Repository logo
 
Publication

Vitamin D in dysphagic patients who have undergone endoscopic gastrostomy for long-term enteral feeding

2021-01Journal article Open access
Simple item page
dc.contributor.authorSantos, Carla Adriana
dc.contributor.authorNunes, Gonçalo
dc.contributor.authorBarata, Ana Teresa
dc.contributor.authorFonseca, Jorge
dc.date.accessioned2021-04-28T19:03:24Z
dc.date.available2024-04-28T00:30:22Z
dc.date.issued2021-01
dc.description.abstractObjective: Vitamin D plays a major role in biological processes. Its deficiency is associated with increased morbidity and mortality. Patients who have undergone endoscopic gastrostomy (PEG) present with protein-energy malnutrition, and may be at risk for Vitamin D deficiency, due to their age, less sunlight exposure, and lower dietary intake. We aimed to determine the prevalence of hypovitaminosis D in PEG patients, its change under PEG-feeding, and its relationship with serum proteins and risk factors for Vitamin D deficiency. Methods: This was a prospective observational study, over 4 weeks, after gastrostomy. Data were collected at the initial PEG procedure (T0), and after 4 weeks (T1). Initial evaluation included age, gender, underlying disorder, NRS-2002, BMI, serum albumin, transferrin, and Vitamin D. At T1 we assessed Vit. D, albumin, and transferrin. Vitamin D was performed with Electrochemiluminescence through Elecsys 2010 assay. Patients were fed with blended homemade meals. Results: 200 patients (118 males), 22-92 years of age, were studied. There were initial low values for Vit. D (181), albumin (96), transferrin (121), and BMI (124). A correlation was found between Vit. D and serum albumin (r=0.49, p=0.005) but not with transferrin (r=0.26, p=0.195). At T1 the subgroup who had Vit. D levels assessed (n=48) was part of the initial study group maintained low levels of Vitamin D despite nutritional intervention. Conclusion: We recommend systematic Vitamin D supplementation of PEG-fed patients using homemade meals or at least screening for hypovitaminosis D as a routine part of their care.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSantos CA, Nunes G, Barata AT, Fonseca J. Vitamin D in dysphagic patients who have undergone endoscopic gastrostomy for long-term enteral feeding. Gastroenterol Hepatol. 2021;44(1):13-9.pt_PT
dc.identifier.doi10.1016/j.gastrohep.2020.05.016pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/13243
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/abs/pii/S0210570520302478?via%3Dihubpt_PT
dc.subjectDisfagiapt_PT
dc.subjectDysphagiapt_PT
dc.subjectGEPpt_PT
dc.subjectGastrostomypt_PT
dc.subjectNutriciónpt_PT
dc.subjectNutritionpt_PT
dc.subjectPEGpt_PT
dc.subjectVitamin Dpt_PT
dc.subjectVitamina Dpt_PT
dc.titleVitamin D in dysphagic patients who have undergone endoscopic gastrostomy for long-term enteral feedingpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage19pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage13pt_PT
oaire.citation.titleGastroenterología y Hepatologíapt_PT
oaire.citation.volume44pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
Vitamin D in dysphagic patients who have undergone endoscopic gastrostomy for long-term enteral feeding.pdf
Size:
308.11 KB
Format:
Adobe Portable Document Format
Download

Collections

ESTeSL - Artigos