{"id":2011,"date":"2024-10-23T14:08:55","date_gmt":"2024-10-23T17:08:55","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=2011"},"modified":"2024-12-11T13:34:02","modified_gmt":"2024-12-11T16:34:02","slug":"lipidios-pediatria","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/lipidios-pediatria\/","title":{"rendered":"Quais as principais recomenda\u00e7\u00f5es de lip\u00eddios na pediatria?"},"content":{"rendered":"<p>A<strong> quantidade, velocidade de infus\u00e3o e tipo de <\/strong><strong>lip\u00eddios<\/strong><strong> ofertados na <\/strong><strong>pediatria<\/strong><strong> faz toda a diferen\u00e7a na seguran\u00e7a e na efetividade da nutri\u00e7\u00e3o parenteral (NP), <\/strong>j\u00e1 que as emuls\u00f5es lip\u00eddicas intravenosas s\u00e3o parte indispens\u00e1vel desse suporte, inclusive como uma fonte de energia complementar aos carboidratos<sup>1,3<\/sup>. Ademais, os lip\u00eddios fornecem \u00e1cidos graxos essenciais e ajudam no fornecimento das vitaminas lipossol\u00faveis A, D, E e K<sup>1,2<\/sup>.<\/p>\n<p>Portanto, tudo isso refor\u00e7a a necessidade de repassar as recomenda\u00e7\u00f5es em nutri\u00e7\u00e3o parenteral para esse grupo de macronutriente em pacientes pedi\u00e1tricos em diferentes condi\u00e7\u00f5es cl\u00ednicas.<\/p>\n<h2>Quais s\u00e3o as recomenda\u00e7\u00f5es do uso de lip\u00eddios na nutri\u00e7\u00e3o parenteral na pediatria?<\/h2>\n<p>Como j\u00e1 destacado, as<a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsoes-lipidicas-parenterais\/\"> emuls\u00f5es lip\u00eddicas intravenosas<\/a> s\u00e3o parte integral da nutri\u00e7\u00e3o parenteral de pacientes pedi\u00e1tricos<sup>2<\/sup>.<\/p>\n<p><strong>De forma geral, em beb\u00eas prematuros, as emuls\u00f5es lip\u00eddicas podem ser iniciadas imediatamente ap\u00f3s o nascimento<sup>1<\/sup><\/strong>. No mais tardar, a emuls\u00e3o pode ser oferecida no segundo dia de vida<sup>1<\/sup><strong>. <\/strong>J\u00e1 para aqueles com nutri\u00e7\u00e3o enteral suspensa<strong>, essa introdu\u00e7\u00e3o pode ser feita no momento do in\u00edcio da NP.<\/strong> Al\u00e9m disso, as recomenda\u00e7\u00f5es sobre o tema tamb\u00e9m indicam que<sup>2<\/sup>:<\/p>\n<ul>\n<li>Emuls\u00f5es lip\u00eddicas contendo \u00f3leo de peixe tem vantagens sobre emuls\u00f5es convencionais em neonatos e pacientes pedi\u00e1tricos;<\/li>\n<li>Para pacientes pedi\u00e1tricos com nutri\u00e7\u00e3o parenteral de longo prazo, as emuls\u00f5es com \u00f3leo de peixe servem como fonte de energia e reduzem o risco de complica\u00e7\u00f5es hep\u00e1ticas;<\/li>\n<li>Tanto em pacientes neonatos quanto em pedi\u00e1tricos, a fun\u00e7\u00e3o hep\u00e1tica e o perfil de lip\u00eddios devem ser monitorados constantemente.<\/li>\n<li>Em geral, \u00e9 recomendado priorizar o uso de bolsas industrializadas com m\u00faltiplos compartimentos ou f\u00f3rmulas prontas manipuladas, sempre considerando crit\u00e9rios econ\u00f4micos e a <em>expertise <\/em>dos profissionais respons\u00e1veis pelo manejo;<\/li>\n<li>Quando for preciso manipular as f\u00f3rmulas, \u00e9 fundamental que a prescri\u00e7\u00e3o seja checada e preparada por um farmac\u00eautico capacitado;<\/li>\n<li>Em f\u00f3rmulas completas em macro e micronutrientes, al\u00e9m de eletr\u00f3litos (f\u00f3rmulas denominadas \u201c<em>all-in-one\u201d<\/em>), o tempo de infus\u00e3o nunca deve ultrapassar 24 horas.<\/li>\n<\/ul>\n<p>De todo modo, al\u00e9m dessas recomenda\u00e7\u00f5es listadas acima, \u00e9 fundamental observar a quantidade de lip\u00eddios ofertada para garantir os benef\u00edcios na pediatria, o que ser\u00e1 discutido no t\u00f3pico a seguir.