Micronutrient Deficiencies in Medical and Surgical Inpatients

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_0E22591EAE52
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Micronutrient Deficiencies in Medical and Surgical Inpatients
Journal
Journal of clinical medicine
Author(s)
Berger M.M., Pantet O., Schneider A., Ben-Hamouda N.
ISSN
2077-0383 (Print))
ISSN-L
2077-0383
Publication state
Published
Issued date
28/06/2019
Peer-reviewed
Oui
Volume
8
Number
7
Pages
931
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
Inpatients are threatened by global malnutrition, but also by specific micronutrient (i.e., trace element and vitamins) deficiencies that frequently are overseen in the differential diagnosis of major organ dysfunctions. Some of them are related to specific geographic risks (iodine, iron, selenium, zinc, vitamin A), while others are pathology related, and finally many are associated with specific feeding patterns, including low dose enteral feeding. Among the pathologies in which laboratory blood investigations should include a micronutrient outwork, anemia is in the front line, followed by obesity with bariatric surgery, chronic liver disease, kidney disease, inflammatory bowel disease, cardiomyopathies and heart failure. The micronutrients at the highest risk are iron, zinc, thiamine, vitamin B12 and vitamin C. Admission to hospital has been linked with an additional risk of malnutrition-feeding below 1500 kcal/day was frequent and has been associated with a structural additional risk of insufficient micronutrient intake to cover basal needs. Although not evidence based, systematic administration of liberal thiamine doses upon admission, and daily complementation of inpatients' food and enteral feeding solutions with multi-micronutrient tablets might be considered.
Keywords
copper, enteral nutrition, inflammation, iron, obesity, selenium, thiamine, vitamin B12, zinc
Pubmed
Web of science
Open Access
Yes
Create date
29/06/2019 13:35
Last modification date
15/01/2021 7:08
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