Impact d’une supplémentation protéino-énergétique sur les performances physiques en réadaptation chez la personne âgée traumatisée crânienne : un projet pilote.

L’exacerbation de la perte d’autonomie des personnes âgées hospitalisées est fréquente. Le traumatisme craniocérébral (TCC) est une condition médicale associée à un état de stress et d’hypercatabolisme particulièrement élevé (Cook, 2008) qui rend la personne âgée encore plus vulnérable. De plus, les recommandations en vigueur pour l’apport protéique (0,8 g/kg) semblent insuffisantes pour freiner la perte de masse musculaire qui conduit à la sarcopénie. L’objectif de cette étude était de déterminer l’impact d’un supplément protéino-énergétique sur les performances physiques de la personne âgée traumatisée crânienne en réadaptation, plus spécifiquement sur la distance de marche, la force de préhension, ainsi que le test du « Time up and go » (TUG). Vingtquatre sujets, âgés de 65 à 94 ans (14 hommes) ont consenti à participer à cette étude randomisée contrôlée à double-aveugle dans un centre de réadaptation fonctionnelle intensive à Montréal. L’intervention consistait à ingérer un supplément nutritionnel (230 kcal, 15 g protéines, 25 g glucides) ou un placebo immédiatement après le traitement régulier de physiothérapie (45 à 60 minutes, 4 à 5 fois par semaine). Aucune différence significative n’a été trouvée dans les caractéristiques de base des 2 groupes. Une amélioration significative a été trouvée dans le groupe supplément pour le test du TUG. Notre étude d’intervention est la première en nutrition en sol québécois dans les Centres de réadaptation. La consommation d’un supplément chez la personne âgée durant le traitement de physiothérapie est une mesure simple et facile à introduire dans un contexte clinique. Même en l’absence de gains significatifs sur l’ensemble des mesures physiques, le supplément nutritionnel permet d’augmenter les apports caloriques et protéiques, ce qui peut contribuer à optimiser l’état nutritionnel. La littérature documente largement les impacts négatifs de la malnutrition et toute mesure pouvant contribuer à diminuer la prévalence de cette dernière ne peut donc qu’être positive.

Impact d’une supplémentation protéino-énergétique sur les performances physiques en réadaptation chez la personne âgée traumatisée crânienne : un projet pilote

L’exacerbation de la perte d’autonomie des personnes âgées hospitalisées est fréquente. Le traumatisme craniocérébral (TCC) est une condition médicale associée à un état de stress et d’hypercatabolisme particulièrement élevé (Cook, 2008) qui rend la personne âgée encore plus vulnérable. De plus, les recommandations en vigueur pour l’apport protéique (0,8 g/kg) semblent insuffisantes pour freiner la perte de masse musculaire qui conduit à la sarcopénie. L’objectif de cette étude était de déterminer l’impact d’un supplément protéino-énergétique sur les performances physiques de la personne âgée traumatisée crânienne en réadaptation, plus spécifiquement sur la distance de marche, la force de préhension, ainsi que le test du « Time up and go » (TUG). Vingtquatre sujets, âgés de 65 à 94 ans (14 hommes) ont consenti à participer à cette étude randomisée contrôlée à double-aveugle dans un centre de réadaptation fonctionnelle intensive à Montréal. L’intervention consistait à ingérer un supplément nutritionnel (230 kcal, 15 g protéines, 25 g glucides) ou un placebo immédiatement après le traitement régulier de physiothérapie (45 à 60 minutes, 4 à 5 fois par semaine). Aucune différence significative n’a été trouvée dans les caractéristiques de base des 2 groupes. Une amélioration significative a été trouvée dans le groupe supplément pour le test du TUG. Notre étude d’intervention est la première en nutrition en sol québécois dans les Centres de réadaptation. La consommation d’un supplément chez la personne âgée durant le traitement de physiothérapie est une mesure simple et facile à introduire dans un contexte clinique. Même en l’absence de gains significatifs sur l’ensemble des mesures physiques, le supplément nutritionnel permet d’augmenter les apports caloriques et protéiques, ce qui peut contribuer à optimiser l’état nutritionnel. La littérature documente largement les impacts négatifs de la malnutrition et toute mesure pouvant contribuer à diminuer la prévalence de cette dernière ne peut donc qu’être positive.

