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Muscle Intracellular Ions during Malnutrition and Refeeding

  • Chapter
Metabolic Support of the Critically Ill Patient

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 17))

Abstract

Consequences of protein-calorie malnutrition (PCM) have mostly been approached in terms of changes in body cell mass, or in body compartments as lean and fat masses. Such an approach exaggerates the relationship between tissue composition and tissue function. In addition, evidence of body compartment alterations does not provide any information about the pathophysiological consequences of such changes. For instance, does a reduction in muscle mass reduce the muscle performance in terms of power and endurance? In contrast, a function-oriented approach gives an overall appreciation of the integrity of a given mechanism which might be altered by malnutrition. Functions might be studied at different levels: a whole organism (i.e. heat production), an organ (i.e. muscle power), or an individual cell (i.e. membrane potential). At the cellular level, the relationship between ions content and membrane properties reflects that between PCM and cellular function.

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References

  1. Heymsfield SB, McManus CB, Seitz SB, Nixon DW, Smith Andrew J (1984) Nutritional assessment of adult protein-energy malnutrition. In: Wright RA, Heymsfield SB, McManus CB (eds) Nutritional assessment, Blackwell Scientific Publications, Inc; Boston pp 27–83

    Google Scholar 

  2. Pichard C, Jeejeebhoy KN (1988) Muscle dysfunction in malnourished patients. Quarter J Int Med 260:1021–1045

    Google Scholar 

  3. Cunningham JN, Carter NW, Rector FC, Seldin DW (1971) Resting transmembrane potential difference of skeletal muscle in normal subjects and severely ill patients. J Clin Invest 50:49–59

    Article  PubMed  CAS  Google Scholar 

  4. Cuthbertson DP (1979) The metabolic response to injury and its nutritional implications: Retrospect and prospect. JPEN 3:108–129

    Article  CAS  Google Scholar 

  5. Chiolero R, Gay LJ, Cotting J, Gurtner C, Schuitz Y (1992) Assessment of changes in body water by biompedance in acutely ill surgical patients. Intensive Care Med 18:322–326

    Article  PubMed  CAS  Google Scholar 

  6. Heymsfield SB, Head CA, McManus CB, et al (1984) Respiratory cardiovascular and metabolic effects of enteral hyperalimentation: Influence of formula dose and composition. Am J Clin Nutr 40:116–130

    PubMed  CAS  Google Scholar 

  7. Shizgal HM, Vasilevsky CA, Gardiner PF, et al (1986) Nutritional assessment and skeletal function. Am J Clin Nutr 44:761–777

    PubMed  CAS  Google Scholar 

  8. Solomon SM, Kirby DF (1990) The refeeding syndrome: A review. JPEN 14:90–97

    Article  CAS  Google Scholar 

  9. Metcoff J, Frank S, Yoshida T, et al (1975) Protein calorie malnutrition. In. Olsen RE (ed) Protein calorie malnutrition, Academic Press, New York:pp 65–85

    Google Scholar 

  10. Eales L (1961) Abnormalities of fluid and electrolyte metabolism in malnutrition in adult. In: Brock JF (ed) Recent advances in human nutrition, Churchil, J. A. Ltd; London pp 198–217

    Google Scholar 

  11. Russell DM, Walker PM, Leiter LA, et al (1984) Metabolic and structural changes in skeletal muscle during hypocaloric dieting. Am J Clin Nutr 39:503–513

    PubMed  CAS  Google Scholar 

  12. Lennmarken C, Sandstedt S, Croner S, Symreng T, Larsson J (1984) Muscle metabolic changes in severe malnutrition - Effect of parenteral nutrition. Clin Nutr 3:41–45

    Article  Google Scholar 

  13. Heymsfield SB (1982) Biochemical composition of muscle in normal and semistarved human subjects: Relevance of anthropometric measurements. Am J Clin Nutr 36:131–142

