{"id":1959,"date":"2024-06-05T11:57:58","date_gmt":"2024-06-05T14:57:58","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=1959"},"modified":"2024-06-05T11:57:58","modified_gmt":"2024-06-05T14:57:58","slug":"proteina-na-nutricao-parenteral","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/proteina-na-nutricao-parenteral\/","title":{"rendered":"Prote\u00edna na nutri\u00e7\u00e3o parenteral: o que considerar na composi\u00e7\u00e3o dos amino\u00e1cidos?"},"content":{"rendered":"<p>Desde que foi desenvolvida, a nutri\u00e7\u00e3o via parenteral se mostra como parte de um avan\u00e7o significativo na manuten\u00e7\u00e3o de boas condi\u00e7\u00f5es nutricionais em pacientes incapazes de se alimentar por via oral e\/ou enteral<sup>1<\/sup>. Mas em toda oferta nutricional \u00e9 importante <strong>compreender a sua composi\u00e7\u00e3o, inclusive com rela\u00e7\u00e3o \u00e0s <\/strong><strong>prote\u00ednas, al\u00e9m de conhecer as caracter\u00edsticas que<\/strong><strong> garantem a estabilidade da f\u00f3rmula. Esses pontos integram cuidados essenciais para o sucesso da interven\u00e7\u00e3o.<\/strong><\/p>\n<p>Com isso em mente, vale repassar alguns pontos a respeito da oferta de prote\u00ednas na nutri\u00e7\u00e3o parenteral e sobre como a distribui\u00e7\u00e3o de diferentes <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/diferentes-aminoacidos-nutricao-parenteral\/\">amino\u00e1cidos<\/a><u> na composi\u00e7\u00e3o da f\u00f3rmula<\/u> influencia em uma s\u00e9rie de aspectos importantes nos desfechos cl\u00ednicos obtidos com a escolha da nutri\u00e7\u00e3o parenteral.<\/p>\n<p>&nbsp;<\/p>\n<h2>Como as prote\u00ednas aparecem na composi\u00e7\u00e3o da nutri\u00e7\u00e3o parenteral?<\/h2>\n<p>Na pr\u00e1tica, as demandas de prote\u00edna em pacientes recebendo <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/duvidas-nutricao-parenteral\/\">nutri\u00e7\u00e3o parenteral<\/a> s\u00e3o atendidas por meio da inclus\u00e3o de solu\u00e7\u00f5es de amino\u00e1cidos nas f\u00f3rmulas administradas<sup>1<\/sup>. Esses amino\u00e1cidos fornecem 4 kcal\/g<sup>1<\/sup>. Os amino\u00e1cidos tamb\u00e9m s\u00e3o fonte de nitrog\u00eanio, subst\u00e2ncia essencial para a s\u00edntese de prote\u00ednas pelo organismo.<\/p>\n<p>Dessa forma, as novas prote\u00ednas sintetizadas rep\u00f5em aquelas comprometidas (depletadas) pelo avan\u00e7o, por exemplo, de uma enfermidade diagnosticada<sup>1<\/sup>. <strong>Na m\u00e9dia, as solu\u00e7\u00f5es de amino\u00e1cidos mais utilizadas na composi\u00e7\u00e3o de uma f\u00f3rmula de nutri\u00e7\u00e3o parenteral t\u00eam 16% de nitrog\u00eanio, mas isso depende da concentra\u00e7\u00e3o de amino\u00e1cidos. Logo, isso significa que cada 6,25 gramas de prote\u00edna correspondem a um grama de nitrog\u00eanio<sup>1<\/sup>.<\/strong><\/p>\n<p>Em geral, as f\u00f3rmulas comerciais de nutri\u00e7\u00e3o parenteral combinam <strong>amino\u00e1cidos essenciais<\/strong> (que o organismo n\u00e3o consegue sintetizar em quantidades fisiol\u00f3gicas de maneira significativa e, portanto, devem ser ofertados pela via de nutri\u00e7\u00e3o) e <strong>n\u00e3o essenciais<\/strong> (que o corpo \u00e9 capaz de sintetizar) para juntos, suprirem<strong> a demanda de prote\u00ednas da maioria dos pacientes<sup>2<\/sup>. <\/strong><\/p>\n<p>Seja como for, as necessidades de amino\u00e1cidos (e de energia) variam de acordo com o estado metab\u00f3lico (avaliado pela estimativa das perdas de nitrog\u00eanio e da taxa metab\u00f3lica de repouso) e do objetivo da nutri\u00e7\u00e3o parenteral (o que pode incluir a preven\u00e7\u00e3o ou a restaura\u00e7\u00e3o da massa muscular comprometida)<sup>1<\/sup>. \u00a0De qualquer forma, perdas aumentadas de nitrog\u00eanio sugerem um estado catab\u00f3lico aumentado<strong>. Assim sendo, o<\/strong><strong> aporte de amino\u00e1cido <\/strong><strong>sugerid<\/strong><strong>o pelas diretrizes sobre o tema variam <\/strong><strong>de 1,2 a 2,0 g\/<\/strong><strong>kg<\/strong><strong>\/dia<\/strong><strong>, <\/strong><strong>com oferta energ\u00e9tica di\u00e1ria variando entre 20 e 25 Kcal\/Kg<\/strong><strong>\/dia<\/strong><strong><sup>3,4,<\/sup><\/strong><strong>.