Ultra-high temperature (UHT) and retort processes are widely applied in the sterilization of liquid enteral formulae. This study investigated the effects of sterilization process on the physicochemical and nutritional properties of a liquid enteral formula. An ingredient mixture was sterilized by either UHT processing at 150℃ for 5 s, or retort processing at 121℃ for 10 min (retort A) or 121℃ for 40 min (retort B). In vitro assays showed less protein modification in the UHT formula than in either retort formula. In vivo assays also demonstrated that net protein utilization was greatest with the UHT formula, and cecal nitrogen and ammonia concentrations in rats fed the UHT formula were lower than in rats fed either retort formula. These results indicate that the sterilization process affects the protein quality of the formula as well as the intestinal environment of rats fed the formula.Keywords: enteral formula, sterilization, glycation, protein quality, intestinal environment
IntroductionIn recent years, the number of elderly individuals requiring nutritional care has increased in parallel with the world's aging population, including in Japan. Various enteral formula products have been developed to maintain an adequate nutritional status in the elderly. Enteral formulae are also used as a nutritional source for patients with various disorders. Therefore, these products must have a high standard of hygienic quality. To ensure a high level of microbial safety in enteral formula products, sterilization is generally performed during the production process using widely applied methods such as ultra-high temperature (UHT) or retort processing.In UHT processing, the enteral formula is heated at a high temperature for a few seconds and packaged under aseptic conditions. In contrast, in retort processing, the enteral formula is packaged in a thermally resistant container and heated at a high temperature for minutes. The time required for retort sterilization is clearly much longer than for UHT sterilization. Generally, the temperature required for retort sterilization is lower than for UHT sterilization.Heat treatment stimulates the Maillard reaction in milk and dairy products, which is related to the heating temperature and duration (van Boekel, 1998). Because the amino group of amino acids, especially lysine, is blocked by the reducing sugar in the Y. Takeda. et al. 574 Maillard reaction (Rufián-Henares et al., 2006;van Boekel, 1998), it is thought that heat treatment affects protein quality (Desrosiers and Savoie, 1991;Kilshaw et al., 1982;Rutherfurd and Moughan, 2005;Sarwar et al., 1988).In fact, Sarwar et al. (1989) investigated the protein quality of commercial infant formulae manufactured by different production processes in a rat study, and found that the digestibility and protein efficiency ratio of the liquid formula were lower than those of the powder. In contrast, Sarriá et al. (2000) investigated the protein quality of various commercial formulae, including a powdered form, an in-bottle-sterilized form ...