{"id":1679,"date":"2021-12-13T13:35:57","date_gmt":"2021-12-13T13:35:57","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=1679"},"modified":"2022-06-01T10:25:06","modified_gmt":"2022-06-01T13:25:06","slug":"importancia-do-selenio-nutricao-parenteral","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/importancia-do-selenio-nutricao-parenteral\/","title":{"rendered":"A import\u00e2ncia do sel\u00eanio na nutri\u00e7\u00e3o parenteral"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1733 size-full aligncenter\" src=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/selenioo-a.jpeg\" alt=\"Mol\u00e9cula de sel\u00eanio\" width=\"806\" height=\"453\" srcset=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/selenioo-a.jpeg 806w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/selenioo-a-300x169.jpeg 300w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/selenioo-a-768x432.jpeg 768w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/selenioo-a-580x326.jpeg 580w\" sizes=\"auto, (max-width: 806px) 100vw, 806px\" \/><\/p>\n<p>O <strong>sel\u00eanio<\/strong> \u00e9 um oligoelemento cujas principais fun\u00e7\u00f5es na sa\u00fade humana incluem <strong>atividades antioxidantes, anti-inflamat\u00f3rias e imunol\u00f3gicas.<\/strong> Devido a essa diversidade de fun\u00e7\u00f5es bioqu\u00edmicas e fisiol\u00f3gicas que desempenha, \u00e9 considerado um nutriente essencial em todas as formas de nutri\u00e7\u00e3o.<sup>1<\/sup><\/p>\n<p>Isso inclui a nutri\u00e7\u00e3o parenteral. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27245643\" target=\"_blank\" rel=\"noopener noreferrer\">Um estudo<\/a> indicou que 21,9% de pacientes hospitalizados, com fal\u00eancia intestinal cr\u00f4nica e recebendo nutri\u00e7\u00e3o parenteral, apresentam n\u00edveis s\u00e9ricos baixos do nutriente \u2013 o que est\u00e1 associado a um risco elevado de desenvolvimento de infec\u00e7\u00e3o grave.<sup>2<\/sup><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1734\" src=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/selenio.jpeg\" alt=\"Infogr\u00e1fico sobre fun\u00e7\u00f5es do sel\u00eanio\" width=\"368\" height=\"368\" srcset=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/selenio.jpeg 1362w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/selenio-300x300.jpeg 300w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/selenio-1024x1024.jpeg 1024w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/selenio-150x150.jpeg 150w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/selenio-768x769.jpeg 768w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/selenio-375x375.jpeg 375w\" sizes=\"auto, (max-width: 368px) 100vw, 368px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h2>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Combate ao estresse oxidativo<\/h2>\n<p>O sel\u00eanio, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23791608\" target=\"_blank\" rel=\"noopener noreferrer\">segundo meta an\u00e1lise que reuniu diversos ensaios cl\u00ednicos randomizados sobre seu uso em sepse<\/a>, atua por meio de prote\u00ednas conhecidas como selenoprote\u00ednas, sendo a mais importante delas a glutationa peroxidase, que auxilia o corpo na defesa contra o estresse oxidativo, reduzindo os danos da membrana celular causados \u200b\u200bpor radicais livres como hidroper\u00f3xidos lip\u00eddicos e per\u00f3xido de hidrog\u00eanio.<sup>3<\/sup><\/p>\n<hr \/>\n<p><strong>Saiba mais:<\/strong> <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/importancia-oligoelementos-nutricao-parenteral\/\">Import\u00e2ncia dos oligoelementos na nutri\u00e7\u00e3o parenteral<\/a><\/p>\n<hr \/>\n<ul>\n<li>\n<h2>A\u00e7\u00e3o anti-inflamat\u00f3ria<\/h2>\n<\/li>\n<\/ul>\n<p>H\u00e1 ind\u00edcios de que o sel\u00eanio tenha um papel importante na atividade anti-inflamat\u00f3ria do organismo ao inibir o fator de transcri\u00e7\u00e3o nuclear kappa \u03b2, conhecido por induzir a express\u00e3o de genes pr\u00f3-inflamat\u00f3rios<sup>4<\/sup>.