Peroxidation potential of lipid emulsions after compounding in all-in-one solutions

Nutrition. 2003 Sep;19(9):784-8. doi: 10.1016/s0899-9007(03)00099-6.

Abstract

Objectives: We investigated the peroxidation potential of fat emulsions in all-in-one solutions (AIOs).

Methods: Three 20% emulsions were compared: soybean oil (SO; 60% polyunsaturated fatty acids [PUFAs], alpha-tocopherol:PUFAs = 0.44), soybean plus medium-chain triacylglycerol (SO-MCT; 31% PUFAs, alpha-tocopherol:PUFAs = 0.35), and olive oil (OO; 21% PUFAs, alpha-tocopherol:PUFAs = 1.42). For each emulsion, six AIO solutions were prepared by adding 250 mL of emulsion to a lipid-free solution. Lipid peroxide (LPX) and malondialdehyde (MDA) concentrations were evaluated in fat emulsions, lipid-free solutions, and AIOs immediately (T0) and 24 h (T24) after lipid addition. Statistical analysis was done with analysis of variance.

Results: Fat emulsion LPX in SO-MCT was lower than that in SO (P = 0.015) and OO (P = 0.024); LPX in SO was greater than that in OO (P = 0.013); MDA in SO was greater than that in SO-MCT (P = 0.001) and OO (P = 0.013); and MDA in SO-MCT was greater than that in OO (P = 0.001). In comparison with MDA at AIO-T0, MDA at AIO-T24 increased in SO (P = 0.005) and SO-MCT (P < 0.001) and decreased in OO (P = 0.003); at AIO-T24, LPX was greater in SO, but not significantly.

Conclusions: In AIO bags, LPX occurred within 24 h after the addition of the lipid emulsion and seemed to be directly related to the PUFA content and inversely related to the alpha-tocopherol:PUFA ratio of the emulsion.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antioxidants / analysis*
  • Antioxidants / metabolism
  • Fat Emulsions, Intravenous / analysis*
  • Fatty Acids, Unsaturated / metabolism*
  • Humans
  • Kinetics
  • Lipid Peroxidation*
  • Malondialdehyde / analysis*
  • Parenteral Nutrition
  • Tocopherols / analysis

Substances

  • Antioxidants
  • Fat Emulsions, Intravenous
  • Fatty Acids, Unsaturated
  • Malondialdehyde
  • Tocopherols