Effects of two different lipid emulsions on antioxidant status, lipid peroxidation and parenteral nutrition- related cholestasis in premature babies, a randomized-controlled study

Background: Olive oil-soybean oil (OO/SO) based lipid emulsions (LE) lack ω-3 PUFAs eicosapentaenoic acid -EPA and docosahexaenoic acid- DHA, which have clinical benefits on inflammatory processes. Fish oil based LEs are good sources of DHA and EPA. Fish oil, MCT, Olive oil and Soya oil (FMOS) lipid...

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Main Authors: Hacer Yapicioglu Yildizdas (Author), Burak Poyraz (Author), Guluzar Atli (Author), Yasar Sertdemir (Author), Kurthan Mert (Author), Ferda Ozlu (Author), Mehmet Satar (Author)
Format: Book
Published: Elsevier, 2019-08-01T00:00:00Z.
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001 doaj_4289667f4a5049f7978df51790467898
042 |a dc 
100 1 0 |a Hacer Yapicioglu Yildizdas  |e author 
700 1 0 |a Burak Poyraz  |e author 
700 1 0 |a Guluzar Atli  |e author 
700 1 0 |a Yasar Sertdemir  |e author 
700 1 0 |a Kurthan Mert  |e author 
700 1 0 |a Ferda Ozlu  |e author 
700 1 0 |a Mehmet Satar  |e author 
245 0 0 |a Effects of two different lipid emulsions on antioxidant status, lipid peroxidation and parenteral nutrition- related cholestasis in premature babies, a randomized-controlled study 
260 |b Elsevier,   |c 2019-08-01T00:00:00Z. 
500 |a 1875-9572 
500 |a 10.1016/j.pedneo.2018.07.012 
520 |a Background: Olive oil-soybean oil (OO/SO) based lipid emulsions (LE) lack ω-3 PUFAs eicosapentaenoic acid -EPA and docosahexaenoic acid- DHA, which have clinical benefits on inflammatory processes. Fish oil based LEs are good sources of DHA and EPA. Fish oil, MCT, Olive oil and Soya oil (FMOS) lipid is one of the fish oil containing LEs supplemented with high levels of α-tocopherol and lower levels of phytosterol compared to OO/SO lipid emulsions. We investigated the effects of OO/SO and FMOS lipid preparations on cholestasis, levels of antioxidant enzymes and lipid peroxidation. Methods: Preterm neonates ≤32 gestational weeks age and/or ≤1500 g were randomly assigned to receive either FMOS or OO/SO in the first day of life. Catalase, superoxide dismutase (SOD), glutathione peroxidase (GPx) and thiobarbituric acid reactive substances (TBARS) levels in the first day of life, 7th day of lipid use and 28th day of life were measured and cholestasis during parenteral nutrition was recorded. Results: 34 and 33 patients were in FMOS and OO/SO lipid groups respectively. Although the TBARS levels were higher in the first day of life and 7th day of LEs in OO/SO lipid group (p=0.014 and p=0.022), on the 28th day of life TBARS level was similar and SOD level was higher (p=0.014) in OO/SO group. Cholestasis was significantly lower in FMOS lipid group (0% vs. 18.2%), (p=0.011) and neonates regained birth weight earlier (p=0.006). There was no significant difference in other morbidities. Conclusions: FMOS and OO/SO lipid emulsions have similar effects on lipid peroxidation on 28th day of life and on morbidities in short term period except for cholestasis. Keywords: cholestasis, fish oil/MCT/olive oil/soy bean lipid, olive oil/soybean lipid, preterm 
546 |a EN 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Pediatrics and Neonatology, Vol 60, Iss 4, Pp 359-367 (2019) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S1875957218301748 
787 0 |n https://doaj.org/toc/1875-9572 
856 4 1 |u https://doaj.org/article/4289667f4a5049f7978df51790467898  |z Connect to this object online.