The use of medium-chain triglycerides in patients with cystic fibrosis

Background. Medium chain triglycerides are absorbed and metabolized faster than long-chain fatty acids, as they bypass the steps necessary for the absorption of long-chain fatty acids. So, they use in various malabsorptive disorders as a source of calories.Objectives. Retrospectively evaluate the cl...

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Main Authors: V. V. Zarubina, O. V. Vysokolova, M. A. Mukhina, Е. E. Yakushina, Т. N. Kekeeva
Format: Article
Language:Russian
Published: Open Systems Publication 2024-04-01
Series:Лечащий Врач
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Online Access:https://journal.lvrach.ru/jour/article/view/1212
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author V. V. Zarubina
O. V. Vysokolova
M. A. Mukhina
Е. E. Yakushina
Т. N. Kekeeva
author_facet V. V. Zarubina
O. V. Vysokolova
M. A. Mukhina
Е. E. Yakushina
Т. N. Kekeeva
author_sort V. V. Zarubina
collection DOAJ
description Background. Medium chain triglycerides are absorbed and metabolized faster than long-chain fatty acids, as they bypass the steps necessary for the absorption of long-chain fatty acids. So, they use in various malabsorptive disorders as a source of calories.Objectives. Retrospectively evaluate the clinical effectiveness of nutrition supplements (a fat emulsion consisting of medium chain triglycerides), used by patient with cyctic fibrosis.Materials and methods. 39 children with cyctic fibrosis aged 1-17 years were observed at Morozovskaya Children's Clinical Hospital. WHO-Anthro and WHO-Anthro Plus were used to determine their nutritional status.Results. At the beginning of the study, all patients with cyctic fibrosis had a body mass index < 25th percentile. The median percentile of body mass index was 7,8. 0% of patients had a Z-score body mass index > 0.25,6% of patients had a Z-score body mass index from 0 to –1. 51,3% of patients had a Z-score body mass index from –1 to –2.23% of patients had a Z-score body mass index < -2. At the end of the study, 28% of patients with cyctic fibrosis had a body mass index > 25th percentile. The median percentile of body mass index was 16,1. 18% of patients had a Z-score body mass index > 0.38,4% of patients had a Z-score body mass index from 0 to –1.25,6% of patients had a Z-score body mass index from –1 to –2, 18% of patients had a Z-score body mass index < –2.Conclusion. The use medium chain triglycerides could improve nutritional status and alleviate steatorrhea in patient with cyctic fibrosis.
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spelling doaj-art-7b8fae5a1a284887b0c3b79dc57faf1e2025-08-20T03:37:06ZrusOpen Systems PublicationЛечащий Врач1560-51752687-11812024-04-0103959810.51793/OS.2024.27.3.0161200The use of medium-chain triglycerides in patients with cystic fibrosisV. V. Zarubina0O. V. Vysokolova1M. A. Mukhina2Е. E. Yakushina3Т. N. Kekeeva4State Budgetary Healthcare Institution of the city of Moscow Morozovskaya Children's City Clinical Hospital of the Department of Health of the City of MoscowState Budgetary Healthcare Institution of the city of Moscow Morozovskaya Children's City Clinical Hospital of the Department of Health of the City of MoscowState Budgetary Healthcare Institution of the city of Moscow Morozovskaya Children's City Clinical Hospital of the Department of Health of the City of MoscowState Budgetary Healthcare Institution of the city of Moscow Morozovskaya Children's City Clinical Hospital of the Department of Health of the City of MoscowState Budgetary Healthcare Institution of the city of Moscow Morozovskaya Children's City Clinical Hospital of the Department of Health of the City of MoscowBackground. Medium chain triglycerides are absorbed and metabolized faster than long-chain fatty acids, as they bypass the steps necessary for the absorption of long-chain fatty acids. So, they use in various malabsorptive disorders as a source of calories.Objectives. Retrospectively evaluate the clinical effectiveness of nutrition supplements (a fat emulsion consisting of medium chain triglycerides), used by patient with cyctic fibrosis.Materials and methods. 39 children with cyctic fibrosis aged 1-17 years were observed at Morozovskaya Children's Clinical Hospital. WHO-Anthro and WHO-Anthro Plus were used to determine their nutritional status.Results. At the beginning of the study, all patients with cyctic fibrosis had a body mass index < 25th percentile. The median percentile of body mass index was 7,8. 0% of patients had a Z-score body mass index > 0.25,6% of patients had a Z-score body mass index from 0 to –1. 51,3% of patients had a Z-score body mass index from –1 to –2.23% of patients had a Z-score body mass index < -2. At the end of the study, 28% of patients with cyctic fibrosis had a body mass index > 25th percentile. The median percentile of body mass index was 16,1. 18% of patients had a Z-score body mass index > 0.38,4% of patients had a Z-score body mass index from 0 to –1.25,6% of patients had a Z-score body mass index from –1 to –2, 18% of patients had a Z-score body mass index < –2.Conclusion. The use medium chain triglycerides could improve nutritional status and alleviate steatorrhea in patient with cyctic fibrosis.https://journal.lvrach.ru/jour/article/view/1212ystic fibrosisnutritional supportmedium chain triglyceridespancreatic insufficiencysteatorrhea
spellingShingle V. V. Zarubina
O. V. Vysokolova
M. A. Mukhina
Е. E. Yakushina
Т. N. Kekeeva
The use of medium-chain triglycerides in patients with cystic fibrosis
Лечащий Врач
ystic fibrosis
nutritional support
medium chain triglycerides
pancreatic insufficiency
steatorrhea
title The use of medium-chain triglycerides in patients with cystic fibrosis
title_full The use of medium-chain triglycerides in patients with cystic fibrosis
title_fullStr The use of medium-chain triglycerides in patients with cystic fibrosis
title_full_unstemmed The use of medium-chain triglycerides in patients with cystic fibrosis
title_short The use of medium-chain triglycerides in patients with cystic fibrosis
title_sort use of medium chain triglycerides in patients with cystic fibrosis
topic ystic fibrosis
nutritional support
medium chain triglycerides
pancreatic insufficiency
steatorrhea
url https://journal.lvrach.ru/jour/article/view/1212
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