<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2012\" src=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/10\/lam171-imagem-1.png\" alt=\"\" width=\"940\" height=\"492\" srcset=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/10\/lam171-imagem-1.png 940w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/10\/lam171-imagem-1-300x157.png 300w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/10\/lam171-imagem-1-768x402.png 768w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/10\/lam171-imagem-1-580x304.png 580w\" sizes=\"auto, (max-width: 940px) 100vw, 940px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h2>Qual deve ser o aporte adequado de lip\u00eddios em pacientes pedi\u00e1tricos?<\/h2>\n<p>Em princ\u00edpio, levando em conta as emuls\u00f5es lip\u00eddicas mistas, mas compostas por \u00f3leo de peixe, as recomenda\u00e7\u00f5es gerais devem considerar<sup>2<\/sup>:<\/p>\n<ul>\n<li>Para pacientes neonatos, um aporte de 1 g\/kg\/dia, no primeiro dia, 2 g\/kg\/dia no segundo dia e 3 g\/kg\/dia no terceiro dia em diante;<\/li>\n<li>J\u00e1 em pacientes pedi\u00e1tricos (incluindo crian\u00e7as e pr\u00e9-adolescentes), tal aporte j\u00e1 deve come\u00e7ar em 3 g\/kg\/dia.<\/li>\n<\/ul>\n<p>\u00c9 importante observar tamb\u00e9m qual o tipo de emuls\u00e3o lip\u00eddica est\u00e1 sendo utilizada. Ou seja, pode haver diferen\u00e7as na quantidade necess\u00e1ria desse item para cobrir todas as necessidades de \u00e1cidos graxos em cada perfil de paciente.<\/p>\n<p>A <a href=\"https:\/\/www.clinicalnutritionjournal.com\/article\/S0261-5614(18)31165-8\/fulltext\">diretriz da Espen<\/a> sobre o tema menciona, por exemplo, que<strong> uma oferta de 0,5 g\/kg\/dia de uma emuls\u00e3o a base de \u00f3leo de soja fornecer\u00e1 o patamar m\u00ednimo recomendado de \u00e1cido linoleico para um beb\u00ea prematuro<sup>1<\/sup><\/strong>. Ao mesmo tempo, uma infus\u00e3o de 1 g\/kg\/dia ser\u00e1 necess\u00e1ria caso sejam utilizadas emuls\u00f5es com triglic\u00e9rides de cadeia m\u00e9dia\/\u00f3leo de soja ou emuls\u00e3o contendo \u00f3leo de peixe<sup>1<\/sup>.<\/p>\n<p>Seja como for, tendo como alvo a taxa de infus\u00e3o m\u00e1xima recomendada, <strong>a Espen<\/strong><strong> aponta que todas as solu\u00e7\u00f5es comercialmente dispon\u00edveis (com exce\u00e7\u00e3o daquelas feitas a base de \u00f3leo de peixe puro) fornecem quantidade suficiente de \u00e1cido linoleico e \u00e1cido \u03b1-Linol\u00eanico<sup>1<\/sup>.<\/strong><\/p>\n<p>Racioc\u00ednio similar deve ser feito quando se consideram as necessidades de \u00e1cidos graxos poli-insaturados de cadeia longa. Eles englobam elementos como o \u00e1cido docosaexaenoico (DHA), \u00e1cido eicosapentaenoico (EPA) e \u00e1cido araquid\u00f4nico (AA)<sup>1<\/sup>.<\/p>\n<p>Tais itens desempenham papel essencial no desenvolvimento adequado de pacientes prematuros e geralmente n\u00e3o est\u00e3o presentes em \u00f3leos de origem vegetal<sup>1,3-5<\/sup>. Dessa forma, beb\u00eas pr\u00e9-termos que recebem emuls\u00f5es sem \u00f3leo de peixe podem apresentar d\u00e9ficit grave e precoce de DHA, por exemplo<sup>6<\/sup>.<\/p>\n<p>&nbsp;<\/p>\n<h2>Que benef\u00edcios podem ser notados com a introdu\u00e7\u00e3o das emuls\u00f5es lip\u00eddicas adequadas?<\/h2>\n<p>Um<a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jpen.1929\"> estudo publicado em 2021<\/a> <strong>tentou mapear os benef\u00edcios e os poss\u00edveis pontos de aten\u00e7\u00e3o no uso de lip\u00eddios na pediatria a partir de <\/strong><a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsoes-lipidicas-parenterais\/\"><strong>emuls\u00f5es<\/strong><\/a><strong> compostas contendo <\/strong>\u00f3leo de peixe<\/p>\n<p>Para isso, <strong>foram considerados pacientes pedi\u00e1tricos recebendo<\/strong><a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsoes-lipidicas-parenterais\/\"><strong> nutri\u00e7\u00e3o parenteral <\/strong><\/a><strong>de longa dura\u00e7\u00e3o<\/strong>. Isso leva a um grande risco de complica\u00e7\u00f5es por conta de quadros de doen\u00e7a hep\u00e1tica associada \u00e0 fal\u00eancia intestinal<sup>7<\/sup>. Em resumo, esse problema \u00e9 uma forma grave de colestase que surge depois da introdu\u00e7\u00e3o da nutri\u00e7\u00e3o parenteral e n\u00e3o tem outra causa identific\u00e1vel<sup>8<\/sup>.