<\/p>\n<ul>\n<li>\n<h2>Regula\u00e7\u00e3o hormonal<\/h2>\n<\/li>\n<\/ul>\n<p>O sel\u00eanio tamb\u00e9m desempenha um papel na regula\u00e7\u00e3o do metabolismo do horm\u00f4nio tireoidiano.<sup>5<\/sup><\/p>\n<p>&nbsp;<\/p>\n<h2>Quem pode receber sel\u00eanio parenteral?<\/h2>\n<ul>\n<li>Pessoas com dietas deficientes em sel\u00eanio (primeiramente reconhecida na cardiomiopatia denominada doen\u00e7a de Keshan).<sup>1<\/sup><\/li>\n<li>Pessoas com doen\u00e7as agudas, como queimadura, trauma, p\u00f3s-cirurgia e s\u00edndrome da resposta inflamat\u00f3ria sist\u00eamica<sup>1,6<\/sup><\/li>\n<li>Doentes cr\u00edticos polimedicamentados,<sup>1<\/sup> com ressalva para evitar altas doses, que t\u00eam efeito controverso sobre a sepse.<\/li>\n<li>Pacientes recebendo nutri\u00e7\u00e3o parenteral que n\u00e3o possua sel\u00eanio.<sup> 1,2,<\/sup><\/li>\n<\/ul>\n<h3>Dose<\/h3>\n<p>\u00c9 altamente <strong>recomend\u00e1vel que o sel\u00eanio seja adicionado rotineiramente<\/strong> a todas as solu\u00e7\u00f5es de <strong>nutri\u00e7\u00e3o parenteral.<\/strong> A dosagem apropriada depende da idade, hist\u00f3rico nutricional de base e estado cl\u00ednico geral do paciente.<sup> 1<\/sup><\/p>\n<table width=\"623\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr valign=\"top\">\n<td width=\"145\" height=\"100\">\n<p class=\"western\" align=\"left\"><span style=\"font-family: Calibri, serif\"><span style=\"font-size: small\"><b><span style=\"color: #000000\">Recomenda\u00e7\u00f5es da ASPEN de 2012 Am\u00e9rica do Norte para formula\u00e7\u00e3o em Nutri\u00e7\u00e3o Parenteral<sup>7<\/sup><\/span><\/b><\/span><\/span><\/p>\n<\/td>\n<td width=\"162\">\n<p class=\"western\" align=\"left\"><span style=\"font-family: Calibri, serif\"><span style=\"font-size: small\"><b><span style=\"color: #000000\">Diretrizes de oligoelementos AuSPEN de 2014 Austr\u00e1lia e Nova Zel\u00e2ndia<sup>8<\/sup><\/span><\/b><\/span><\/span><\/p>\n<\/td>\n<td width=\"161\">\n<p class=\"western\" align=\"left\"><span style=\"font-family: Calibri, serif\"><span style=\"font-size: small\"><b><span style=\"color: #000000\">Diretrizes 2016 da ESPEN para Fal\u00eancia Intestinal cr\u00f4nica em adultos<sup>9<\/sup><\/span><\/b><\/span><\/span><\/p>\n<\/td>\n<td width=\"153\">\n<p class=\"western\" align=\"left\"><span style=\"font-family: Calibri, serif\"><span style=\"font-size: small\"><b><span style=\"color: #000000\">Recomenda\u00e7\u00e3o de consenso para oferta de oligoelementos na Nutri\u00e7\u00e3o Parenteral 2019<sup>10<\/sup><\/span><\/b><\/span><\/span><\/p>\n<\/td>\n<\/tr>\n<tr valign=\"top\">\n<td width=\"145\" height=\"49\">\n<p class=\"western\" align=\"left\"><span style=\"font-family: Calibri, serif\"><span style=\"font-size: small\"><span style=\"color: #000000\">0,75-1,25 \u03bcmol (60-100 \u03bcg)<\/span><\/span><\/span><\/p>\n<\/td>\n<td width=\"162\">\n<p class=\"western\" align=\"left\"><span style=\"font-family: Calibri, serif\"><span style=\"font-size: small\"><span style=\"color: #000000\">0,75-1,25 \u03bcmol (60-100 \u03bcg)<\/span><\/span><\/span><\/p>\n<\/td>\n<td width=\"161\">\n<p class=\"western\" align=\"left\"><span style=\"font-family: Calibri, serif\"><span style=\"font-size: small\"><span style=\"color: #000000\">0,2\u20130,8 \u03bcmol (16\u201363 \u03bcg)<\/span><\/span><\/span><\/p>\n<\/td>\n<td width=\"153\">\n<p class=\"western\" align=\"left\"><span style=\"font-family: Calibri, serif\"><span style=\"font-size: small\"><span style=\"color: #000000\">0,25-1,25 \u03bcmol (20\u2013100 \u03bcg)<\/span><\/span><\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Fonte: Blaauw, R.<sup>10<\/sup><\/p>\n<h3>Outras doses<\/h3>\n<ul>\n<li>Doses de at\u00e9 400 \u00b5g\/dia podem ser ben\u00e9ficas para pacientes queimados em terapia parenteral.<sup>1<\/sup><\/li>\n<li>A suplementa\u00e7\u00e3o parenteral de sel\u00eanio (em doses n\u00e3o elevadas) na sepse, em compara\u00e7\u00e3o com um placebo, foi associada a uma mortalidade mais baixa<sup>1,11<\/sup>.