Knowledge of Constituent Ingredients in Enteral Nutrition Formulas Can Make a Difference in Patient Response to Enteral Feeding

Savino, Patricia

doi:10.1177/0884533617724759

Cited by 30 publications

(41 citation statements)

References 75 publications

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“…15,19 A recent prospective, randomized, double-blind study found that patients who received commercial enteral formulas with low FODMAP content had decreased diarrhea and improved nutrition status in individuals predisposed to gastrointestinal problems. 1,20 There is no information in the literature regarding the content of FODMAP in homemade enteral formulas, which are prescribed in hospital discharge guidelines for patients who proceed with home ENT. Thus, this study aimed to evaluate the nutrition composition and to quantify the content of FODMAP in homemade enteral formulas, commonly prescribed for home use after hospital discharge.…”

Section: Introductionmentioning

confidence: 99%

Content of Poorly Absorbed Short‐Chain Carbohydrates (FODMAP) in Enteral Homemade Diets

et al. 2018

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Background Recent studies have shown that commercial enteral formulas with low FODMAP (FO, fermentable oligosaccharides; D, disaccharides; M, monosaccharides; AP, and polyols) content decrease diarrhea of individuals receiving enteral nutrition therapy (ENT). There is no information, however, regarding the content of FODMAP in homemade enteral formula. The objective of this study was to assess energy and macronutrient content, and to quantify the amount of FODMAP content in homemade enteral formula, commonly prescribed for home use after hospital discharge. Methods Recipes of homemade enteral formula were requested from all hospitals and healthcare centers in a Brazilian city, totaling 24 recipes. The diets were quantified in relation to their energy content, macronutrients, and FODMAP content. Results Of the 19 hospitals, 68.4% prescribe only commercial enteral formulas at the time of hospital discharge, and 31.6% prescribe homemade enteral formula, both conventional and commercial. The homemade enteral formula showed a variation from 700 to 3000 kcal/d. The macronutrient levels of carbohydrates, proteins, and fats were 49.0% ± 6.8%, 17.4% ± 3.1%, and 33.5% ± 6.2%, respectively. On average, homemade enteral formula had 58.5% of high FODMAP content, 7.1% of moderate content, and 34.5% of low FODMAP content, considering that milk is the main food responsible for the high content of FODMAP. Conclusions Homemade enteral formula presented adequate nutrition characteristics and is rich in FODMAP. It is important to consider FODMAP in enteral diets prescribed for individuals intolerant to these carbohydrates by individualizing the diet prescription.

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Section: Introductionmentioning

confidence: 99%

Content of Poorly Absorbed Short‐Chain Carbohydrates (FODMAP) in Enteral Homemade Diets

et al. 2018

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“…27,28 Choosing an enteral diet should be based on the EN consumer's clinical and medical status, as well as ingredients. 29 CEFs are typically categorized based on nutrition composition. Enteral formula review articles that detail CEF ingredients and their potential effects on health and tube-feeding tolerance have been publushed.…”

Section: Commercial Enteral Formula and Commercial Blenderized Tube Fmentioning

confidence: 99%

Blenderized Tube Feeding: Health Outcomes and Review of Homemade and Commercially Prepared Products

Bennett

Hjelmgren²,

Piazza³

2020

Nut in Clin Prac

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The popularity of homemade blenderized tube feeding (HBTF) continues to increase among enteral nutrition (EN) consumers and healthcare providers alike, citing improved feeding tolerance over standard commercial enteral formulas, among other health outcomes. Within the past 5-10 years, there has been a surge in the development of commercial blenderized tube feeding (CBTF) products. CBTF products promote similar benefits from whole foods like those used in HBTF while being a nutritionally-consistent, easy to use, and shelf-stable option for EN consumers. Research is improving but is still limited for HBTF and virtually nonexistent for CBTF products. This review aims to summarize current health outcomes of HBTF, compare HBTF with CBTF, evaluate CBTF products, and provide considerations for future research and practices.

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“…However, the eventual alterations in absorption are rarely considered and are difficult to monitor, yet may lead to relevant deficiencies of both macro- and micronutrients. The impact of proton pump inhibitors on the digestibility of nutrients, the impact of diet composition on absorption, and the secretion of digestive enzymes during continuous EN are questions that are poorly studied and understood [ 28 ].…”

Section: Gastrointestinal Dysfunctionmentioning

confidence: 99%

Early or Late Feeding after ICU Admission?

Blaser

Berger²

2017

Nutrients

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The feeding of critically ill patients has recently become a controversial issue, as several studies have provided unexpected and contradictory results. Earlier beliefs regarding energy requirements in critical illness—especially during the initial phase—have been challenged. In the current review, we summarize existing evidence about fasting and the impact of early vs. late feeding on the sick organism’s responses. The most important points are the non-nutritional advantages of using the intestine, and recognition that early endogenous energy production as an important player in the response must be integrated in the nutrient prescription. There is as of yet no bedside tool to monitor dynamics in metabolism and the magnitude of the endogenous energy production. Hence, an early “full-feeding strategy” exposes patients to involuntary overfeeding, due to the absence of an objective measure enabling the adjustment of the nutritional therapy. Suggestions for future research and clinical practice are proposed.

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Knowledge of Constituent Ingredients in Enteral Nutrition Formulas Can Make a Difference in Patient Response to Enteral Feeding

Cited by 30 publications

References 75 publications

Content of Poorly Absorbed Short‐Chain Carbohydrates (FODMAP) in Enteral Homemade Diets

Content of Poorly Absorbed Short‐Chain Carbohydrates (FODMAP) in Enteral Homemade Diets

Blenderized Tube Feeding: Health Outcomes and Review of Homemade and Commercially Prepared Products

Early or Late Feeding after ICU Admission?

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