<\/p>\n<p>O estudo em quest\u00e3o foi feito de forma retrospectiva e utilizou os dados de 47 pacientes de um hospital infantil. A maioria dos participantes do estudo era neonato e tinha uma mediana de idade de 45 dias.<\/p>\n<p>No total<strong>, 42 apresentaram um quadro de colestase (considerando bilirrubina direta &gt;2 mg\/dL) no in\u00edcio da terapia nutricional parenteral com emuls\u00f5es lip\u00eddica contendo \u00f4mega-3 e <\/strong>foram inclu\u00eddos para an\u00e1lise. Como resultado, a resposta \u00e0 interven\u00e7\u00e3o dividiu os pacientes em tr\u00eas grupos<sup>7<\/sup>:<\/p>\n<ul>\n<li>16 pacientes (38%) tiveram a colestase resolvida com uso de emuls\u00e3o contendo \u00f3leo de peixe (bilirrubina acima de 2 mg\/dL);<\/li>\n<li>7 pacientes (17%) tiveram uma melhora na bilirrubina direta, mas a colestase n\u00e3o foi resolvida;<\/li>\n<li>19 pacientes (45%) demonstraram pouca melhora (menos de 20%).<\/li>\n<\/ul>\n<p>Por fim, dentre os cinco pacientes sem colestase no in\u00edcio da interven\u00e7\u00e3o, <strong>nenhum deles evoluiu para um quadro de colestase ap\u00f3s o in\u00edcio da terapia nutricional com uso de emuls\u00e3o lip\u00eddica contendo \u00f4mega-3<sup>7<\/sup><\/strong>. Al\u00e9m disso, n\u00e3o foi encontrada nenhuma caracter\u00edstica correlacionada com a terapia nutricional parenteral com emuls\u00e3o lip\u00eddica mista (contendo \u00f4mega-3) e o diagn\u00f3stico de defici\u00eancia de \u00e1cidos graxos essenciais.<\/p>\n<p>Assim sendo, ainda que os autores destaquem algumas preocupa\u00e7\u00f5es de seguran\u00e7a (que precisam ser cuidadosamente monitoradas, sobretudo em neonatos) \u00e9<strong> prov\u00e1vel que a oferta de lip\u00eddios na pediatria, utilizando emuls\u00f5es lip\u00eddicas mistas, contribua para a redu\u00e7\u00e3o dos quadros de colestase no grupo avaliado<\/strong>, principalmente para aqueles que iniciam a terapia com valores menores de bilirrubina direta<sup>7<\/sup>.<\/p>\n<p>Confira agora mais informa\u00e7\u00f5es relevantes sobre a import\u00e2ncia dos <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/lipidios-nutricao-prematuro\/\">lip\u00eddios na nutri\u00e7\u00e3o do prematuro.<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Refer\u00eancias:<\/p>\n<ol>\n<li>Lapillonne A, et al. ESPGHAN\/ESPEN\/ESPR\/CSPEN guidelines on pediatric parenteral nutrition: Lipids, Clinical Nutrition. 2018. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.clinicalnutritionjournal.com\/article\/S0261-5614(18)31165-8\/fulltext\">https:\/\/www.clinicalnutritionjournal.com\/article\/S0261-5614(18)31165-8\/fulltext<\/a>&gt; Acesso em 10 de maio de 2024.<\/li>\n<li>Martindale RG, Berlana D, Boullata JI, Cai W, Calder PC, Deshpande GH, et al. Summary of proceedings and expert consensus statements from the international summit \u201cLipids in Parenteral Nutrition\u201d. J Parenter Enteral Nutr. 2020;44:S7-S20. Dispon\u00edvel em: &lt;<a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jpen.1746\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jpen.1746<\/a>&gt; Acesso em 10 de maio de 2024.