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禁食、自选等热量葡萄糖和脂肪餐以及静脉输注对血浆锌浓度的影响。

Effect of fasting, self-selected and isocaloric glucose and fat meals and intravenous feeding on plasma zinc concentrations.

作者信息

Goode H F, Robertson D A, Kelleher J, Walker B E

机构信息

Department of Medicine, St James's University Hospital, Leeds, UK.

出版信息

Ann Clin Biochem. 1991 Sep;28 ( Pt 5):442-5. doi: 10.1177/000456329102800503.

Abstract

This study investigated the effect of fasting, self-selected meals and isocaloric oral glucose and fat meals and intravenous (i.v.) feeding on plasma zinc concentrations in men. Plasma zinc remained stable when volunteers fasted all day, but self-selected meals and 600 kCal of dextrose or fat emulsion caused significantly reduced plasma zinc concentrations [mean (SD) 12.1 (1.4), 12.3 (0.6) and 12.2 (0.7) mumol/L at 1400 h, respectively, compared with a fasting level of 13.9 (1.6) mumol/L at 0800 h, P less than 0.05]. In patients undergoing intravenous hyperalimentation, plasma zinc decreased from 12.0 (1.4) mumol/L at 0800 h to 10.0 (1.1) mumol/L at 1400 h [mean (SD), P less than 0.01]. These data show that both enteral and i.v. feeding cause a decline in plasma zinc and that glucose alone is not responsible for this post-prandial fall since ingestion of isocaloric amounts of glucose or fat have a similar effect.

摘要

本研究调查了禁食、自选餐、等热量口服葡萄糖和脂肪餐以及静脉内(i.v.)喂养对男性血浆锌浓度的影响。当志愿者全天禁食时,血浆锌保持稳定,但自选餐以及600千卡葡萄糖或脂肪乳剂会导致血浆锌浓度显著降低[14:00时的均值(标准差)分别为12.1(1.4)、12.3(0.6)和12.2(0.7)μmol/L,而08:00时的禁食水平为13.9(1.6)μmol/L,P<0.05]。在接受静脉高营养的患者中,血浆锌从08:00时的12.0(1.4)μmol/L降至14:00时的10.0(1.1)μmol/L[均值(标准差),P<0.01]。这些数据表明,肠内和静脉内喂养均会导致血浆锌下降,且单纯葡萄糖并非餐后锌下降的原因,因为摄入等热量的葡萄糖或脂肪具有相似的效果。

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