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Chromium Deficiency During Total Parenteral Nutrition
Abstract
Chromium is required for maintenance of normal glucose tolerance. After complete bowel resection and five months of total parenteral nutrition, severe glucose intolerance, weight loss, and a metabolic encephalopathy-like confusional state developed in a patient. Serum chromium levels were at the lowest normal level. Supplementation of 150 microgram of chromium per day reversed the glucose intolerance, reduced insulin requirements, and resulted in weight gain and the disappearance of encephalopathy. The low levels of chromium and response to chromium supplementation suggest that chromium deficiency can arise in long-term total parenteral nutrition.
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Citations
Cited by
Chromium in Human Nutrition: A Review
Mertz, W. (1993) · The Journal of Nutrition · doi:10.1093/jn/123.4.626 · Cited by 760
Berger, M. M., Shenkin, A., Schweinlin, A., Amrein, K., Augsburger, M., Biesalski, H.-K., Bischoff, S. C., Casaer, M. P., Gundogan, K., Lepp, H.-L., et al. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2022.02.015 · Cited by 615
Mechanisms of Chromium Carcinogenicity and Toxicity
Cohen, M. D., Kargacin, B., Klein, C. B., & Costa, M. (1993) · Critical Reviews in Toxicology · doi:10.3109/10408449309105012 · Cited by 543
Toxicity and Tolerance in the Responses of Plants to Metals
Woolhouse, H. W. (1983) · Physiological Plant Ecology III · doi:10.1007/978-3-642-68153-0_8 · Cited by 408
Greene, H., Hambidge, K., Schanler, R., & Tsang, R. (1988) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/48.5.1324 · Cited by 391
Metadata
- Authors
- Freund, H.
- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1979-02-02
- Volume
- 241
- Issue
- 5
- Pages
- 496
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2057831265
- Cited by
- 297
- References
- 0
- FWCI
- 10.61
- Type
- journal article
- Language
- en
- Open access
- closed
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