The beneficial effect of a high protein-calorie diet on a malnourished patient during hospitalization.
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The effect of a high protein-calorie diet was studied on a 45 year-old Thai woman suffering from severe nutritional deficiency i.e. anaemia and multiple vitamin deficiencies. Several clinical chemical parameters in blood, red cells and urine for the assessment of the nutritional status were investigated at the time of admission to the hospital and after two and four weeks hospitalization. The patient was only treated with the high protein-calorie diet of the hospital and did not receive any vitamin supplementation. Only with this treatment the clinical signs disappeared within 4 weeks and also all the biochemical abnormalities returned to normal. With this study it is demonstrated that high multiple vitamin supplementation may not always be necessary for the good treatment and recovery of hospitalized patients suffering from vitamin deficiencies.Keywords:
Calorie
Protein diet
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Fifty volunteers among the students of the Faculty of Pharmacy at Ankara and Gazi Universities were taken 2 grams of Vitamin C per day at regular time intervals for two months. Blood and urine samples were collected in the beginning, one month and 2 months after vitamin administration. The whole blood, plasma and leucocyte ascorbic acid levels were increased after one and 2 months treatment. The urine ascorbic acid were also increased significantly. Urine oxalic acid were not elevated after vitamin C intake.
Oxalic Acid
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Vitamin C is a strong reducing agent found at high levels in various foods, and it may influence the results of urine strip tests even at an ordinary consumption levels. After oral administration, we measured urine vitamin C levels using urine strips and evaluated whether vitamin C interfered with various test items. The utility of a urine strip with a vitamin C indicator was assessed.Thirty-three healthy volunteers each ingested 1,000 mg of vitamin C. Their urine samples were tested for vitamin C using a URiSCAN 11 strip (YD Diagnostics, Korea) before and after administration of vitamin C. Standard materials were added to normal pooled urine to generate urine samples with various concentrations of the analytes tested (blood, bilirubin, nitrite, leukocytes, and glucose), and vitamin C was spiked to predetermined levels. These samples were then tested using two urine strips - URiSCAN and Chemstrip test strip (Roche Diagnostics, Germany) - to evaluate interference from vitamin C. In clinical samples with positive vitamin C results, microscopic and chemical analyses were also conducted to examine the differences.Thirteen urine samples from the 33 volunteers were positive for vitamin C before ingestion, and all subjects were positive after ingestion. Vitamin C spiking of urine demonstrated false-negative results at various concentrations. Of 159 specimens with positive results for vitamin C, 14 showed discrepant results after additional confirmatory tests.Vitamin C in urine can cause significant interference with urine strip tests. A urine strip with a vitamin C indicator is useful to reduce the risk of incorrect results in regard to disease states.
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Exposure to free radicals can be protected with antioxidants. Antioxidants are natural substances made of vitamins and minerals, one of which is vitamin C. Doses of vitamin C which is required as an antioxidant that is 500 - 2000 mg sehari.Vitamin C into the body is absorbed by the intestinal wall and the rest is excreted in the urine and then levels vitamin in the body will menurun.Urin containing vitamin C can cause false positive results in urine glucose tests, because vitamin C is a lactone six carbon that is structurally similar to glucose. The aim of this study was to know the difference of urine glucose examination before and after taking vitamin C. The research is kind of laboratory experimental by seeing the difference of urine glucose test results before and after consumptionvitamin C. There are 9 sampel, each sampel is given two treatment that before and after consumption vitamin C. The result of this research urine glucose test before consume vitamin C is negative and after consume vitamin C is positive. Statistical test resultsof Paired t-test with95% confidence level obtained p value = 0.000. There was significant in difference of urine glucose test before and after consumption vitamin C.
Key words: Urine glucose, before, after, vitamin C
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Calorie
Protein-calorie malnutrition
Nutrition Disorders
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Aim To determine the prevalence of malnutrition in children admitted to paediatric intensive care units (PICU) using different anthropometric variables at admission and to correlate these variables. To associate length of hospital stay with nutritional status at admission. Patients and Methods During a 2-month period all children admitted to the PICU were screened upon admission and at discharge (admitted >5 days), by measuring weight, mid-upper arm circumference (MUAC) and calf circumference (CC). Malnutrition was defined as an SD score for weight for age Results 82 children (48 male) were studied with a median age of 3.1 years (range 0.04–20.47). Weight measurements were done in 40% and MUAC/CC were done in 70% of the children. Malnutrition was present in 32% of children, of whom 92% had an underlying disease. At discharge the prevalence of malnutrition was 36%. An SD score −2 SD. Conclusion The prevalence of malnutrition on admission and at discharge is high. It is easier to perform measurements of MUAC or CC on admission, whereas it is difficult to obtain weight. The MUAC and CC might be used in the PICU to detect malnutrition. The relation between malnutrition on admission and length of hospital stay underlines the need for extra attention to the patient’s nutritional status during admission.
Hospital admission
Malnutrition in children
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Numerous methods have been proposed for the determination of vitamin C deficiency and for the estimation of the degree of saturation of the bodily tissues with vitamin C. The majority of these methods involve measuring the amount of ascorbic acid excreted in the urine in twenty-four hours (1) while the subject is taking his usual diet and (2) after the administration of a test dose of vitamin C. These procedures necessitate the complete cooperation of the patient in order to avoid loss of part of the specimen, and there is difficulty in preserving the urine against oxidation, with resultant loss of vitamin C. For these reasons the methods are not applicable to ambulatory patients. The best single test of vitamin C nutrition is considered by many to be the determination of the amount of reduced ascorbic acid in the blood during fasting. It gives an indication of the degree of
Oral dose
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Calorie
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Marasmus
Weanling
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Marasmus
Protein-calorie malnutrition
Blood serum
Calorie
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