Comparison of Micronutrient Levels between Oral Feeding and Enteral Feeding in Chronic Stroke Patients
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Objective: This study aimed to investigate the difference in micronutrient levels between oral feeding and enteralfeeding in chronic stroke patients to assess the risks of enteral feeding. Methods: Patients with chronic stroke who were admitted to the Department of Rehabilitation Medicine betweenJanuary 2011 and June 2012 were enrolled. The serum concentrations of iron, copper, zinc, folate, and vitamin B12,as well as the absolute CD4 and CD8 lymphocyte counts, were assessed. Results: Of the 73 patients enrolled in this study, 50 were fed orally, while the other 23 were fed through a percutaneousendoscopic gastrostomy (PEG) or nasogastric (NG) tube. The serum concentrations of vitamin B12 and folatewere significantly higher in the enteral feeding group than in the oral feeding group. However, the serum concentrationof zinc was significantly lower in the enteral feeding group. Conclusion: There is little difference between enteral feeding and oral feeding in terms of micronutrient provisionexcept that the serum concentration of zinc in the enteral feeding group was significantly lower than that in the oralfeeding group. Clinicians should recognize that chronic stroke patients who require tube feeding have a risk ofmicronutrient deficiency. Early detection of malnutrition and micronutrient deficiency is important for providing thenecessary nutrients.
Abstract
Objective: This study aimed to investigate the difference in micronutrient levels between oral feeding and enteralfeeding in chronic stroke patients to assess the risks of enteral feeding. Methods: Patients with chronic stroke who were admitted to the Department of Rehabilitation Medicine betweenJanuary 2011 and June 2012 were enrolled. The serum concentrations of iron, copper, zinc, folate, and vitamin B12,as well as the absolute CD4 and CD8 lymphocyte counts, were assessed. Results: Of the 73 patients enrolled in this study, 50 were fed orally, while the other 23 were fed through a percutaneousendoscopic gastrostomy (PEG) or nasogastric (NG) tube. The serum concentrations of vitamin B12 and folatewere significantly higher in the enteral feeding group than in the oral feeding group. However, the serum concentrationof zinc was significantly lower in the enteral feeding group. Conclusion: There is little difference between enteral feeding and oral feeding in terms of micronutrient provisionexcept that the serum concentration of zinc in the enteral feeding group was significantly lower than that in the oralfeeding group. Clinicians should recognize that chronic stroke patients who require tube feeding have a risk ofmicronutrient deficiency. Early detection of malnutrition and micronutrient deficiency is important for providing thenecessary nutrients.
참고문헌 (24)
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