Cohesive zone modelling of mineralized collagen fibril arrays in bending

Hard biological materials such as bone possess superior material properties of high stiffness and toughness. Two unique characteristics of bone microstructure are a large aspect ratio of mineralized collagen fibrils (MCF), and an extremely thin and large area of extrafibrillar protein matrix located between the MCF. The objective of this study is to investigate the effects of: (1) MCF aspect ratio, and (2) energy dissipation in extrafibrillar protein matrix on the mechanical behaviour of MCF arrays. In this study, notched specimens of MCF arrays in extrafibrillar protein matrix are subjected to bending. Cohesive zone model was implemented to simulate the failure of extrafibrillar protein matrix. The study reveals that the MCF array with a higher MCF aspect ratio and the MCF array with a higher protein energy dissipation in the interface direction are able to sustain a higher bending force and dissipate higher energy.

Egg production in furnished cages

In the European Union, conventional cages for laying hens will be faded out at the beginning of 2012. The rationale behind this is a public concern over animal welfare in egg production. As alternatives to conventional cages, the European Union Council Directive 1999/74/EC allows non-cage systems and enriched (furnished) cages. Layer performance, behavior, and welfare in differently sized furnished cages have been investigated quite widely during recent decades, but nutrition of hens in this production system has received less attention. This thesis aims to compare production and feed intake of laying hens in furnished and conventional cages and to study the effects of different dietary treatments in these production systems, thus contributing to the general knowledge of furnished cages as an egg production system. A furnished cage model for 8 hens was compared with a 3-hen conventional cage. Three consecutive experiments each studied one aspect of layer diet: The first experiment investigated the effects of dietary protein/energy ratio, the second dietary energy levels, and the third the effects of extra limestone supplementation. In addition, a fourth experiment evaluated the effects of perches on feed consumption and behavior of hens in furnished cages. The dietary treatments in experiments 1 3 generally had similar effects in the two cage types. Thus, there was no evidence supporting a change in nutrient requirements for laying hens when conventional cages are replaced with small-group furnished cages. Moreover, the results from nutritional experiments conducted in conventional cages can be applied to small-group furnished cage systems. These results support the view that production performance comparable with conventional cages can be achieved in furnished cages. All of the advantages of cages for bird welfare are sustained in the small-group furnished cages used here. In addition, frequent use of perches and nests implies a wider behavioral repertoire in furnished cages than in conventional cages. The increase observed in bone ash content may improve bird welfare in furnished cages. The presence of perches diminished feed consumption during the prelaying period and enhanced the feed conversion ratio during the early laying period in furnished cages. However, as the presence or absence of perches in furnished cages had no significant effect on feed consumption after the prelaying period, the lower feed consumption observed in furnished cages than in conventional cages could be attributed to other factors, such as the presence of wood shavings or a nest box. The wider feed trough space per hen in conventional than in furnished cages may partly explain the higher feed consumption observed in conventional cages.

Impact de l’évolution du statut nutritionnel durant l’attente d’une transplantation pulmonaire sur la mortalité postopératoire

Cette étude vise à évaluer l’impact de l’état nutritionnel et de son évolution durant l’attente d’une transplantation pulmonaire sur la mortalité et la morbidité postopératoire. Nous avons examiné les 209 dossiers de patients greffés pulmonaires au Programme de Transplantation Pulmonaire du CHUM entre 2000 et 2007 et regardé la mortalité et les complications post-transplantation en fonction de l’IMC, des apports protéino-énergétiques, de certains paramètres biochimiques et selon l’évolution pondérale durant la période d’attente. Les résultats montrent que la mortalité augmente en fonction de l’augmentation des strates d’IMC avec un risque relatif de décès au cours du séjour hospitalier de 3,31 (IC95% 1,19-9,26) pour un IMC 25-29,9 et de 8,83 (IC95% 2,98-26,18) pour un IMC ≥ 30 avec une issue postopératoire plus sombre en terme de complications chirurgicales (p=0,003), de durée de séjour aux soins intensifs (p=0,031) et de durée de séjour à l’hôpital (p<0,001) chez les patients avec IMC ≥ 30 comparativement aux patients de poids normal. Les patients ayant présenté une évolution inadéquate de l’IMC durant la période d’attente ont connu une durée de séjour hospitalier prolongée (p=0,015). Ceux dont les apports nutritionnels étaient sous-optimaux en pré-greffe ont aussi connu une durée de séjour hospitalier prolongée (p=0,002) et davantage de complications infectieuses (p=0,038), digestives (p=0,003) et chirurgicales (p=0,029) mais sans impact détectable sur la mortalité. Nos résultats suggèrent que l’obésité et l’embonpoint ainsi qu’une évolution inadéquate de l’IMC durant la période d’attente de même que des apports protéino-énergétiques sous-optimaux affectent négativement l’issue d’une transplantation pulmonaire.

