[Diarrhea associated with enteral feeding: hyperglycemia and other factors].
OBJECTIVE
To identify clinical and biochemical parameters related to diarrhea occurrence in adult inpatients submitted to tube feeding.


METHODS
Weight, height, body mass index (= weight/height2) and triceps skinfold were registered, in addition to serum albumin, glucose and 24-hours urinary creatinine excretion measurements.


RESULTS
Patients with diarrhea (n = 17) did not statistically differ from those without diarrhea (n = 20), respectively concerning to age (58.1 +/- 13 vs 52.1 +/- 18.9 years), body mass index (18.5 +/- 6.9 vs 21.2 +/- 3.1 wt/ht2), acute phase response (94 vs 95%) and antibiotic therapy frequency (82.3 vs 95%), urinary creatinine excretion (754.7 +/- 561.2 vs 698.8 +/- 358.5 mg/day) and daily infused diet volume (969.3 +/- 379.8 vs 1037.7 +/- 380.4 ml). Patients with diarrhea showed lower levels of serum albumin (2.59 +/- 0.52 vs 2.92 +/- 0.46 g/dl), and higher blood glucose (157.5 +/- 82.3 vs 111.6 +/- 31.5 mg/dl) and triceps skinfold measurements (13.6 +/- 5.2 vs 10.1 +/- 4.4 mm).


CONCLUSIONS
Under similar clinical and nutritional conditions, adults with diarrhea have higher blood glucose and lower serum albumin levels than controls.
Monteiro
J P
JP
Departamento de Clínica Médica, Faculdade de Medicina do Triângulo Mineiro, FMTM, Uberaba, MG.
da Cunha
S F
SF
dos Santos
V M
VM
da Cunha
D F
DF
D000210:Acute-Phase Reaction; D000328:Adult; D000886:Anthropometry; D003967:Diarrhea / Q000209:etiology*; D004750:Enteral Nutrition / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000150:complications*; D006965:Hyperplasia / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012709:Serum Albumin
D012709:Serum Albumin