{"id":2015,"date":"2024-10-30T10:26:15","date_gmt":"2024-10-30T13:26:15","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=2015"},"modified":"2024-10-30T10:26:15","modified_gmt":"2024-10-30T13:26:15","slug":"mulsoes-lipidicas-nutricao-parenteral","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/mulsoes-lipidicas-nutricao-parenteral\/","title":{"rendered":"Saiba mais sobre a composi\u00e7\u00e3o das emuls\u00f5es lip\u00eddicas na nutri\u00e7\u00e3o parenteral."},"content":{"rendered":"<p>O conhecimento sobre os benef\u00edcios das emuls\u00f5es lip\u00eddicas na nutri\u00e7\u00e3o parenteral vem evoluindo continuamente desde os anos 1960<sup>1<\/sup>. Com isso, em paralelo, foram sendo constru\u00eddas evid\u00eancias sobre como cada mol\u00e9cula de lip\u00eddio contribui na oferta cal\u00f3rica total, nas vias metab\u00f3licas de produ\u00e7\u00e3o de energia, bem como para a sua devida utiliza\u00e7\u00e3o e armazenamento no organismo humano<sup>1<\/sup>.<\/p>\n<p>Dessa forma, profissionais de sa\u00fade que trabalham com suporte nutricional devem estar cientes da composi\u00e7\u00e3o das emuls\u00f5es lip\u00eddicas e das propriedades metab\u00f3licas, biol\u00f3gicas e de outros aspectos relativos ao uso de cada op\u00e7\u00e3o dispon\u00edvel no mercado.<\/p>\n<p>&nbsp;<\/p>\n<h2>Quais as caracter\u00edsticas de cada gera\u00e7\u00e3o de emuls\u00e3o lip\u00eddica?<\/h2>\n<p><strong>A primeira emuls\u00e3o lip\u00eddica comercialmente dispon\u00edvel, que data de 1961, era composta exclusivamente de \u00f3leo de soja<\/strong>. Na m\u00e9dia, essa f\u00f3rmula contribui com aproximadamente 50% de \u00e1cido linoleico no perfil total dos \u00e1cidos graxos<sup>2,3<\/sup>.\u00a0 Por\u00e9m, tal composi\u00e7\u00e3o desencadeava um maior estresse oxidativo, o que gerou a necessidade de repensar a composi\u00e7\u00e3o das emuls\u00f5es lip\u00eddicas existentes<sup>3<\/sup>.<\/p>\n<p>Assim, os produtos com \u00f3leo de soja s\u00e3o considerados a primeira gera\u00e7\u00e3o dessas f\u00f3rmulas. Seja como for, eles t\u00eam uma composi\u00e7\u00e3o capaz de prevenir a defici\u00eancia de \u00e1cidos graxos essenciais e manejar o aporte de glicose para prevenir a hiperglicemia<sup>4.5<\/sup>.<\/p>\n<p>A <strong>segunda gera\u00e7\u00e3o de emuls\u00f5es lip\u00eddicas (dispon\u00edvel desde 1985) re\u00fane triglicer\u00eddeos de cadeia m\u00e9dia e cadeia longa (chamados TCM e TCL, respectivamente) <sup>1<\/sup><\/strong> por meio de diferentes combina\u00e7\u00f5es de \u00f3leo de soja e de \u00f3leo de coco.<\/p>\n<p>A partir dos anos 1990,<strong> as emuls\u00f5es da terceira gera\u00e7\u00e3o foram feitas majoritariamente a partir de \u00f3leo de oliva <\/strong>e buscavam reduzir o aporte de \u00e1cidos graxos poli-insaturados<sup>1<\/sup>.<\/p>\n<p>Finalmente,<strong> a quarta gera\u00e7\u00e3o de emuls\u00f5es lip\u00eddicas surge no come\u00e7o dos anos 2000 e traz o \u00f3leo de peixe em sua composi\u00e7\u00e3o<sup>1<\/sup><\/strong>. A principal caracter\u00edstica desse item \u00e9 sua grande quantidade de <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/omega3-braspen\/\">\u00f4mega-3<\/a>, sobretudo em compara\u00e7\u00e3o ao \u00f4mega-6 e outros \u00e1cidos graxos de cadeia longa<sup>1<\/sup>.<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2016\" src=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/10\/lam17-imagem-1.png\" alt=\"\" width=\"940\" height=\"424\" srcset=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/10\/lam17-imagem-1.png 940w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/10\/lam17-imagem-1-300x135.png 300w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/10\/lam17-imagem-1-768x346.png 768w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/10\/lam17-imagem-1-580x262.png 580w\" sizes=\"auto, (max-width: 940px) 100vw, 940px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h2>E os demais componentes na formula\u00e7\u00e3o da emuls\u00e3o lip\u00eddica?