Reduction of Total Parenteral Nutrition-Induced Urinary Calcium Loss by Increasing the Phosphorus in the Total Parenteral Nutrition Prescription

Richard J. Wood; Michael D. Sitrin; Gilbert J. Cusson; Irwin H. Rosenberg; Richard J. Wood; Michael D. Sitrin; Gilbert J. Cusson; Irwin H. Rosenberg

doi:10.1177/0148607186010002188

Reduction of Total Parenteral Nutrition-Induced Urinary Calcium Loss by Increasing the Phosphorus in the Total Parenteral Nutrition Prescription

Richard J. Wood
, Michael D. Sitrin
, Gilbert J. Cusson
, Irwin H. Rosenberg
, Richard J. Wood
, Michael D. Sitrin
, Gilbert J. Cusson
, Irwin H. Rosenberg

Medicine

Clinical Nurition Research Center
The University of Chicago

Research output: Contribution to journal › Article › peer-review

31 Scopus citations

Abstract

Hypercalciuria and negative calcium balance are potential complications of total parenteral nutrition (TPN). Dietary phosphorus has been observed to have an hypocalciuretic effect. The present study evaluates the effects of administration of increasing intravenous phosphorus (P) loads on urinary calcium excretion in TPN patients. Urinary calcium exceeded daily calcium intake by 50 mg/d when 700 mg/d P was administered, was equal to intake at 1000 mg/d P, and was 30 mg/d less than calcium intake when 1300 mg/d P was given. These findings suggest that TPN-induced hypercalciuria can be attenuated in the short-term by intravenous phosphate. Reevaluation of the phosphorus requirement in patients receiving long-term TPN should be considered. (Journal of Parenteral and Enteral Nutrition 10:188-190, 1986).

Original language	English
Pages (from-to)	188-190
Number of pages	3
Journal	Journal of Parenteral and Enteral Nutrition
Volume	10
Issue number	2
DOIs	https://doi.org/10.1177/0148607186010002188
State	Published - Mar 1986

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Wood, R. J., Sitrin, M. D., Cusson, G. J., Rosenberg, I. H., Wood, R. J., Sitrin, M. D., Cusson, G. J., & Rosenberg, I. H. (1986). Reduction of Total Parenteral Nutrition-Induced Urinary Calcium Loss by Increasing the Phosphorus in the Total Parenteral Nutrition Prescription. Journal of Parenteral and Enteral Nutrition, 10(2), 188-190. https://doi.org/10.1177/0148607186010002188

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title = "Reduction of Total Parenteral Nutrition-Induced Urinary Calcium Loss by Increasing the Phosphorus in the Total Parenteral Nutrition Prescription",

abstract = "Hypercalciuria and negative calcium balance are potential complications of total parenteral nutrition (TPN). Dietary phosphorus has been observed to have an hypocalciuretic effect. The present study evaluates the effects of administration of increasing intravenous phosphorus (P) loads on urinary calcium excretion in TPN patients. Urinary calcium exceeded daily calcium intake by 50 mg/d when 700 mg/d P was administered, was equal to intake at 1000 mg/d P, and was 30 mg/d less than calcium intake when 1300 mg/d P was given. These findings suggest that TPN-induced hypercalciuria can be attenuated in the short-term by intravenous phosphate. Reevaluation of the phosphorus requirement in patients receiving long-term TPN should be considered. (Journal of Parenteral and Enteral Nutrition 10:188-190, 1986).",

author = "Wood, \{Richard J.\} and Sitrin, \{Michael D.\} and Cusson, \{Gilbert J.\} and Rosenberg, \{Irwin H.\} and Wood, \{Richard J.\} and Sitrin, \{Michael D.\} and Cusson, \{Gilbert J.\} and Rosenberg, \{Irwin H.\}",

year = "1986",

month = mar,

doi = "10.1177/0148607186010002188",

language = "English",

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T1 - Reduction of Total Parenteral Nutrition-Induced Urinary Calcium Loss by Increasing the Phosphorus in the Total Parenteral Nutrition Prescription

AU - Wood, Richard J.

AU - Sitrin, Michael D.

AU - Cusson, Gilbert J.

AU - Rosenberg, Irwin H.

AU - Wood, Richard J.

AU - Sitrin, Michael D.

AU - Cusson, Gilbert J.

AU - Rosenberg, Irwin H.

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N2 - Hypercalciuria and negative calcium balance are potential complications of total parenteral nutrition (TPN). Dietary phosphorus has been observed to have an hypocalciuretic effect. The present study evaluates the effects of administration of increasing intravenous phosphorus (P) loads on urinary calcium excretion in TPN patients. Urinary calcium exceeded daily calcium intake by 50 mg/d when 700 mg/d P was administered, was equal to intake at 1000 mg/d P, and was 30 mg/d less than calcium intake when 1300 mg/d P was given. These findings suggest that TPN-induced hypercalciuria can be attenuated in the short-term by intravenous phosphate. Reevaluation of the phosphorus requirement in patients receiving long-term TPN should be considered. (Journal of Parenteral and Enteral Nutrition 10:188-190, 1986).

AB - Hypercalciuria and negative calcium balance are potential complications of total parenteral nutrition (TPN). Dietary phosphorus has been observed to have an hypocalciuretic effect. The present study evaluates the effects of administration of increasing intravenous phosphorus (P) loads on urinary calcium excretion in TPN patients. Urinary calcium exceeded daily calcium intake by 50 mg/d when 700 mg/d P was administered, was equal to intake at 1000 mg/d P, and was 30 mg/d less than calcium intake when 1300 mg/d P was given. These findings suggest that TPN-induced hypercalciuria can be attenuated in the short-term by intravenous phosphate. Reevaluation of the phosphorus requirement in patients receiving long-term TPN should be considered. (Journal of Parenteral and Enteral Nutrition 10:188-190, 1986).

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ER -

Reduction of Total Parenteral Nutrition-Induced Urinary Calcium Loss by Increasing the Phosphorus in the Total Parenteral Nutrition Prescription

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