    PubMed  CAS  Google Scholar 

  14. Bergström J, Fürst P, Holmström B (1981) Influence of injury and nutrition on muscle water and electrolytes. Ann Surg 193:810–816

    Article  PubMed  Google Scholar 

  15. Jacobson S, Carlmark B (1990) Total body potassium, fat and water during total parenteral nutrition in Crohn’s disease. Clin Nutr 9:272–280

    Article  PubMed  CAS  Google Scholar 

  16. Sitges-Serra A, Arcas G, Guirao X, Garcia-Dominho M, Gil MJ (1992) Extracellular fluid expansion during parenteral refeeding. Clin Nutr 11:63–68

    Article  PubMed  CAS  Google Scholar 

  17. Adibi SA (1971) Interrelationships between level of amino acids in plasma and tissue during starvation. Am J Physiol 221:829–838

    PubMed  CAS  Google Scholar 

  18. Spence CA, Hansen-Smith FM (1978) Comparison of the chemical and biochemical composition of thirteen muscles of the rat after dietary protein restriction. Brit J Nutr 39:647–658

    Article  PubMed  CAS  Google Scholar 

  19. Pichard C, Hoshino E, Allard J, et al (1991) Intracellular potassium activity and membrane potential in rat muscle during malnutrition and refeeding studied in vivo by potassium-sensitive microelectrode (KISE) and atomic absorption. Am J Clin Nutr 54:489–498

    PubMed  CAS  Google Scholar 

  20. Platt BS, Heard CRC, Stewart RJC (1964) Experimental protein-calorie deficiency. In: Munro HN, Allison JB (eds). Mammalian protein metabolsim, Academic Press; New York, pp 445–521

    Google Scholar 

  21. Bergstrom J, Hultman E (1974) Water, electrolyte and glycogen content of muscle tissue in patients undergoing regular dialysis therapy. Clin Nephrol 2:24–34

    PubMed  CAS  Google Scholar 

  22. Clausen T, Kjeldsen K (1987) Effects of potassium deficiency on N,K homeostasis and Na+, K+-ATPase in muscle. Curr Topics Membr Transport 28:403–419

    CAS  Google Scholar 

  23. Hille B (1984) Potassium channels and chloride channels. In: Sunderland (ed) Ionic channels of excitable membrane. Sinauer Associates Incorporation, pp 99–114

    Google Scholar 

  24. Wills NK, Clausen C, Clauss WC (1987) Electrophysiology of active potassium transport across the mammalian colon. Curr Topics Membr Transport 28:441–156

    Google Scholar 

  25. McNeill KG, Mernagh JR, Jeejeebhoy KN, Wolman SL, Harrison JE (1979) In vivo measurements of body protein based on the determination of nitrogen by prompt gamma analysis. Am J Clin Nutr 32:1955–1961

    PubMed  CAS  Google Scholar 

  26. McNeill KG, Harrison JE, Mernagh JR, Stewart S, Jeejeebhoy KN (1982) Changes in body protein, body potassium, and lean body mass during total parenteral nutrition. JPEN 6:106–112

    Article  CAS  Google Scholar 

  27. Lukaski HC, Mendez J, Buskirk ER, Cohn SH (1981) A comparison of methods of assessment of body composition including neutron activation analysis of total body nitrogen. Metabolism 30:777–782

    Article  PubMed  CAS  Google Scholar 

  28. Moore FD, Oelsen KH, McMurray JD, et al (1978) The body cell mass and its supporting environment. In: N.R.C.C.o.A. Nutrition, Body Composition in Health and Disease, WB Saunders Co, Washington D.C. pp 56–116

    Google Scholar 

  29. Russell DM, Prendergast PJ, Darby PL, et al (1983) A comparison between muscle function and body composition in anorexia nervosa: The effect of refeeding. Am J Clin Nutr 38:229–237

