Short Bowel Syndrome
Conditions
Keywords
Energy metabolism, Stable isotopes, Short bowel syndrome, Doubly labeled water
Brief summary
This study proposes to verify the total energy expenditure in patients with short bowel syndrome using the doubly labeled water method, as well as determining the rate of oxidation of nutrients, aiming to assist the management of nutritional therapy for these patients.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Short bowel syndrome: short bowel syndrome patients with gastrointestinal transit time less or equal 30 minutes. * Control group: patients with the same gender, presenting age and chronic diseases similar with volunteers from the group with short bowel syndrome.
Exclusion criteria
\- Short bowel syndrome: time of bowel resection surgery less than 1 year.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of total energy expenditure using the doubly labeled water method | 14 days | After the determination of resting energy expenditure (REE), each volunteer will receive a dose of doubly labeled water (2H2 18O). A basal urine sample is collected before the intake dose and samples taken on days 1, 2, 3, 7, 12, 13, 14, thereafter. Urine samples will be analyzed by mass spectrometry (Hydra System, HIP 20-20, Europa Scientific, Cheshire, UK) in the Mass Spectrometry Laboratory of the Faculty of Medicine of Ribeirão Preto. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Resting energy expenditure (REE) and body composition measurements by indirect calorimetry and electrical bioimpedance, respectively. | After 12 hours of overnight fasting | This study also aims to measure the REE by indirect calorimetry with a Quark (Cosmed, Italy) calorimeter and the body composition by Byodinamics 450 (Biodynamics Corp., United States). |
| Physical activity assessment | 14 days | An activity monitor (activPAL ®, Glasgow, UK) is used to determine physical activity. By registering the intensity and duration of each category of activities, the system adds the energy estimated to generate a value that reflects the total energy expenditure. |
Countries
Brazil