<\/h2>\n<p><strong>Os \u00e1cidos graxos s\u00e3o os principais componentes das emuls\u00f5es lip\u00eddicas.<\/strong> De forma bastante resumida, eles podem ser classificados conforme a presen\u00e7a da satura\u00e7\u00e3o ou n\u00e3o nas liga\u00e7\u00f5es de carbono, al\u00e9m do comprimento da cadeia desse elemento<sup>1<\/sup>.<\/p>\n<p>\u00c9 justamente a satura\u00e7\u00e3o dessas mol\u00e9culas que determina a funcionalidade e utilidade de cada um dos \u00e1cidos graxos<sup>1<\/sup>. Por isso \u00e9 t\u00e3o importante conhecer a composi\u00e7\u00e3o das f\u00f3rmulas de nutri\u00e7\u00e3o parenteral e seus respectivos potenciais benef\u00edcios.<\/p>\n<p>Al\u00e9m disso, de acordo com a necessidade para o organismo, os \u00e1cidos graxos podem ser classificados em essenciais e n\u00e3o essenciais.\u00a0 Dessa forma, <strong>os \u00e1cidos graxos poli-insaturados s\u00e3o considerados essenciais ao organismo<\/strong> (ou seja, precisam ser oferecidos por meio de fontes externas).<\/p>\n<p>De todo modo, a composi\u00e7\u00e3o das emuls\u00f5es lip\u00eddicas cont\u00e9m outros elementos que tamb\u00e9m conferem \u00e0 f\u00f3rmula determinadas caracter\u00edsticas funcionais. Os principais itens dessa categoria s\u00e3o:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>Fitoester\u00f3is<\/strong>, que s\u00e3o pouco absorvidos, mas podem ser amplamente aproveitados na nutri\u00e7\u00e3o parenteral<sup>6<\/sup>. Apesar disso, o ac\u00famulo no organismo pode suscitar o risco de quadros de colestase<sup>6,7<\/sup>.<\/li>\n<li><strong>Alfa-tocoferol,<\/strong> a principal forma de vitamina E presente nas emuls\u00f5es lipidicas<sup>1<\/sup>. A adi\u00e7\u00e3o desse elemento \u00e9 importante para prevenir a peroxida\u00e7\u00e3o de \u00e1cidos graxos poli-insaturados, contribuindo para estabilidade da f\u00f3rmula<sup>8<\/sup>.<\/li>\n<li><strong>Emulsificantes, na forma de fosfolip\u00eddios<\/strong>, que contribuem para permitir a dispers\u00e3o de got\u00edculas de gordura na fase aquosa da emuls\u00e3o lip\u00eddica<sup>9<\/sup>. As principais fontes desse item s\u00e3o o \u00f3leo de soja e a gema de ovo<sup>1<\/sup>.<\/li>\n<li><strong>Vitamina K<\/strong>, na forma de vitamina K1, que tem papel importante na coagula\u00e7\u00e3o sangu\u00ednea<sup>1<\/sup>. A recomenda\u00e7\u00e3o de aporte desse item \u00e9 de 1 \u03bcg\/kg para adultos<sup>9,10<\/sup>. Entretanto, a concentra\u00e7\u00e3o do elemento em cada emuls\u00e3o lip\u00eddica varia, conforme a f\u00f3rmula<sup>1<\/sup>.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Leia tamb\u00e9m: <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/\">Quais as principais recomenda\u00e7\u00f5es de seguran\u00e7a no uso de emuls\u00f5es lip\u00eddicas injet\u00e1veis?<\/a><\/p>\n<p>&nbsp;<\/p>\n<h2>Como esses aspectos influenciam no custo-efetividade do uso emuls\u00f5es lip\u00eddicas na nutri\u00e7\u00e3o parenteral?<\/h2>\n<p>A partir das diferentes composi\u00e7\u00f5es das emuls\u00f5es lip\u00eddicas, os especialistas avaliam de que forma cada alternativa pode contribuir para melhores desfechos em diferentes perfis de pacientes.<\/p>\n<p>Com o tempo se descobriu, por exemplo, <strong>que a nutri\u00e7\u00e3o parenteral contendo \u00f4mega-3 est\u00e1 associada \u00e0 diminui\u00e7\u00e3o no tempo de interna\u00e7\u00e3o hospitalar em compara\u00e7\u00e3o com emuls\u00f5es lip\u00eddicas sem o composto<sup>11<\/sup><\/strong>. Desse modo, essa op\u00e7\u00e3o pode se revelar tamb\u00e9m mais custo-efetiva,<u> como mostra um estudo de 2021<sup>11<\/sup><\/u><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8451886\/#:~:text=Overall costs were reduced with,\u20ac4193) in the US.\">.<\/a><\/p>\n<p>Essa avalia\u00e7\u00e3o foi feita com base em dados de cinco pa\u00edses europeus e dos Estados Unidos. Para isso, os autores propuseram um modelo farmacoecon\u00f4mico tendo como refer\u00eancia os benef\u00edcios do aporte de \u00f4mega-3 dispon\u00edveis em uma metan\u00e1lise sobre o tema<sup>11<\/sup>.