Inflammatory Response Clinical Trial
Official title:
Inflammatory Response and Hepatic Function in Patients Requiring Parenteral Nutrition: Comparison of a Lipid Emulsion Based ob Soybean Oil, Medium-Chain Triglycerides, Olive Oil and Fish Oil Versus a Lipid Emulsion Based on Olive and Soybean Oil
Lipid emulsions are an essential part of parenteral nutrition, both as a part of energy supply, and as a source of essential fatty acids. It has been shown that the fatty acid composition of cell membranes is influenced by the fatty acid profile of dietary lipids, and may therefore be responsible for modulation of immune response. The aim of this study was to assess the effects of a new lipid emulsion based ob soybean oil, medium-chain triglycerides, olive oil and fish oil compared with a lipid emulsion based on olive and soybean oil on the inflammatory response and hepatic function in postoperative intensive care unit (ICU) patients.
Fatty emulsions are an indispensable part of parenteral nutrition, because they deliver
energy and essential fatty acids. Furthermore, lipids are involved in the structure and
function of cell membranes and receptors, modifying gene expression, and modulating the
inflammatory and immune response. In addition, fatty acids are precursors of prostaglandins
and other eicosanoids and have therefore important metabolic functions.A promising substrate
in the development of lipid emulsions can be seen in fish oils containing solutions. With
regard to the current literature, fish oil have a potential benefical influence on the
pathophysiological response to endotoxins and exert important modulations on eicosanoid and
cytokine biology.
However, there are no studies avaibale comparing fish oil containing fatty emulsions to a
lipid emulsion based on olive and soybean oil with regard to inflammatory response and
hepatic function.
Therefore, the aim of this study was to evaluate the effects of a new lipid emulsion based
ob soybean oil, medium-chain triglycerides, olive oil and fish oil compared to a lipid
emulsion based on olive and soybean oil on the inflammatory response and hepatic function in
postoperative intensive care unit (ICU) patients.
;
Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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