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Effect of Selenium Supplementation on Trace Mineral Antioxidant Enzyme and Amino Acid Metabolism in Infants

Not Applicable
Completed
Conditions
Preterm Infants
Registration Number
NCT02066610
Lead Sponsor
Abbott Nutrition
Brief Summary

The objectives of the study were to assess the serum selenium, zinc, and copper status and plasma and white blood cell antioxidant enzyme activities of low birth weight infants receiving selenium supplemented and non-selenium supplemented parenteral nutrition from initiation of parenteral nutrition until discontinuation of preterm formula or hospital discharge.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
47
Inclusion Criteria
  • Weight less than 1500 g at birth
  • Not capable of receiving enteral feedings prior to 7 days postnatally
Exclusion Criteria
  • Metabolic abnormalities such as inborn errors of metabolism
  • Current viral infections
  • Enterocolitis confirmed by diagnosis
  • Presence of congenital anomalies, severe cardiac disease, liver disease, severe renal and neurological diseases, cholestasis, hemolytic disease and severe gastrointestinal disease
  • Evidence of chronic white blood cell disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Serum SeleniumChange from Baseline to Discharge (~50-60 days)

4 timepoints include 1) baseline prior to initiation of parenteral nutrition; 2) initiation of enteral nutrition; 3) at discontinuation of parenteral nutrition; 4) at discontinuation of preterm formula/discharge

Secondary Outcome Measures
NameTimeMethod
IntakeChange from study day 1 to study exit (~50-60 days)

Daily recording of volume and calories from parenteral solutions and study formula consumed

Serum CopperChange from Baseline to Discharge (~50-60 days)

4 timepoints include 1) baseline prior to initiation of parenteral nutrition; 2) initiation of enteral nutrition; 3) at discontinuation of parenteral nutrition; 4) at discontinuation of preterm formula/discharge

Serum ZincChange from Baseline to Discharge (~50-60 days)

4 timepoints include 1) baseline prior to initiation of parenteral nutrition; 2) initiation of enteral nutrition; 3) at discontinuation of parenteral nutrition; 4) at discontinuation of preterm formula/discharge

WBC Super oxide dismutase (SOD) activityChange from Baseline to Discharge (~50-60 days)

4 timepoints include 1) baseline prior to initiation of parenteral nutrition; 2) initiation of enteral nutrition; 3) at discontinuation of parenteral nutrition; 4) at discontinuation of preterm formula/discharge

Glutathione peroxidase (GSHpx) activityChange from Baseline to Discharge (~50-60 days)

4 timepoints include 1) baseline prior to initiation of parenteral nutrition; 2) initiation of enteral nutrition; 3) at discontinuation of parenteral nutrition; 4) at discontinuation of preterm formula/discharge

Plasma GSHpx activityChange from Baseline to Discharge (~50-60 days)

4 timepoints include 1) baseline prior to initiation of parenteral nutrition; 2) initiation of enteral nutrition; 3) at discontinuation of parenteral nutrition; 4) at discontinuation of preterm formula/discharge

Plasma Amino Acid ConcentrationsChange from Baseline to Discharge (~50-60 days)

4 timepoints include 1) baseline prior to initiation of parenteral nutrition; 2) initiation of enteral nutrition; 3) at discontinuation of parenteral nutrition; 4) at discontinuation of preterm formula/discharge

WeightChange from study day 1 to study exit (~50-60 days)

Weight at study day 1, at first enteral feed, at full enteral feeding, and at study exit

LengthChange from study day 1 to study exit (~50-60 days)

Length at study day 1, at first enteral feed, at full enteral feeding, and at study exit

Head CircumferenceChange from study day 1 to study exit (~50-60 days)

Head circumference at study day 1, at first enteral feed, at full enteral feeding, and at study exit

Trial Locations

Locations (1)

Legacy Emanuel Children's Hospital

🇺🇸

Portland, Oregon, United States

Legacy Emanuel Children's Hospital
🇺🇸Portland, Oregon, United States
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