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Influence of i.v. lipid emulsion on lipoprotein subclass in preterm infants
Author(s) -
Suganuma Hiroki,
Ikeda Naho,
Ohkawa Natsuki,
Shoji Hiromichi,
Shimizu Toshiaki
Publication year - 2018
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.13643
Subject(s) - subclass , triglyceride , emulsion , very low density lipoprotein , lipoprotein , medicine , cholesterol , hyperlipidemia , endocrinology , lipid metabolism , biochemistry , immunology , chemistry , diabetes mellitus , antibody
Background Lipid emulsions given i.v. are normally rapidly metabolized by apoprotein recruited from high‐density lipoprotein ( HDL ) particles in the blood. Very low‐birthweight infants ( VLBWI ), however, have a low rate of lipid clearance from the blood, and therefore lipid emulsions must be given carefully to minimize the risk of hyperlipidemia. The purpose of this study was to evaluate the influence of i.v. lipid emulsion on lipoprotein subclass profile in VLBWI during the early postnatal period. Methods Forty‐six VLBWI who had been given different doses of lipid emulsion in the first few days after birth were enrolled in the present study. Triglyceride and cholesterol content of each lipoprotein subclass was measured at 3 weeks after birth, and their correlation with the total dose of lipid emulsion was calculated. Results There was no correlation between the total dose of lipid emulsion and the triglyceride and cholesterol content in any subclasses of very low‐density lipoprotein ( VLDL ) and low‐density lipoprotein ( LDL ). There was a significant negative correlation between the total dose of lipid emulsion and the triglyceride content in very large ( P < 0.05, r = −0.32), large ( P < 0.01, r = −0.47) and medium HDL ( P < 0.05, r = −0.34) particles; and the cholesterol content in large ( P < 0.01, r = −0.47) and medium HDL ( P < 0.01, r = −0.4) particles. Conclusion Lipid emulsion influenced the triglyceride and cholesterol content of HDL particles in VLBWI , suggesting that lipid emulsion can affect lipid metabolism in this infant population in the early postnatal period.