Consumo e digestibilidade em bovinos em pastejo durante o período das águas sob suplementação com fontes de compostos nitrogenados e de carboidratos

Objetivou-se avaliar os efeitos de diferentes formas químicas de compostos nitrogenados (proteicos e não-proteicos) e de carboidratos (amiláceos e fibra solúvel) sobre o consumo, a digestibilidade e a síntese ruminal de proteína microbiana em bovinos sob suplementação durante o período das águas. Foram utilizados cinco novilhos mestiços Holandês × Zebu, com peso vivo (PV) médio inicial de 211 ± 35 kg, fistulados no rúmen e abomaso. Os tratamentos foram: controle (somente pasto); e suplementos formulados à base de milho + farelo de soja; milho + ureia; polpa cítrica + farelo de soja; e polpa cítrica + ureia. Os suplementos foram balanceados para apresentar 30% de proteína bruta (PB), com base na matéria seca (MS), e fornecidos na quantidade de 3 g/kg PV. O experimento foi conduzido segundo delineamento em quadrado latino 5 × 5, em esquema fatorial 2 × 2 + 1, composto de duas fontes de compostos nitrogenados, duas fontes de carboidratos e tratamento controle. O consumo de pasto reduziu com o fornecimento de suplementos, com coeficiente médio de substituição de 2,11 g de MS de pasto/g de MS de suplemento. A suplementação não alterou os coeficientes de digestibilidade total e ruminação da MS nem o teor dietético de nutrientes digestíveis totais (NDT). Os animais sob suplementação apresentaram maiores coeficientes de digestibilidade total e ruminal da proteína bruta. A eficiência de síntese de proteína microbiana (EFSM), média de 123,1 g PB microbiana/kg de NDT, não foi alterada pela suplementação. Contudo, os animais sob suplementação com milho apresentaram maior EFSM em comparação aos animais sob suplementação com polpa cítrica (137,6 e 106,1 g PB microbiana/kg de NDT, respectivamente). A suplementação proteico-energética para bovinos mantidos em pastos tropicais durante o período das águas não causa benefícios nutricionais, o que reflete o alto coeficiente de substituição da forragem pelo suplemento.

Canopy characteristics and behavior of Nellore heifers in Brachiaria brizantha pastures under different grazing heights at a continuous stocking rate

The objective of this study was to evaluate the Brachiaria brizantha cv. Marandu canopy structure maintained at different grazing heights under a continuous stocking rate and with a dietary supplementation strategy for the animals during the rainy season. This study also intended to observe the relationships of these variables with the grazing behaviors of the heifers. The effects of three canopy heights (15, 25 and 35 cm) were evaluated in association with three types of supplements: one mineral and two protein/energy supplements, the first with a high rumen degradable protein and energy and the others with a low ratio. Both the protein/energy supplements were provided at 0.3% of body weight/day. The experimental design was completely randomized, with two replications and repeated measures, and took place during the period from January to April 2008. The supplementation strategies did not affect any variable related to the canopy structure. Total and green herbage masses and the ratio of green/dead material increased with canopy height. The leaf/stem ratio was higher in the lowest canopy height: 15 cm. Changes in the canopy structure caused variations in the grazing behavior of the animals. Animals maintained in the 15-cm-tall pasture grazed for a longer time, increasing the time for each meal, but the number of meals was lower than that of the animals grazing within the 35-cm-tall pasture. The grazing time of animals receiving the energy/protein supplement was lower only in the period of the day during which it was supplied. Canopy structure is affected by sward height, and changes animal behavior. Supplementation does not affect the canopy structure of the pastures with similar heights.

Supplementation of Nellore young bulls on Marandu grass pastures in the dry period of the year

The objective of this study was to evaluate performance and daytime ingestive behavior of 84 Nellore young bulls in the post-weaning phase kept on Brachiaria brizantha cv. Marandu pastures during the dry season. Treatments were protein mineral supplementation (1 g/kg body weight) and protein+energy mineral supplementation (3 g/kg body weight). The experimental area comprised 12 paddocks in a total area of 27.36 ha, divided in two blocks of six paddocks each, having three replications per treatment in each block, with 42 animals/treatment. The data were subjected to variance analysis with repeated measures over time via procedure PROCMIXED of SAS (Statistical Analysis System, version 9.0) and means were compared by the Tukey test at 5% probability. The initial average weight of animals was 204.8 kg; final weights were 260.9 and 276.9 kg for animals that received protein and protein+energy supplement, respectively. The forage availability, sward height and stocking rate values did not differ with supplementation, but they showed difference between the experimental periods. The average time spent grazing during daylight of animals fed protein+energy supplement was shorter as compared with those which consumed protein supplement. Animals kept under the same pasture conditions during the dry season show better performance when they receive protein+energy supplement than protein supplement.