    PubMed  CAS  Google Scholar 

  30. Almond DF, King RFGJ, Burkinshaw L, Laughland A, McMahon MF (1987) Potassium depletion in surgical patients: Intracellular cation deficiency is independent of loss of body protein. Clin Nutr 6:45–50

    Article  Google Scholar 

  31. Nordenström J, Carpentier YA, Askanazi J, et al (1983) Free fatty acid mobilization and oxidation during parenteral nutrition in trauma and infection. Ann Surg 198:725–735

    Article  PubMed  Google Scholar 

  32. Slosman DO, Casez JP, Pichard C, et al (1992) Assessment of whole-body composition using dual X-ray absorptiometry. Radiology 185: 593–598

    PubMed  CAS  Google Scholar 

  33. Russell DM, Atwood HL, Whittaker JS, et al (1984) The effect of fasting and hypocaloric diets on the functional and metabolic characteristics of rat gastrocnemius muscle. Clin Sciences 67:185–194

    CAS  Google Scholar 

  34. Bergström J (1962) Muscle electrolytes in man. Scand J Clin Lab Invest (Suppl) 68:14

    Google Scholar 

  35. Fong CN, Jeejeebhoy KN, Atwood HL, Charlton MP (1987) Nutrition and muscle potassium: Differential effect in rat slow and fast muscles. Can J Pharmacol Physiol 65:2188–2190

    Article  CAS  Google Scholar 

  36. Legaspi A, Roberts JP, Albert JD, Tracey KJ, Shires GT (1988) The effects of starvation and total parenteral nutrition on skeletal muscle amino acid content and membrane potential difference in normal man. Surg Gynecol Obst 166:233–240

    CAS  Google Scholar 

  37. Viteri F, Behar M, Arroyave G, Scrimshaw NS (1964) Clinical aspects of protein malnutrition. In: Munro HN, Allison JB (eds) Mammalian protein metabolism. Academic Press, New York pp 381–481

    Google Scholar 

  38. Fisler JS, Drenick EJ (1987) Starvation and semi-starvation diets in the management of obesity. Ann Rev Nutr 7:465–84

    Article  CAS  Google Scholar 

  39. Jeejeebhoy KN (1988) Bulk or bounce - The object of nutritional support. JPEN 12:539–549

    Article  CAS  Google Scholar 

  40. Hummel Z (1980) Bound potassium in muscle II. Acta Biochimica Biophysica Acad Scien Hungarica 15:89–94

    CAS  Google Scholar 

  41. Reikeras O, Nordstrand K (1989) Effects of glucose-insulin-potassium infusion on glycogen levels in cardiac and skeletal muscles in rats. Clin Nutr 8:213–215

    Article  PubMed  CAS  Google Scholar 

  42. Adam WR, Korettsky AP, Weiner MV (1988) Potassium adaptation: 39K-NMR evidence for intracellular compartmentalization of K+. Am J Physiol 254:F401–F406

    PubMed  CAS  Google Scholar 

  43. Charlton MP, Silverman H, Atwood HL (1981) Intracellular potassium activities in muscles of normal and dystrophic mice: An in vivo electrometric study. Exper Neurol 71:203–219

    Article  CAS  Google Scholar 

  44. Shoji S (1986) Effects of stretch and starvation on glucose uptake of rat soleus and extensor digitorum longus muscles. Muscle Nerve 9:144–147

    Article  PubMed  CAS  Google Scholar 

  45. Yoshimatsu H, Oomura Y, Katafuchi T, Akaike N (1986) Hypoythalamic regulation of sodium-potassium pump activity in skeletal muscle. Brain Research 384:17–22

    Article  PubMed  CAS  Google Scholar 

  46. Dulloo AG, Young JB, Landsberg L (1988) Sympathetic nervous system responses to cold exposure and diet in rat skeletal muscle. Am J Physiol 255:E180–E188

    PubMed  CAS  Google Scholar 

  47. Chan STF, McLaughlin SJ, Ponting GA, Biglin J, Dudley HAF (1986) Muscle power after glucose-potassium loading in undernourished patients. Brit Med J 293: 1055–1056

