Comparison of essential trace elements in blood of patients receiving Ramathibodi Standard Parenteral Nutrition with Ramatrace or a commercial formular.

OBJECTIVE: Commercially intravenous trace element product is very expensive compared to Ramatrace. Therefore, the present research was designed to compare the levels of zinc, copper chromium and manganese in the blood of patients receiving Ramathibodi Standard Parenteral Nutrition (STD) containing the Ramatrace or the commercial product. MATERIAL AND METHOD: Two groups of patients receiving STD were recruited. Group 1 (19 males and 11 females) received Ramatrace and Group 2 (19 males and 11 females) received a commercial product. Blood samples on day 0, day 3 and day 10 were measured for zinc, copper chromium and manganese levels by atomic absorption spectrophotometer (model 3100, Perkin Elmer). RESULTS: The present results showed that levels of zinc, copper, chromium and manganese were not significantly different between the two groups. On day 0, day 3 and day 10, the levels of zinc, copper and manganese in the blood of both groups were significantly increased (p < 0.05). Blood chromium levels of Group 1 were significantly increased from day 0 (0.14 +/- 0.02 microg/dL) to day 3 (0.23 +/- 0.02 microg/dL) but there was no significant difference between day 3 and day 10. In Group 2, the blood levels of chromium from day 0 to day 10 were significantly increased. CONCLUSION: In patients receiving STD, Ramatrace could improve the levels of zinc, copper, chromium and manganese as well as the commercial product. This may be one way to reduce the cost of treatment.

Polyneuropathy from thiamin deficiency associated with thyrotoxicosis.

Polyneuropathy from thiamin deficiency can occur in persons who consume a diet consisting mainly of polished rice with low protein and thiamin content in the setting of excessive physical activity or hypermetabolic states. The authors report here a 17-year-old fisherman who presented with a 3-month history of symptoms and signs consistent with polyneuropathy. There were also clinical features of thyrotoxicosis which was confirmed by thyroid function test. His dietary intake consisted mainly of polished rice and fish both of which contain a small amount of thiamin. This could not cope with his hypermetabolic condition from thyrotoxicosis resulting in thiamin deficiency with polyneuropathy.

Iron bioavailability in Thai diets.

Dietary low iron bioavailability intake is an important causation factor of iron deficiency anemia in Asian countries including Thailand. The aim of this study was to estimate the iron bioavailability in the Thai diet by a calculation method that is based on dependent factors, dietary components and physiological iron store. Based on the the latest national nutrition survey of the Thai diet, 1995, the data of nutrient intake per capita per day by region were used for calculating the iron bioavailability at physiological iron store levels; 0, 250, 500 and 1,000 mg of iron. The results showed that the diets consumed by the populations in the Central, North, Northeast and South of Thailand were classified under the calculation method as being of moderate nonheme iron availability. The per cent iron bioavailability values of the Thai diets were within the range 3.7-12.4 per cent of total iron, depending on physiological iron store. The values of all region Thai diets at each iron store level were similar. By the same method, the dietary iron bioavailability of the total Thai diet at any iron store level was markedly lower than the general US diet, which was classified as high nonheme iron availability. When comparison of the iron bioavailability among other different diets was carried out, the values of the total Thai diet were slightly lower than Utah, but higher than US vegetarian and Regional Latin American diets.