<\/p>\n<p>Assim, foi poss\u00edvel comparar a probabilidade de desfechos negativos em pacientes hospitalizados e em estado grave utilizando as emuls\u00f5es lip\u00eddicas com e sem \u00f4mega-3, fornecido principalmente pelo<a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/oleo-de-peixe-e-seu-papel-nutricional-no-paciente-critico\/\"> \u00f3leo de peixe<\/a><sup>11<\/sup>.<\/p>\n<p>No fim,<strong> foi poss\u00edvel observar redu\u00e7\u00e3o nos custos totais com cada paciente ao se optar por uma f\u00f3rmula com \u00f4mega-3. <\/strong>A maior diminui\u00e7\u00e3o foi registrada nos Estados Unidos (m\u00e9dia de \u20ac 5.576). Enquanto isso, na It\u00e1lia, a economia girou em torno de \u20ac 1.741. Tais resultados se deram por conta da redu\u00e7\u00e3o de gastos com as complica\u00e7\u00f5es infecciosas e menor tempo de perman\u00eancia hospitalar<sup>11<\/sup>.<\/p>\n<p>Assim sendo, a presen\u00e7a de \u00f4mega-3 nas emuls\u00f5es lip\u00eddicas na nutri\u00e7\u00e3o parenteral n\u00e3o s\u00f3 <strong>contribuiu para melhores desfechos cl\u00ednicos, como promoveu um uso mais racional dos recursos dispon\u00edveis, <\/strong>mesmo quando a compara\u00e7\u00e3o foi feita em diferentes sistemas de sa\u00fade<sup>10<\/sup>. Com isso, os autores sugerem que tal op\u00e7\u00e3o deva ser considerada como refer\u00eancia na abordagem de pacientes em uso de tal forma de suporte nutricional<sup>11<\/sup>.<\/p>\n<p>&nbsp;<\/p>\n<p>Acesse sempre o <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/\">Unidos Pela Nutri\u00e7\u00e3o Cl\u00ednica<\/a> para manter-se atualizado sobre as novidades nessa \u00e1rea.<\/p>\n<p>&nbsp;<\/p>\n<p>Refer\u00eancias:<\/p>\n<ol>\n<li>Sadu Singh B.K., Narayanan S.S., Khor B.H., Sahathevan S., Abdul Gafor A.H., Fiaccadori E., &#8230; Karupaiah T. (2020). Composition and functionality of lipid emulsions in parenteral nutrition: examining evidence in clinical applications. Frontiers in pharmacology, 11, 476933. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.frontiersin.org\/journals\/pharmacology\/articles\/10.3389\/fphar.2020.00506\/full\">https:\/\/www.frontiersin.org\/journals\/pharmacology\/articles\/10.3389\/fphar.2020.00506\/full<\/a>&gt; Acesso em 09 de maio de 2024.<\/li>\n<li>Calder P.C., Jensen G.L., Koletzko B.V., Singer P., Wanten G.J. (2010). Lipid emulsions in parenteral nutrition of intensive care patients: current thinking and future directions. Intensive Care Med. 36, 735\u2013749. doi: 10.1007\/s00134-009-1744-5. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2850535\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2850535\/<\/a>&gt; Acesso em 09 de maio de 2024.<\/li>\n<li>Waitzberg D.L., Lotierzol P.H., Logullo A.F., Torrinhas R.S., Pereira C.C., Meier R. (2002). Parenteral lipid emulsions and phagocytic systems. Br. J. Nutr. 87, S49\u2013S57. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.cambridge.org\/core\/journals\/british-journal-of-nutrition\/article\/parenteral-lipid-emulsions-and-phagocytic-systems\/33A4A0D4233CC95C6BE646FA14F70684\">https:\/\/www.cambridge.org\/core\/journals\/british-journal-of-nutrition\/article\/parenteral-lipid-emulsions-and-phagocytic-systems\/33A4A0D4233CC95C6BE646FA14F70684<\/a>&gt; Acesso em 09 de maio de 2024.<\/li>\n<li>Gramlich L., Meddings L., Alberda C., Wichansawakun S., Robbins S., Driscoll D., et al. (2015). Essential fatty acid deficiency in 2015: the impact of novel intravenous lipid emulsions. Parenter Enter Nutr. 39, 61S\u201366S. Dispon\u00edvel em: &lt;<a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607115595977\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607115595977<\/a>&gt; Acesso em 28 de mar\u00e7o de 2024.<\/li>\n<li>Schloerb P.R. (2004). Glucose in parenteral nutrition: a survey of US medical centers. JPEN J. Parenter Enteral Nutr. 28, 447\u2013452. Dispon\u00edvel em: &lt;<a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607104028006447\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607104028006447<\/a>&gt; Acesso em 28 de mar\u00e7o de 2024.