    Article  CAS  Google Scholar 

  48. Pichard C, Vaughan C, Struck RS, Armstrong RL, Jeejeebhoy KN (1988) The effects of fasting hypocaloric feeding and refeeding on muscle energetics studied by 31 phosphorus nuclear magnetic resonance. Am J Clin Nutr 47:773

    Google Scholar 

  49. Edwards R, Young A, Wiles M (1980) Needle biopsy of skeletal muscle in the diagnosis of myopathy and the clinical study of muscle function and repair. N Engl J Med 302:261–271

    Article  PubMed  CAS  Google Scholar 

  50. Magnusson K, Wahren J, Ekman L (1990) Protein synthesis in skeletal muscle during starvation and refeeding: Comparison of data from intact muscle and muscle biopsy material. Metabolism 39: 1113–1117

    Article  PubMed  CAS  Google Scholar 

  51. Amundsen LR, Graves JM (1991) Testing knee extensor muscles of survivors of poliomyelitis. J Hum Muscle Performance 1:25–34

    Google Scholar 

  52. Berkelhammer CH, Leiter LA, Jeejeebhoy KN (1985) Skeletal muscle function in chronic renal failure: An index of nutritional status. Am J Clin Nutr 42:845–854

    PubMed  CAS  Google Scholar 

  53. Bruce SA, Newton D, Woledge RC (1989) Effect of subnutrition on normalized muscle force and relaxation rate in human subjects using voluntary contractions. Clin Sciences 76: 637–641

    CAS  Google Scholar 

  54. Lennmarken C, Sandstedt S, Schenck HV, Larsson J (1986) The effect of starvation on skeletal muscle function in man. Clin Nutr 5:99–103

    Article  PubMed  CAS  Google Scholar 

  55. Lennmarken C, Rutberg H, Jorfeldt L, Larsson J (1990) Effect of starvation on work capacity and voluntary skeletal muscle function in man. Clin Nutr 9:231–233

    Article  PubMed  CAS  Google Scholar 

  56. Tani H, Itoh H, Nagasaki H (1992) Dynamic properties of the knee extensor muscles in young and elderly subjects. J Hum Muscle Performance 1:41–50

    Google Scholar 

  57. Kalfarentzos F, Spiliotis J, Velimezis G, Dougenis D, Androulakis J (1989) Comparison of forearm muscle dynamometry with nutritional prognostic index, as a preoperative indicator in cancer patients. JPEN 13:34–36

    Article  CAS  Google Scholar 

  58. Fong Y, Hesse DG, Tracey KJ, et al (1988) Submaximal exercise during intravenous hyperalimentation of depleted subjects. Ann Surg 207:297–304

    Article  PubMed  CAS  Google Scholar 

  59. Zeiderman MR, McMahon MJ (1989) The role of objective measurement of skeletal muscle function in the pre-operative patient. Clin Nutr 8:161–166

    Article  PubMed  CAS  Google Scholar 

  60. Pichard C, Vaughan C, Struck RS, Armstrong RL, Jeejeebhoy KN (1988) The effect of dietary manipulations (fasting, hypocaloric feeding and subsequent refeeding) on rat muscle energetics as assessed by nuclear magnetic resonance spectroscopy. J Clin Invest 82:895–901

    Article  PubMed  CAS  Google Scholar 

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© 1993 Springer-Verlag Berlin Heidelberg

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Pichard, C., Slosman, D., Dulloo, A.G. (1993). Muscle Intracellular Ions during Malnutrition and Refeeding. In: Wilmore, D.W., Carpentier, Y.A. (eds) Metabolic Support of the Critically Ill Patient. Update in Intensive Care and Emergency Medicine, vol 17. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-85011-0_4

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  • DOI: https://doi.org/10.1007/978-3-642-85011-0_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-85013-4

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