Nutritional Effects of Supplementing Liquid-Formula Diet with Dietary Fiber on Elderly Bed-Ridden Patients

Wada, Seiko; Nakaji, Shigeyuki; Umeda, Takashi; Takahashi, Ippei; Oyama, Takao; Chinda, Daisuke; Sugawara, Kazuo; Shimoyama, Tadashi; Sakamoto, Juichi; Fukuda, Shinsaku

doi:10.1620/tjem.203.9

Cited by 2 publications

(1 citation statement)

References 19 publications

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“…sendo que a contribuição com maior quantidade foi para a goiaba, seguida da do tamarindo. No entanto, a contribuição dos outros alimentos também pode ser considerada significativa, devido à importância da presença de fibras alimentares na nutrição enteral para manter a integridade da mucosa intestinal da função absortiva, e evitar translocação bacteriana (WAITZBERG, 2004;WADA et al, 2004).…”

Section: Composição Centesimal Dos Alimentos Experimentaisunclassified

Estudo de fibras alimentares em frutas e hortaliças para uso em nutrição enteral ou oral

Araújo

Menezes

2010

Food Sci. Technol

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Dietas enterais com alimentos convencionais são usadas em terapia nutricional domiciliar para fornecer macronutrientes e obter dietas individualizadas de menor custo (SILVA et al., 2005). No entanto, mais estudos científicos são necessários para quantificar quimicamente os nutrientes, melhorar o valor nutricional das dietas naturais e obter maior confiabilidade e segurança nas formulações, bem como melhorar o teor de fibras alimentares. Em terapia nutricional enteral, as fibras são prescritas para favorecer a tolerância à formulação, prevenir complicações (CATALANI et al., 2003;NAKAO et al., 2002) e alterações da mucosa intestinal e evitar a translocação bacteriana. A presença de fibras na dieta pode modificar a microbiota intestinal e conferir maior proteção aos colonócitos. As fibras auxiliam na regularização do trânsito intestinal não só em pacientes que seguem a terapia nutricional por períodos prolongados, mas também em pacientes que apresentam diarreia importante e/ou hábito intestinal instável (ora diarreia, ora obstipação) (ARAÚJO, W. M. C.; ARAÚJO, R. A. C, 1998; ARAÚJO, R. A. C.; ARAÚJO, W. M. C., 1999;BAXTER et al., 2000;MONGEAU;BRASSARD;VERDIER, 1989).A presença de ácidos graxos de cadeia curta, formados a partir da fermentação das fibras pelas bactérias colônicas, é também importante por que exerce efeito bactericida local, mantém a integridade das células intestinais, aumenta o fluxo sanguíneo local e favorece a absorção de sódio, além de atuar efetivamente na regularização intestinal (BAXTER, 2001).O consumo de vegetais tem sido considerado cada vez mais importante para a saúde (IOWA, 2008), devido às suas propriedades benéficas como o auxílio na digestão, reforço AbstractEnteral diets based on conventional foods are used in domestic nutritional therapy to provide macronutrients, obtain individualised diets and to lower costs. Eggplant, carrot, chicory, lettuce, guava and tamarind were studied as sources of soluble and insoluble fibers for use in enteral diets or as oral nutritional supplements, added to a domestic enteral formulation and also prepared in aqueous solution. The following physical-chemical characteristics were determined: soluble and insoluble fibers, proximate composition, pH and water activity. Drip tests were carried out with the formulas containing the experimental foods and as an oral nutritional supplement the best proportion of food/ water was shown to be 150 g/2 L, whereas when added to the formula, the best proportion was 100 g food/2 L of formula. The amounts of each food added to the enteral formula were equivalent to two daily portions (100 g) of each food per 2 L or 2000 kcal. Of the foods tested, the guava contributed the greatest amount of fiber and the eggplant the least. The values for water activity were between 0.95 and 1.00, indicating that these diets should be consumed immediately after preparation. Keywords: soluble and insoluble fibers; oral nutritional supplement; enteral nutrition; water activity; conventional foods; nutritional value. ResumoDietas enterais...

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Section: Composição Centesimal Dos Alimentos Experimentaisunclassified

Estudo de fibras alimentares em frutas e hortaliças para uso em nutrição enteral ou oral

Araújo

Menezes

2010

Food Sci. Technol

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Patients’ and professionals’ preferences in terms of the attributes of home enteral nutrition products in Spain. A discrete choice experiment

Olveira

Olmos²,

Bobadilla

et al. 2017

Eur J Clin Nutr

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Background/objectivesTo elicit and compare preferences in terms of the attributes of home enteral nutrition (HEN) among patients and physicians, using a discrete choice experiment (DCE).Subjects/methodsA DCE comprising eight choice scenarios, with six HEN attributes (tolerability, adaptation to comorbidities, nutrition and calories, handling, connections and information; two levels each) was designed. The Relative Importance (RI) for patients and physicians of each attribute was estimated. Sociodemographic and clinical variables, as well as additional questions (n = 8) were compiled to analyze possible explanatory variables and other preferences.ResultsA total of 148 HEN patients (71 needing caregivers to answer on their behalf) and 114 physicians completed the DCE. The most important attributes for patients were adaptation to comorbidities (33% RI), tolerability (33% RI), and nutrition and calories (26% RI). Significantly, younger patients had stronger preferences for tolerability whereas elderly ones (≥75 years) were more concerned about handling. In comparison, physicians gave a higher RI to tolerability, and nutrition and calories compared to patients (p = 0.002). Overall, a higher percentage of physicians answered that HEN characteristics such as easy-handling bags (85.1 vs. 64.9%; p = 0.001), container material (69.3 vs. 57.1%; p = 0.003) or reusable containers (79.8 vs. 70.3%; p = 0.01) were “important” or “very important” compared to patients.ConclusionsOur findings showed that although patients and physicians have a similar perception about the relevance of different HEN attributes, the relative weight given to each one varies between them. Therefore, both points of view should be considered when choosing a HEN product in order to improve patients’ satisfaction and clinical outcomes.

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Nutritional Effects of Supplementing Liquid-Formula Diet with Dietary Fiber on Elderly Bed-Ridden Patients

Cited by 2 publications

References 19 publications

Estudo de fibras alimentares em frutas e hortaliças para uso em nutrição enteral ou oral

Estudo de fibras alimentares em frutas e hortaliças para uso em nutrição enteral ou oral

Patients’ and professionals’ preferences in terms of the attributes of home enteral nutrition products in Spain. A discrete choice experiment

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