<\/li>\n<li>Lapillonne A. Enteral and parenteral lipid requirements of preterm infants. World Rev Nutr Diet. 2014;110:82-98. Dispon\u00edvel em: &lt;<a href=\"https:\/\/karger.com\/books\/book\/109\/chapter-abstract\/5051688\/Enteral-and-Parenteral-Lipid-Requirements-of?redirectedFrom=fulltext\">https:\/\/karger.com\/books\/book\/109\/chapter-abstract\/5051688\/Enteral-and-Parenteral-Lipid-Requirements-of?redirectedFrom=fulltext<\/a>&gt; Acesso em 26 de mar\u00e7o de 2024.<\/li>\n<li>Lapillonne A, Groh-Wargo S, Gonzalez CH, Uauy R. Lipid needs of preterm infants: updated recommendations. J Pediatr. 2013;162:S37-S47. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.jpeds.com\/article\/S0022-3476(12)01386-8\/abstract\">https:\/\/www.jpeds.com\/article\/S0022-3476(12)01386-8\/abstract<\/a>&gt; Acesso em 26 de mar\u00e7o de 2024.<\/li>\n<li>Koletzko B, Boey CCM, Campoy C, Carlson SE, Chang N, Guillermo-Tuazon MA, et al. Current information and Asian perspectives on long-chain polyunsaturated fatty acids in pregnancy, lactation and infancy. Systematic review and practice recommendations from an Early Nutrition Academy workshop. Ann Nutr Metab. 2014;65:i49-i80. Dispon\u00edvel em: &lt;<a href=\"https:\/\/karger.com\/anm\/article\/65\/1\/49\/40928\/Current-Information-and-Asian-Perspectives-on-Long\">https:\/\/karger.com\/anm\/article\/65\/1\/49\/40928\/Current-Information-and-Asian-Perspectives-on-Long<\/a>&gt; Acesso em 10 de maio de 2024.<\/li>\n<li>Lapillonne A, Eleni dit Trolli S, Kermorvant-Duchemin E. Postnatal docosahexaenoic acid deficiency is an inevitable consequence of current recommendations and practice in preterm infants. 2010;98:397-403. Dispon\u00edvel em: &lt;<a href=\"https:\/\/karger.com\/neo\/article-abstract\/98\/4\/397\/232122\/Postnatal-Docosahexaenoic-Acid-Deficiency-Is-an?redirectedFrom=fulltext\">https:\/\/karger.com\/neo\/article-abstract\/98\/4\/397\/232122\/Postnatal-Docosahexaenoic-Acid-Deficiency-Is-an?redirectedFrom=fulltext<\/a>&gt; Acesso em 26 de mar\u00e7o de 2024.<\/li>\n<li>Huff KA, Breckler F, Cruse W, Szeszycki E, Vanderpool C. Pediatric smoflipid therapy: patient response and safety concerns. J Parenter Enteral Nutr. 2021;45(4):792-799. Dispon\u00edvel em: &lt;<a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jpen.1929\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jpen.1929<\/a>&gt; Acesso em 26 de mar\u00e7o de 2024.<\/li>\n<li>Tillman EM. Review and clinical update on parenteral nutrition associated liver disease. Nutr Clin Pract. 2013;28(1):30-39. Dispon\u00edvel em: &lt;<a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0884533612462900\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0884533612462900<\/a>&gt; Acesso em 26 de mar\u00e7o de 2024.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A quantidade, velocidade de infus\u00e3o e tipo de lip\u00eddios ofertados na pediatria faz toda a diferen\u00e7a na seguran\u00e7a e na efetividade da nutri\u00e7\u00e3o parenteral (NP), j\u00e1 que as emuls\u00f5es lip\u00eddicas intravenosas s\u00e3o parte indispens\u00e1vel desse suporte, inclusive como uma fonte de energia complementar aos carboidratos1,3. Ademais, os lip\u00eddios fornecem \u00e1cidos graxos essenciais e ajudam no [&hellip;]<\/p>\n","protected":false},"author":5902,"featured_media":2014,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[43],"tags":[97,67,99,189,268],"class_list":["post-2011","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-2","tag-lipidios","tag-nutricao-parenteral","tag-omega-3","tag-pediatria","tag-recem-nascidos"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Entenda a import\u00e2ncia dos aportes de lip\u00eddios na pediatria<\/title>\n<meta name=\"description\" content=\"A oferta adequada de lip\u00eddios na pediatria \u00e9 parte essencial da nutri\u00e7\u00e3o parenteral de pacientes de diferentes perfis.\" \/>\n<meta name=\"robots\" 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