Potential Nutritional and Metabolomic Advantages of High Fat Oral Supplementation in Pancreatectomized Pancreaticobiliary Cancer Patients

• Published in: Nutrients Vol. 11; no. 4; p. 893
• Main Authors: Yun, Bo Kyeong, Song, Mina, Hwang, Ho Kyoung, Lee, Hosun, Lee, Song Mi, Kang, Chang Moo, Lee, Seung-Min
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 20.04.2019; MDPI
• Subjects: Antigens; Biomarkers; Body weight; Carbohydrates; Cell adhesion & migration; Cholesterol; Diet; Dietitians; Digestive enzymes; Energy; Fats; Fatty acids; Food; high fat supplement; Hospitals; Intestinal absorption; Intestine; Linolenic acid; Lipids; Lipoproteins; Malnutrition; Metabolomics; Nutrition research; Oils & fats; Oleic acid; Pancreatic cancer; Parenteral nutrition; Portal vein; postoperative oral nutritional supplement; Prostate; Proteins; Satiety; Stearic acid; Surgery; Surgical outcomes; Triglycerides; high fat supplement; pancreatic cancer; postoperative oral nutritional supplement; metabolomics
• ISSN: 2072-6643; 2072-6643
• DOI: 10.3390/nu11040893

We examined the effect of high fat oral nutritional supplement (HFS) on the nutritional status, oral intake, and serum metabolites of postoperative pancreaticobiliary cancer patients. Pancreaticobiliary cancer patients were voluntarily recruited. The HFS group received postoperative oral high fat supplementation (80% of total calories from fat; = 12) until discharge; the control group (non-HFS; = 9) received none. Dietary intake, anthropometry, blood chemistry, nutritional risk index (NRI), and serum metabolites analyzed by liquid chromatography tandem mass spectrometry were evaluated. Overall, cumulative caloric supply via parental and oral/enteral routes were not different between groups. However, oral fat intake, caloric intake, and NRI scores of the HFS group were higher than those of the non-HFS group with increased oral meal consumption. Oral caloric, fat, and meal intakes correlated with NRI scores. Metabolomics analysis identified 195 serum metabolites pre-discharge. Oral fat intake was correlated with 42 metabolites relevant to the glycerophospholipid pathway. Oral high fat-specific upregulation of sphingomyelin (d18:1/24:1), a previously reported pancreatic cancer-downregulated metabolite, and lysophosphatidylcholine (16:0) were associated with NRI scores. Provision of HFS in postoperative pancreatic cancer patients may facilitate the recovery of postoperative health status by increasing oral meal intake, improving nutritional status, and modulating serum metabolites.