e3o de mangan\u00eas recomendadas em adultos tratados com nutri\u00e7\u00e3o parenteral foram revistas passando de 150-800 \u03bcg \/ dia<sup>6<\/sup> at\u00e9 10\u201350 \u03bcg \/ dia.<sup>7<\/sup> A recomenda\u00e7\u00e3o atual para adultos da <a href=\"https:\/\/www.nutritioncare.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Aspen<\/a> e da <a href=\"https:\/\/www.auspen.org.au\/\" target=\"_blank\" rel=\"noopener noreferrer\">Auspen<\/a> \u00e9 baseada na observa\u00e7\u00e3o de que, em pacientes que recebem 55 \u03bcg \/ dia, a concentra\u00e7\u00e3o de mangan\u00eas no sangue total permanece est\u00e1vel e dentro do intervalo de refer\u00eancia, enquanto doses mais elevadas podem levar ao ac\u00famulo do nutriente.<sup>8,9<\/sup> No Brasil, a Braspen recomenda o uso de 60 a 100 \u03bcg \/ dia para pacientes adultos em nutri\u00e7\u00e3o parenteral n\u00e3o cr\u00edticos.<sup>10<\/sup><\/p>\n<p>\u00c9 importante se atentar a situa\u00e7\u00f5es que requerem cuidados especiais:<\/p>\n<ul>\n<li><strong>Colestase:<\/strong> a oferta de mangan\u00eas deve ser diminu\u00edda ou mesmo n\u00e3o realizada em pacientes com aumento da colestase significativa, independentemente da dura\u00e7\u00e3o da nutri\u00e7\u00e3o parenteral.<sup>1<\/sup><\/li>\n<\/ul>\n<ul>\n<li><strong>Doen\u00e7a grave:<\/strong> dados limitados est\u00e3o dispon\u00edveis para orientar a oferta de mangan\u00eas para pacientes criticamente enfermos. \u00c9 aconselh\u00e1vel reduzir a oferta, especialmente se est\u00e3o passando por hemodi\u00e1lise. De forma geral, a suplementa\u00e7\u00e3o n\u00e3o deve exceder 55 \u03bcg \/ dia.<sup>1<\/sup><\/li>\n<\/ul>\n<ul>\n<li><strong>Hipermanganesemia:<\/strong> pacientes com hipermanganesemia devem ser considerados em risco de desenvolver toxicidade, devendo-se reduzir ou interromper o fornecimento de mangan\u00eas.<sup>1<\/sup><\/li>\n<\/ul>\n<ul>\n<li><strong>Hipomanganesemia:<\/strong> a hipomanganesemia pode ser uma complica\u00e7\u00e3o metab\u00f3lica em pacientes tratados com nutri\u00e7\u00e3o parenteral que n\u00e3o contenha mangan\u00eas. Se for persistente, pode-se reiniciar a provis\u00e3o de mangan\u00eas com cautela, n\u00e3o excedendo a dose de 55 \u03bcg \/ dia, e o mangan\u00eas do sangue total deve ser medido um m\u00eas ap\u00f3s o rein\u00edcio da suplementa\u00e7\u00e3o.<sup>1<\/sup><\/li>\n<\/ul>\n<p><strong>Gostou desse artigo? <\/strong><a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/category\/nutricao-parenteral\/\"><strong>Leia mais sobre Nutri\u00e7\u00e3o Parenteral aqui.<\/strong><\/a><\/p>\n<h2>Refer\u00eancias<\/h2>\n<ol>\n<li>Livingstone, C. <em>Manganese Provision in Parenteral Nutrition: An Update<\/em>. Volume33, Issue3 Critical Care Nutrition Support Controversies. June 2018. Pages 404-418. Dispon\u00edvel em: <a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/abs\/10.1177\/0884533617702837\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/abs\/10.1177\/0884533617702837<\/a><\/li>\n<li>FINLEY JW. Manganese absorption and retention by young women is associated with serum ferritin concentration. Am J Clin Nutr. 1999;70:37-43.<\/li>\n<li>MALECKI EA, DEVENYI AG, BARRON TE, et al. Iron and manganese homeostasis in chronic liver disease: relationship to pallidal T1-weighted magnetic resonance signal hyperintensity. Neurotoxicol. 1999;20:647-652.<\/li>\n<li>YANG X, BAO Y, FU H, LI L, REN T, YU X. Selenium protects neonates against neurotoxicity from prenatal exposure to manganese. PloS One. 2014;9:e86611.<\/li>\n<li>NOROSE N, TERAI M, NOROSE K. Manganese deficiency in a child with very short bowel syndrome receiving long term parenteral nutrition. J Trace Elem Exp Med. 1992;5:100-101.<\/li>\n<li>AMA DEPARTMENT OF FOODS AND NUTRITION. Guidelines for essential trace element preparations for parenteral use: a statement by an expert panel. JAMA. 1979;241:2051-2054.<\/li>\n<li>AMERICAN MEDICAL ASSOCIATION. Electrolytes, minerals and trace elements: recommended daily intravenous intake during TPN. In: Drug Evaluations Annual. Milwaukee, WI: American Medical Association, 1995:2311-2312.<\/li>\n<li>TAKAGI Y, OKADA A, SANDO K, WASA M, YOSHIDA H, HIRABUKI N. Evaluation of indexes of in vivo manganese status and the optimal intravenous dose for adult patients undergoing home parenteral nutrition. Am J Clin Nutr. 2002;75:112-118.<\/li>\n<li>AUSPEN. <em>Trace Element Supplementation for Parenteral Nutrition Guidelines June 2014.<\/em> 2014Dispon\u00edvel em: http:\/\/auspen.org.au\/?wpfb_dl=78&amp;token=Hyypaom4jKiqWZSM7C6KZvRy9F5jnfeWQFf1iTV4cbfbLfFq3Gzmo1uSDfmY7hcR&amp;TOPIC_ID=111340<\/li>\n<li>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: <a href=\"https:\/\/wdcom.s3.sa-east-1.amazonaws.com\/hosting\/braspen\/journal\/2021\/journal\/jan-mar-2021\/artigos\/01-Posicionamento-BRASPEN.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/wdcom.s3.sa-east-1.amazonaws.com\/hosting\/braspen\/journal\/2021\/journal\/jan-mar-2021\/artigos\/01-Posicionamento-BRASPEN.pdf<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; O mangan\u00eas (Mn) \u00e9 um dos micronutrientes essenciais para o corpo humano. Assim como o zinco e outros oligoelementos, ele participa da atividade de in\u00fameras enzimas que garantem o bom funcionamento do organismo, contribuindo para a cicatriza\u00e7\u00e3o de feridas, a fun\u00e7\u00e3o neuronal e o sistema imunol\u00f3gico. Por isso, o mangan\u00eas deve estar entre os [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1717,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[49,9],"tags":[124,82,80,67,85],"class_list":["post-1675","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-5","category-nutricao-parenteral","tag-manganes","tag-micronutrientes","tag-npt","tag-nutricao-parenteral","tag-oligoelementos"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Saiba mais sobre o uso do mangan\u00eas na nutri\u00e7\u00e3o parenteral<\/title>\n<meta name=\"description\" content=\"Conhe\u00e7a a fun\u00e7\u00e3o do mangan\u00eas na nutri\u00e7\u00e3o parenteral, al\u00e9m dos riscos da defici\u00eancia e do ac\u00famulo do mineral.\" \/>\n<meta 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