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><em>Saiba mais: <\/em><a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/dosagem-alta-proteina\/\"><em>Qual o efeito de uma oferta mais alta de prote\u00edna em pacientes com risco nutricional elevado?<\/em><\/a><\/p>\n<p><em>\u00a0<\/em><\/p>\n<h2>Qual o impacto dos amino\u00e1cidos sobre a estabilidade nas f\u00f3rmulas administradas?<\/h2>\n<p>Por estabilidade, <strong>considera-se a manuten\u00e7\u00e3o da composi\u00e7\u00e3o ou da integridade f\u00edsica da f\u00f3rmula de nutri\u00e7\u00e3o parenteral com o passar do tempo<sup>5,<\/sup><\/strong>. Entretanto, v\u00e1rios mecanismos de a\u00e7\u00e3o podem levar \u00e0 degrada\u00e7\u00e3o do produto, comprometendo sua funcionalidade. \u00c9 o que acontece, por exemplo, diante de processos oxidativos<sup>5<\/sup>.<\/p>\n<p>Desse modo, \u00e9 importante considerar como a presen\u00e7a de luz e de oxig\u00eanio pode prejudicar a estabilidade dos amino\u00e1cidos<sup>5<\/sup>. Atualmente as f\u00f3rmulas industrializadas s\u00e3o envasadas em bolsas de pl\u00e1stico e n\u00e3o mais em frascos de vidro, como eram no in\u00edcio da utiliza\u00e7\u00e3o desse tipo terapia.<\/p>\n<p>Isso facilitou muito o transporte e o armazenamento, mas por outro lado pode acelerar o processo de degrada\u00e7\u00e3o pela maior chance de permeabilidade do oxig\u00eanio das bolsas pl\u00e1sticas<sup>5<\/sup>.<\/p>\n<h2>Quais a import\u00e2ncia da oferta adequada de prote\u00ednas em situa\u00e7\u00f5es espec\u00edficas?<\/h2>\n<p>Altera\u00e7\u00f5es metab\u00f3licas causadas por diversas condi\u00e7\u00f5es podem predispor o comprometimento da quantidade e da qualidade do tecido muscular, condi\u00e7\u00e3o reconhecida como sarcopenia. <strong>Nesse contexto, o aporte adequado de prote\u00edna se torna ainda mais relevante. <\/strong><\/p>\n<p>Com isso em mente, <strong>um grupo de pesquisadores publicou um <\/strong><a href=\"https:\/\/journals.physiology.org\/doi\/abs\/10.1152\/ajpgi.00242.2022?rfr_dat=cr_pub++0pubmed&amp;url_ver=Z39.88-2003&amp;rfr_id=ori%3Arid%3Acrossref.org\"><strong>artigo <\/strong><\/a><strong><u>em 2023 <\/u><\/strong><strong>que buscou identificar a resposta de <em>turnover <\/em>proteico com o uso de nutri\u00e7\u00e3o parenteral<sup>6<\/sup><\/strong>.<\/p>\n<p>Para isso, oito pacientes do sexo m\u00e1sculo, est\u00e1veis, com cirrose hep\u00e1tica alco\u00f3lica e sarcopenia foram comparados a sete indiv\u00edduos com caracter\u00edsticas demogr\u00e1ficas semelhantes, por\u00e9m saud\u00e1veis<sup>6<\/sup>. Os autores consideraram a hip\u00f3tese de que pacientes com cirrose hep\u00e1tica apresentam uma maior perda muscular (aumento da degrada\u00e7\u00e3o proteica acompanhada de redu\u00e7\u00e3o da s\u00edntese) em situa\u00e7\u00f5es de jejum comparados aos controles<sup>6<\/sup>.<\/p>\n<p>Os pacientes ficaram em jejum por tr\u00eas horas e depois receberam nutri\u00e7\u00e3o parenteral tamb\u00e9m por tr\u00eas horas. A solu\u00e7\u00e3o de nutri\u00e7\u00e3o possu\u00eda is\u00f3topos de amino\u00e1cidos marcados (a fenilalanina) para conseguir determinar de que modo os m\u00fasculos degradavam e sintetizavam as prote\u00ednas. <strong>Os autores conclu\u00edram que houve um maior aproveitamento proteico ap\u00f3s oferta de nutri\u00e7\u00e3o parenteral nos pacientes cirr\u00f3ticos com sarcopenia na compara\u00e7\u00e3o com os pacientes saud\u00e1veis<sup>6<\/sup>.<\/strong><\/p>\n<p>Poucos estudos anteriores tinham conduzido tal tipo de investiga\u00e7\u00e3o, mas esse racional pode ser importante no futuro para considerar o uso de nutri\u00e7\u00e3o parenteral no manejo da sarcopenia e para compreender melhor seu efeito em longo prazo<sup>6<\/sup>.<\/p>\n<p>Seja como for, <strong>profissionais respons\u00e1veis pelo acompanhamento nutricional de pacientes em condi\u00e7\u00f5es que exigem tal forma de suporte deve estar atentos \u00e0s necessidades de prote\u00edna na nutri\u00e7\u00e3o parenteral, bem como no equil\u00edbrio da oferta de macronutrientes como um todo para que os nutrientes ofertados possam ser efetivamente utilizada como substrato na s\u00edntese muscular<\/strong>.