Efeito da oferta dietética de proteína sobre o ganho muscular, balanço nitrogenado e cinética da 15N-glicina de atletas em treinamento de musculação

The effect of increased protein intake on the muscle mass gain, nitrogen balance and N-15-glycine kinetics was studied in six young, healthy subjects practitioners of strength training (> 2 years), without use of anabolic steroids and in agreement with the ethical principles of the research. All athletes received adequate diet (0.88g protein/kg/day) during 2 weeks prior the study (D1), and thereafter with diet providing 1.5g of protein/kg/day and 30kcal/g of protein (D2 diet) for the subsequent 2 weeks. Later on, they all received diet with 2.5g of protein/kg/day (D3 diet) and 30 kcal/g protein for the last two weeks. Body composition, food intake, blood biochemistry, nitrogen balance (NB) and 15N-glycine kinetics were determined at the beginning, after D1 (M0) and in the last days of the D2 (M1) and D3 (M2). The results showed at the end of the study (4 weeks) significant increase in muscle mass (1.63 +/- 0.9kg), without difference between D2 and D3. The NB followed the protein/energy consumption (M0 = -7.8g/day; M1 = 5.6g/day and D3 = 16.6g/day), the protein synthesis followed the NB, with M0 < (M1= M2) (M1 = 49.8 +/- 12.2g N/day and M2 = 52.5 +/- 14.0g N/day). Protein catabolism rate was similarly kept among diets. Thus, the results of the NB and N-15-glycine kinetics indicate that the recommended protein intake for these athletes is higher than the one for sedentary adults (0.88g/kg) and lower than 2.5g/kg, around 1.5g of protein/kg/day, with adjustment of the energy consumption to 30 kcal/g of protein.

Study of the evolution of the placenta and fetal pancreas in the pathophysiology of growth retardation intrauterine due to restricted maternal diet

CONTEXTO: O retardo do crescimento intra-uterino (RCIU) continua sendo importante problema em perinatologia neste final de século. A natureza do agente etiológico, o período da gestação em que ocorreu o insulto e a sua duração influenciam o tipo de RCIU. OBJETIVO: Estudar a fisiopatologia do retardo de crescimento intrauterino (RCIU) em ratas, decorrente da restrição protéico-calórica materna, em relação à evolução do pâncreas fetal e placenta entre o 18o e 21o dias de prenhez. TIPO DE ESTUDO: Ensaio clínico randomizado em animal de laboratório. PARTICIPANTES: 41 ratas prenhes, normoglicêmicas, da raça Wistar. INTERVENÇÃO: Constituíram-se seis grupos experimentais: controle, com dieta ad libitum e cesárea, respectivamente, no 18º e 21º dias; grupos dieta restritiva a 25% introduzida no 1o dia da prenhez e cesárea no 18o e 21o dias; grupos com a mesma restrição, porém iniciada no 3o dia, com cesárea no 18o e 21o dias. VARIÁVEIS ESTUDADAS: Os recém-nascidos foram classificados, em relação à média mais ou menos um desvio padrão do grupo controle, em peso pequeno (PIP), adequado (AIP) e grande (GIP) para a idade de prenhez; as placentas foram pesadas e processadas para estudo histopatológico, incluindo morfologia e histoquímica, e os pâncreas fetais, para estudo morfológico. RESULTADOS: A desnutrição protéico-calórica materna causou RCIU após o 18o dia da prenhez. Antes desse período não ocorreu RCIU, porque a desnutrição materna diminuiu o número da prole e a placenta tornou-se vicariante. A restrição alimentar não interferiu com a morfologia do pâncreas fetal, e o estudo imunohistoquímico da placenta mostrou que, quando a restrição é introduzida no 1o dia de prenhez, os estoques de glicogênio também não sofrem alterações, diminuindo entre o 18o e 21o dias, como na prenhez normal. A restrição no 3o dia cursou com baixas concentrações de glicogênio placentário no 18o dia e desaparecimento no 21o dia. CONCLUSÃO: A fisiopatologia do RCIU, decorrente da restrição protéico-calórica materna em ratas, está relacionada com menor peso placentário e baixos estoques de glicogênio placentário.

