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Abstract: Few studies are available about the evaluation of resistance training in patients with protein-energy malnutrition. To assess the effects of resistance training on the recovery of nutritional status of patients with short bowel syndrome, with a small bowel remnant of less than 100 cm, 9 patients of both sexes with protein-energy malnutrition after extensive resection of the small bowel were submitted to resistance training of progressive intensity consisting of concentric and eccentric work exercises for the upper limbs, trunk, and lower limbs, with the individuality and limitations of each patients being respected. Food consumption was monitored by 24-hour food recall performed during the initial phase of the study, before and 7 and 14 weeks after physical training, and by a dietary record for a period of 3 days of oral feeding. The nutrients administered by the enteral and parenteral route were recorded. A significant increase in total arm area (P ≤ .01) and fat-free mass (P ≤ .01) was observed as determined by computed tomography. An increase in total energy ingestion and carbohydrate consumption (P ≤ .01) was also observed. In addition, the activity of the enzyme carnosinase was increased after resistance training (P ≤ .01). The present results show that resistance training in patients with short bowel syndrome and protein-energy malnutrition can be considered to be a part of the nonmedicamentous treatment of these patients, leading to better nutrient use and to a gain of lean mass. [Copyright &y& Elsevier]

Abstract: Objective: The objective of the present study was to compare measured energy expenditure with predicted energy expenditure in patients with short bowel syndrome. Methods: Thirteen patients with short bowel syndrome underwent anthropometric measurements and indirect calorimetry for the determination of resting energy expenditure. Energy expenditure was also estimated by use of the Harris-Benedict equation with current weight and ideal weights. Results: The difference between measured energy expenditure and energy expenditure estimated by use of current weight was statistically significant, whereas the difference between measured energy expenditure and energy expenditure estimated by use of ideal weight was not significant. Conclusion: The energy expenditure of patients with short bowel syndrome can be estimated by use of the Harris-Benedict equation and patients’ ideal weight. [Copyright &y& Elsevier]

Abstract: Objective: We evaluated the influence of intestinal malabsorption on iodine status in patients who had short gut syndrome and received total parenteral nutrition (group I) compared with control subjects who had eutrophia (group II) and patients who had other illnesses but normal digestive tracts (group III). Methods: Twenty-seven subjects were studied. Iodine intake was determined by the measurement of iodine in ingested food and in parenteral nutrition solutions. Urinary iodine excretion was measured by the Sandell-Kalthoff reaction. Urinary creatinine, anthropometric, and thyroid hormone functions were also determined. Results: Daily iodine intakes were 658 ± 125 (mean ± standard deviation), 573 ± 204, and 629 ± 208 μg for groups I, II, and III, respectively. Daily urinary iodine excretion levels were 399 ± 308, 439 ± 192, and 370 ± 268 μg and ratios of urinary iodine (micrograms) to creatinine (grams) were 614 ± 349, 354 ± 142, and 483 ± 292, respectively. There were no statistically significant differences across groups. Conclusion: In Brazil the iodine provided by food, including iodized salt, has been sufficient to maintain iodine status in patients with short gut syndrome. [Copyright &y& Elsevier]

Short bowel syndrome is a severe malabsorption disorder, and prolonged parenteral nutrition is essential for survival in some cases. Among the undesirable effects of long-term parenteral nutrition is an increase in proinflammatory cytokines. The aim of the present study was to measure the serum levels of interleukin-6, interleukin-10, tumor necrosis factor alpha, and transforming growth factor beta, in patients with short bowel syndrome on cyclic parenteral nutrition and patients who had previously received but no longer require parenteral nutrition. The study was cross-sectional and observational. Three groups were studied as follows: Parenteral nutrition group, 9 patients with short bowel syndrome that receive cyclic parenteral nutrition; Oral nutrition group, 10 patients with the same syndrome who had been weaned off parenteral nutrition for at least 1 year prior to the study; Control group, 13 healthy adults, matched for age and sex to parenteral and oral groups. The following data were collected: age, tobacco use, drug therapies, dietary intake, body weight, height, blood collection. All interleukins were significantly higher in the parenteral group compared with the control group as follows: interleukin-6: 22 ± 19 vs 1.5 ± 1.4 pg/mL, P = .0002; transforming growth factor β : 854 ± 204 vs 607 ± 280 pg/mL, P = .04; interleukin-10: 8 ± 37 vs 0.6 ± 4, P = .03; tumor necrosis factor α : 20 ± 8 vs 8 ± 4 pg/mL, P < .0001. We concluded that parenteral nutrition in short bowel syndrome patients, regardless of its duration, increases serum proinflammatory cytokines. [ABSTRACT FROM AUTHOR]