<\/p>\n<p>Quer saber mais sobre o papel da prote\u00edna em pacientes cr\u00edticos?<a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/relevancia-da-alta-proteina-no-paciente-critico\/\"> Ent\u00e3o acesse outro conte\u00fado aqui no Unidos Pela Nutri\u00e7\u00e3o Cl\u00ednica<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Refer\u00eancias<\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li>Berlana D. Parenteral nutrition overview. Nutrients. 2022;14(21):4480. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.mdpi.com\/2072-6643\/14\/21\/4480\">https:\/\/www.mdpi.com\/2072-6643\/14\/21\/4480<\/a>&gt; Acesso em 01 de fevereiro de 2024.<\/li>\n<li>Iacone R, Scanzano C, Santarpia L, Cioffi I, Contaldo F, Pasanisi F. Macronutrients in Parenteral Nutrition: Amino Acids. Nutrients. 2020;12:772. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.mdpi.com\/2072-6643\/12\/3\/772\">https:\/\/www.mdpi.com\/2072-6643\/12\/3\/772<\/a>&gt; Acesso em 01 de fevereiro de 2024.<\/li>\n<li>Singer P, Blaser AR, Berger MM, Calder PC, Casaer M, Hiesmayr M, &#8230; Bischoff SC. ESPEN practical and partially revised guideline: clinical nutrition in the intensive care unit. Clin Nutr. 2023;42(9):1671-1689. Dispon\u00edvel em : &lt;https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0261561423002303?casa_token=Ylyh4IUIoHkAAAAA:lhDpiqELr0M-MD0lDXIkyPF7mED0FFH2Tk1usDo0SwlUnBSC3fIJ1c_J9YZABhY-fY2urPnEXw&gt; Acesso em 28 de mar\u00e7o de 2024.<\/li>\n<li>Castro MG, Ribeiro PC, de Matos LBN, Abreu HB, de Assis T, Barreto PA, et al. Diretriz BRASPEN de Terapia Nutricional no Paciente Grave. BRASPEN J. 2023;38(2, Suppl 2):0-0. Dispon\u00edvel em: &lt;https:\/\/www.sbnpe.org.br\/_files\/ugd\/6ae90a_3e47ce9b0a7844999c5e402c04aae2f4.pdf&gt; Acesso em 28 de mar\u00e7o de 2024.<\/li>\n<li>Boullata JI, Mirtallo JM, Sacks GS, et al. Parenteral nutrition compatibility and stability: a comprehensive review. J Parenter Enteral Nutr. 2022;46(2):273-299. Dispon\u00edvel em: &lt;<a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jpen.2306\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jpen.2306<\/a>&gt; Acesso em 01 de fevereiro de 2024.<\/li>\n<li>Iepsen UW, Rinnov AR, Munch GW, Rugbjerg M, Winding KM, Lauridsen C, et al. Skeletal muscle protein turnover responses to parenteral nutrition in patients with alcoholic liver cirrhosis and sarcopenia. Am J Physiol Gastrointest Liver Physiol. 2023. Dispon\u00edvel em: &lt;<a href=\"https:\/\/journals.physiology.org\/doi\/abs\/10.1152\/ajpgi.00242.2022?rfr_dat=cr_pub++0pubmed&amp;url_ver=Z39.88-2003&amp;rfr_id=ori%3Arid%3Acrossref.org\">https:\/\/journals.physiology.org\/doi\/abs\/10.1152\/ajpgi.00242.2022?rfr_dat=cr_pub++0pubmed&amp;url_ver=Z39.88-2003&amp;rfr_id=ori%3Arid%3Acrossref.org<\/a>&gt;<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Desde que foi desenvolvida, a nutri\u00e7\u00e3o via parenteral se mostra como parte de um avan\u00e7o significativo na manuten\u00e7\u00e3o de boas condi\u00e7\u00f5es nutricionais em pacientes incapazes de se alimentar por via oral e\/ou enteral1. Mas em toda oferta nutricional \u00e9 importante compreender a sua composi\u00e7\u00e3o, inclusive com rela\u00e7\u00e3o \u00e0s prote\u00ednas, al\u00e9m de conhecer as caracter\u00edsticas que [&hellip;]<\/p>\n","protected":false},"author":5902,"featured_media":1960,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[49],"tags":[94,248,67,90,104],"class_list":["post-1959","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-5","tag-aminoacidos","tag-musculos","tag-nutricao-parenteral","tag-proteina","tag-sarcopenia"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Prote\u00edna na nutri\u00e7\u00e3o parenteral: o que voc\u00ea precisa saber?<\/title>\n<meta name=\"description\" content=\"A presen\u00e7a da prote\u00edna na nutri\u00e7\u00e3o 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