Background: The amount of parenteral protein to produce nitrogen balance in infants diagnosed with severe heart defects undergoing cardiopulmonary bypass surgery was investigated. Methods: Infants born at ≥36 weeks and ≤ 12 months of age were randomized to one of three parenteral protein intakes, the control group received 1.5 g/kg/d and intervention groups received either, 2.2 or 3.0 g/kg/d of protein, respectively. Timed 24 hour urine collections were obtained for three consecutive days following surgery. Total urinary nitrogen was measured through Kjeldahl analysis. Results: A significant difference was demonstrated between the lowest protein intake level of 1.5 g/kg/d and both 2.2 g/kg/d (p ≤ 0.03) and 3.0 g/kg/d
(p ≤ 0.001), on study day 1. Nitrogen balance results were 4.0 ± 52.9 (1.5 g/kg/d), 97.0 ± 96.2 (2.2 g/kg/d) and 149.7 ± 90.9 (3.0 g/kg/d). Conclusion: Protein delivery of 1.5 g/kg/d was insufficient to produce nitrogen balance on post-operative day 1.
| Identifer | oai:union.ndltd.org:TORONTO/oai:tspace.library.utoronto.ca:1807/42880 |
| Date | 27 November 2013 |
| Creators | Herridge, Joann |
| Contributors | Pencharz, Paul B. |
| Source Sets | University of Toronto |
| Language | en_ca |
| Detected Language | English |
| Type | Thesis |
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