<\/li>\n<li>O sel\u00eanio parenteral reduz a mortalidade por todas as causas em pacientes gravemente enfermos com sepse (em doses n\u00e3o elevadas).<sup>1<\/sup><\/li>\n<li>Importante atentar-se que, para pacientes gravemente enfermos em geral, as Diretrizes de Pr\u00e1tica Cl\u00ednica Canadense desaconselham a suplementa\u00e7\u00e3o de sel\u00eanio em altas doses, pois a evid\u00eancia \u00e9 geralmente inconclusiva<sup>1,12,13<\/sup>.<\/li>\n<li>Baixas doses de sel\u00eanio diminuem o n\u00famero de ocorr\u00eancia de insufici\u00eancia renal aguda em pacientes na UTI.<sup>14<\/sup><\/li>\n<li>O risco de toxicidade por sel\u00eanio em todas as popula\u00e7\u00f5es de pacientes parece ser raro, com um limite superior toler\u00e1vel para ingest\u00e3o oral fixado em 400 \u00b5g \/ dia na popula\u00e7\u00e3o saud\u00e1vel<sup>1,5,6<\/sup>.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1732 size-full aligncenter\" src=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/deficiencia-toxicidade.jpeg\" alt=\"\" width=\"628\" height=\"420\" srcset=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/deficiencia-toxicidade.jpeg 628w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/deficiencia-toxicidade-300x201.jpeg 300w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2021\/12\/deficiencia-toxicidade-561x375.jpeg 561w\" sizes=\"auto, (max-width: 628px) 100vw, 628px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\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>Jin J, Mulesa L, Carrilero Rouillet M. <em>Trace Elements in Parenteral Nutrition: Considerations for the Prescribing Clinician<\/em>. Nutrients. 2017;9(5):440. Dispon\u00edvel em: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5452170\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5452170\/<\/a><\/li>\n<li>Uzzan M., Kirchgesner J., Poupon J., Corcos O., Pingenot I., Joly F. <em>Antioxidant trace elements serum levels in long-term parenteral nutrition (PN): Prevalence and infectious risk associated with deficiencies, a retrospective study from a tertiary home-PN center<\/em>.\u00a0<em>Clin. Nutr.\u00a0<\/em>2016;36:812\u2013817. Dispon\u00edvel em: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27245643\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27245643<\/a><\/li>\n<li>Kong Z., Wang F., Ji S., Deng X., Xia Z. <em>Selenium supplementation for sepsis: A meta-analysis of RCT\u2019s<\/em>. Am. J. Emerg. Med. 2013;31:1170\u20131175. Dispon\u00edvel em: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23791608\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23791608<\/a><\/li>\n<li>Floh\u00e9 L., Brigelius-Floh\u00e9 R., Saliou C., Traber M.G., Packer L. <em>Redox regulation of NF-kappa B activation.<\/em> Free Radic. Biol. Med. 1997;22:1115\u20131126. Dispon\u00edvel em: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9034250\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9034250<\/a><\/li>\n<li>Boosalis M. <em>The Role of Selenium in Chronic Disease<\/em>.\u00a0<em>Nutr. Clin. Pract.\u00a0<\/em>2008;23:152\u2013160. Dispon\u00edvel em: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18390782\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18390782<\/a><\/li>\n<li>Shenkin A. <em>Selenium in Intravenous Nutrition<\/em>.\u00a0<em>Gastroenterology.\u00a0<\/em>2009;137:S61\u2013S69. Dispon\u00edvel em: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19874951\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19874951<\/a><\/li>\n<li>VANEK, V.W., et al. <em>A.S.P.E.N. position paper: recommendations for changes in commercially available parenteral multivitamin and multi-trace element products<\/em>. Nutr Clin Pr. 2012;27:440-491. Dispon\u00edvel em: <a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/full\/10.1177\/0884533612446706\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/full\/10.1177\/0884533612446706<\/a> . Acesso em: 15 ago. 2021.