Nutrient Digestibility of Cereal Grain Products and By-products in Extruded Diets for Nile Tilapia

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Effect of organic mineral supplementation on the egg quality of semi-heavy layers in their second cycle of lay

This study was carried out to evaluate the effects of dietary trace mineral levels and sources on egg quality parameters of second-cycle semi-heavy layers. A number of 360 72-week-old layers were submitted to forced molting. Upon return of lay (83 weeks of age), birds were distributed according to a completely randomized experimental design of six treatments with six replicates of 10 birds each. The control treatment consisted of 0.10% dietary supplementation of trace minerals from inorganic sources, which was proportionally replaced by five levels (110, 100, 90, 80, 70%) of an organic trace mineral supplement containing 30, 30, 40, 6, 0.61, and 0.3 g/kg product of Zn, Fe, Mn, Cu, I, and Se, respectively. All diets contained equal protein, energy, and amino acid levels. Every 28 days of the experimental period (112 days) four eggs per replicate were collected for egg quality evaluation. The following parameters were evaluated: specific gravity, yolk, albumen and eggshell percentages, yolk index, Haugh units, and eggshell thickness and breaking strength. One sample per replicate, consisting of the pool of the yolks of three eggs collected at the end of each experimental period, was used to assess protein and mineral (Ca, P, Cu, Fe, Mn, and Zn) contents. The results were submitted to ANOVA, and means to the test of Tukey at 5% significance level. The evaluated trace mineral levels and sources did not influence any of the studied egg quality parameters. It was concluded that reducing organic trace mineral supplementation in up to 70% relative to 100% inorganic trace mineral supplementation does not affect egg parameters and therefore, can be applied to the diet of semi-heavy layers in their second cycle of lay.

Desnutrição protéico-energética no paciente gastrectomizado

Racional - A gastrectomia traz conseqüências nutricionais inevitáveis mas atenuáveis, dependendo da dietoterapia pós-operatória. Embora observada, essa desnutrição protéico-energética é pouco dimensionada, provavelmente, pela falta de consenso metodológico. Objetivo - Avaliar o grau de desnutrição protéico-energética do paciente gastrectomizado, utilizando-se de indicadores isolados ou combinados. Pacientes e Métodos - Foram estudados 71 pacientes com gastrectomia parcial (n = 53) ou total (n =18) em pós-operatório de 6 a 24 meses e 24-60 meses. Os dados dietéticos, composição corporal e bioquímicos foram analisados de acordo com o tipo de gastrectomia e tempo pós-operatório. Resultados - A cirurgia foi conseqüência de complicações de úlcera péptica (68%) ou a câncer gástrico (32%). A perda de peso foi referida por 70% dos pacientes, sendo maior no grupo gastrectomia total (16 ± 5 kg) do que no grupo gastrectomia parcial (10 ± 6 kg). em geral, os pacientes apresentaram déficit antropométrico, albuminemia normal e baixa ingestão calórica, sugerindo deficiência energética crônica. A redução de hemoglobina, hematócrito e ferro ocorreu em maior intensidade e mais precocemente no grupo gastrectomia total. Assim, quando se associou hemoglobina aos indicadores albumina, linfócitos circunferência do braço e prega cutânea subescapular, a prevalência de desnutrição protéico-energética foi maior e em maior intensidade do que na ausência da hemoglobina. Conclusão - A gastrectomia resultou em desnutrição protéico-energética do tipo marasmática, acompanhada de anemia, mais intensa e precoce na gastrectomia total e gradativa na gastrectomia parcial, assemelhando-se à gastrectomia total no pós-operatório tardio.

Energia e nutrientes digestíveis de alimentos para a tilápia do nilo

The utilization of energetic and protein feeds, highly digestible as well, becomes more and more necessary due to the quality of formulated rations, fish performance and relationship with the environment. Apparent digestibility coefficient (ADC) of dry matter, protein, energy, phosphorus, and amino acids of corn starch, corn, wheat, rice, soybean, and cottonseed meal, corn gluten and fish meal were determined for Nile tilapia. ADC was determined using a reference diet based on albumin, gelatin and corn starch, was used inert indicator chromium III oxide (Cr(2)O(3)). Each test diet composed by 70% of reference diet and 30% of the test diet. Feces were collected using mofied Guelph system. ADC values for protein and average ADC of amino acids were as follows: corn 89.76 and 96.43%, rice meal 95.88 and 92.26%, wheat meal 93.54 and 84.41%, fish meal 82.59 and 86.36%, corn gluten 89.82 and 87.98%, soybean meal 94.13 and 91.93%, cotton meal 87.10 and 77.47%, respectively. According to the results of this work, ADC of protein is not a reliable indicator of ADC values of amino acids, even more so for wheat meal, corn, and cotton meal. Among protein feeds, soybean meal was found to have the highest ADC for protein and amino acids, while corn was the energetic feed with the highest ADC (86.15%) for energy.

Effects of processing on physical characteristics of diets with distinct levels of carbohydrates and lipids: the outcomes on the growth of pacu (Piaractus mesopotamicus)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)