<\/li>\n<li>Ling W.H., Jones P.J.H. (1995). Dietary phytosterols: a review of metabolism, benefits and side effects. Life Sci. 57, 195\u2013206. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/0024320595002636?via%3Dihub\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/0024320595002636?via%3Dihub<\/a>&gt; Acesso em 28 de mar\u00e7o de 2024.<\/li>\n<li>Clayton P.T., Bowron A., Mills K.A., Massoud A., Casteels M., Milla P.J. (1993). Phytosterolemia in children with parenteral nutrition-associated cholestatic liver Disease. Gastroenterology 105, 1806\u20131813. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.gastrojournal.org\/article\/0016-5085(93)91079-W\/pdf?referrer=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F\">https:\/\/www.gastrojournal.org\/article\/0016-5085(93)91079-W\/pdf?referrer=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F<\/a>&gt; Acesso em 09 de maio de 2024.<\/li>\n<li>Biesalski H.K. (2009). Vitamin E requirements in parenteral nutrition. Gastroenterology 137, s92\u2013s104. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.gastrojournal.org\/article\/S0016-5085(09)01447-4\/fulltext?referrer=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F\">https:\/\/www.gastrojournal.org\/article\/S0016-5085(09)01447-4\/fulltext?referrer=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F<\/a>&gt; Acesso em 09 de maio de 2024.<\/li>\n<li>Driscoll D.F. (2015). Commercial lipid emulsions and all-in-one mixtures for intravenous infusion \u2013 composition and physicochemical properties. World Rev. Nutr. Diet. 112, 150\u2013162. Dispon\u00edvel em: &lt;<a href=\"https:\/\/karger.com\/books\/book\/250\/chapter-abstract\/5172481\/Commercial-Lipid-Emulsions-and-All-in-One-Mixtures?redirectedFrom=fulltext\">https:\/\/karger.com\/books\/book\/250\/chapter-abstract\/5172481\/Commercial-Lipid-Emulsions-and-All-in-One-Mixtures?redirectedFrom=fulltext<\/a>&gt; Acesso em 28 de mar\u00e7o de 2024.<\/li>\n<li>Shearer MJ. Vitamin K in parenteral nutrition. 2009;137(5 Suppl). Dispon\u00edvel em: &lt;https:\/\/www.gastrojournal.org\/article\/S0016-5085(09)01468-1\/fulltext?referrer=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F &gt; Acesso em 19 de junho de 2024.<\/li>\n<li>Pradelli L., Klek S., Mayer K., Omar Alsaleh A.J., Rosenthal M.D., Heller A.R., Muscaritoli M. (2021). Cost-Effectiveness of Parenteral Nutrition Containing \u03c9-3 Fatty Acids in Hospitalized Adult Patients From 5 European Countries and the US. JPEN J. Parenter Enteral Nutr. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8451886\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8451886\/<\/a>&gt; Acesso em 09 de maio de 2024.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>O conhecimento sobre os benef\u00edcios das emuls\u00f5es lip\u00eddicas na nutri\u00e7\u00e3o parenteral vem evoluindo continuamente desde os anos 19601. Com isso, em paralelo, foram sendo constru\u00eddas evid\u00eancias sobre como cada mol\u00e9cula de lip\u00eddio contribui na oferta cal\u00f3rica total, nas vias metab\u00f3licas de produ\u00e7\u00e3o de energia, bem como para a sua devida utiliza\u00e7\u00e3o e armazenamento no organismo [&hellip;]<\/p>\n","protected":false},"author":5902,"featured_media":2017,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[49],"tags":[98,158,67,135,99],"class_list":["post-2015","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-5","tag-acidos-graxos","tag-emulsoes-lipidicas","tag-nutricao-parenteral","tag-oleo-de-peixe","tag-omega-3"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Qual o papel das emuls\u00f5es lip\u00eddicas na nutri\u00e7\u00e3o parenteral?<\/title>\n<meta name=\"description\" content=\"O que diferencia as gera\u00e7\u00f5es de emuls\u00f5es lip\u00eddicas na nutri\u00e7\u00e3o parenteral? 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