<\/li>\n<li>OSLAND, E.J. et al. <em>Australasian Society for Parenteral and Enteral Nutrition guidelines for supplementation of trace elements during parenteral nutrition. <\/em>Asia Pac J Clin Nutr. 2014;23(August):545-554. Dispon\u00edvel em: <a href=\"https:\/\/search.informit.org\/doi\/abs\/10.3316\/ielapa.873486242782104\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/search.informit.org\/doi\/abs\/10.3316\/ielapa.873486242782104<\/a> . Acesso em: 15 ago. 2021.<\/li>\n<li>PIRONI, L.; ARENDS, J.; BOZZETTI, F. et al. <em>ESPEN guidelines on chronic intestinal failure in adults<\/em>. Clin Nutr. 2016;35:247-307. Dispon\u00edvel em: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26944585\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pubmed.ncbi.nlm.nih.gov\/26944585\/<\/a> . Acesso em: 15 ago. 2021.<\/li>\n<li>Blaauw, R. et al. <em>Parenteral Provision of Micronutrients to Adult Patients: An Expert Consensus Paper<\/em>. JPEN, 2019. V.43, I.S1. P. S5-S23. Dispon\u00edvel em: <a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/full\/10.1002\/jpen.1525\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/full\/10.1002\/jpen.1525<\/a><\/li>\n<li>Alhazzani W., Jacobi J., Sindi A., Hartog C., Reinhart K., Kokkoris S., Gerlach H., Andrews P., Drabek T., Manzanares W, et al<em>. <\/em><em>The effect of selenium therapy on mortality in patients with sepsis syndrome: A systematic review and meta-analysis of randomized controlled trials<\/em>. Crit. Care Med. 2013;41:1555\u20131564. Dispon\u00edvel em: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23587641\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23587641<\/a><\/li>\n<li>Canadian Clinical Practice Guidelines. 2016. Dispon\u00edvel em: <a href=\"https:\/\/www.criticalcarenutrition.com\/docs\/CPGs%202015\/11.2%202015.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.criticalcarenutrition.com\/docs\/CPGs%202015\/11.2%202015.pdf<\/a><\/li>\n<li>Koekkoek W.A., van Zanten A.R. <em>Antioxidant vitamins and trace elements in critical illness<\/em>. Nutr. Clin. Pract. 2016;31:457\u2013474. Dispon\u00edvel em: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27312081\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27312081<\/a><\/li>\n<li>Mousavi, M. A. et al. <em>Daily parenteral selenium therapy in critically ill patients: An updated systematic review and meta-analysis of randomized controlled trials<\/em>. Clinical Nutrition ESPEN, v. 41, p. 49-58, 2021. Dispon\u00edvel em: <a href=\"https:\/\/clinicalnutritionespen.com\/article\/S2405-4577(20)31104-9\/fulltext\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/clinicalnutritionespen.com\/article\/S2405-4577(20)31104-9\/fulltext<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>O sel\u00eanio \u00e9 um oligoelemento cujas principais fun\u00e7\u00f5es na sa\u00fade humana incluem atividades antioxidantes, anti-inflamat\u00f3rias e imunol\u00f3gicas. Devido a essa diversidade de fun\u00e7\u00f5es bioqu\u00edmicas e fisiol\u00f3gicas que desempenha, \u00e9 considerado um nutriente essencial em todas as formas de nutri\u00e7\u00e3o.1 Isso inclui a nutri\u00e7\u00e3o parenteral. Um estudo indicou que 21,9% de pacientes hospitalizados, com fal\u00eancia intestinal [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1733,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[49,9],"tags":[80,67,85,87],"class_list":["post-1679","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-5","category-nutricao-parenteral","tag-npt","tag-nutricao-parenteral","tag-oligoelementos","tag-selenio"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Sel\u00eanio em nutri\u00e7\u00e3o parenteral: entenda a import\u00e2ncia<\/title>\n<meta name=\"description\" content=\"A\u00e7\u00f5es antioxidante, anti-inflamat\u00f3ria, imunorreguladora e hormoniorreguladora fazem do sel\u00eanio em nutri\u00e7\u00e3o parenteral um oligoelemento 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