101. Recovery and maintenance of copper levels in geriatric patients on enteral feeding for a prolonged period
- Author
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Toshitaka Nabeshima, Yuki Ito, and Tetsuo Ando
- Subjects
Adult ,Male ,medicine.medical_specialty ,Aging ,Time Factors ,Medicine (miscellaneous) ,Serum copper ,chemistry.chemical_element ,Nutritional Status ,Enteral administration ,Gastroenterology ,Enteral Nutrition ,Internal medicine ,medicine ,Humans ,In patient ,Copper levels ,Geriatric Assessment ,Aged ,Aged, 80 and over ,Nutrition and Dietetics ,business.industry ,Malnutrition ,Low copper ,Middle Aged ,medicine.disease ,Copper ,Surgery ,Trace Elements ,Parenteral nutrition ,Nutrition Assessment ,Treatment Outcome ,chemistry ,Female ,business ,Copper deficiency - Abstract
Latent copper deficiency develops after 3 mo in patients receiving enteral feeding solutions with low copper levels. We examined whether a copper-rich enteral solution restores and maintains the level of copper in serum for a prolonged period. The study group consisted of 13 patients (eight males and five females). Commercial preparations, F2alpha and Lifelon-PZ, for enteral administration were used. F2alpha and Lifelon-PZ contain 1.6 and 0.13 mg/L, respectively, of copper. Serum copper levels were monitored in patients before and after administration of F2alpha, a copper-rich enteral solution, at the neurological ward of Nagoya Daini Red Cross Hospital. Four of the 13 patients received Liflon-PZ, a copper-poor enteral solution, before this trial. Blood samples were taken every month. The daily average copper dosage with F2alpha was 1.8 +/- 0.4 mg/d (1.0-2.4 mg/d). The copper level in the four patients who received Liflon-PZ was 10.5 +/- 5.5 micromol/L before this trial. The level rose to 18.9 +/- 3.6)mol/L 1 mo after the change to the copper-rich, F2alpha. The average serum copper level in the other patients before the start of enteral feeding was 15.3 +/- 5.0 micromol/L. The proper copper level was maintained with F2alpha in the long term. A copper-rich enteral preparation could easily restore and maintain serum copper levels for a prolonged period. A dose of 1.8 +/- 0.4 mg copper/d (1.0-2.4 mg/d) was sufficient for our patients.
- Published
- 2006