Qualidade nutricional e microbiológica de dietas enterais artesanais padronizadas preparadas nas residências de pacientes em terapia nutricional domiciliar

Santos, Valdirene Francisca Neves; Bottoni, Andrea; Morais, Tania Beninga

doi:10.1590/s1415-52732013000200008

Cited by 19 publications

(27 citation statements)

References 16 publications

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“…The decision to use ENT with the elderly is complex due to controversies regarding its ability to recover or maintain nutritional status and impact on survival 2,19 . When ENT is used, the diet must have adequate physical and chemical characteristics, even if using homemade or semi-homemade diets 9,10 .…”

Section: Resultsmentioning

confidence: 99%

“…These formulas require special care not only in the planning and calculation of their nutritional composition, but also in the technique of pre-preparation and cooking, standardization of measures, observation of physicalchemical characteristics and especially in the care of food hygiene and handling during the processes of preparation and administering [9][10][11] . They also have economic, cultural and social benefits.…”

Section: Introductionmentioning

confidence: 99%

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Development of enteral homemade diets for elderly persons receiving home care and analysis of macro and micronutrient composition

Jansen

Generoso

Guedes

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: the development and analysis of the macro and micronutrient composition of homemade enteral diets. Method: A standard homemade enteral diet was developed at three caloric concentrations -1500, 1800 and 2100 Kcal. After preparation and testing of viscosity, stability, odor and color, plus evaluation of cost, the chemical composition of the nutrients of the diets were analytically determined. Folic acid, vitamin D and vitamin B12 values were calculated using chemical composition tables. The results were compared with recommended nutritional standards for the elderly. Result: The diets exhibited normal macronutrient distribution. The 1500 caloric level presented some mineral and vitamin deficiencies. Suitable values were obtained at the other caloric levels for all minerals except magnesium. There were appropriate levels of all the vitamins in the 2100 Kcal diet, while vitamin E, D and B6 levels were below the recommended dietary allowances in the 1800 Kcal diet. Conclusion: The standard homemade enteral diets studied can contribute to the food and nutritional safety of elderly persons undergoing home care, if all are supplemented with magnesium and the 1800 Kcal diet is supplemented with vitamin E, D and B6. The 1500 Kcal diet was not nutritionally safe in terms of micronutrients.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development of enteral homemade diets for elderly persons receiving home care and analysis of macro and micronutrient composition

Jansen

Generoso

Guedes

et al. 2017

Rev. bras. geriatr. gerontol.

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show abstract

“…Outros fatores limitantes para a garantia de uma oferta adequada de macronutrientes pelas dietas enterais artesanais são: o uso de tabelas de composição de alimentos, que apresentam grande variabilidade e geralmente superestimam a distribuição de macronutrientes, prejudicando a fidedignidade da oferta 19 e; o desafio de orientar e treinar os cuidadores nos processos de manipulação, preparo, armazenamento e administração das dietas, para que perdas sejam evitadas e a qualidade microbiológica seja aceitável 6 .…”

Section: Discussionunclassified

Padronização de dietas enterais artesanais para uso domiciliar na Atenção Primária

Kutz¹,

Bonfim²,

Assis³

et al. 2018

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Padronização de dietas enterais artesanais para uso domiciliar na Atenção Primária Standardization of handmade enteral diets for household use in the Primary AttentionEstandarización de las dietas enterales hechos a mano para uso doméstico en la Atención Primaria Este estudo teve por objetivo padronizar e comparar dietas enterais artesanais quanto a valor energético, densidade energética, macronutrientes e custo. Trata-se de um estudo experimental, realizado em 2014. A análise bromatológica foi realizada no Laboratório de Bromatologia e Microbiologia de Alimentos da Universidade Federal de São Paulo. Foram padronizadas três dietas considerando-se o volume diário e por refeição administrada, acrescidas ou não de fórmula enteral polimérica em pó, total de energia, densidade energética, distribuição de macronutrientes e custo diário. Entre a DIETA 1 e a DIETA 3 e entre a DIETA 2 e a DIETA 3 houve diferenças estatisticamente significantes (p<0.05) nas variáveis estudadas. As duas dietas acrescidas de fórmula enteral polimérica em pó (DIETA 1 e DIETA 2) apresentaram melhor densidade energética e distribuição de macronutrientes. Foram padronizadas três dietas enterais artesanais possíveis de serem utilizadas por pacientes em terapia enteral domiciliar. Descritores: Alimentos formulados; Análise de alimentos; Dietoterapia.This study aimed to standardize and compare handmade enteral diets on energy value, energy density, macronutrients and cost. This is an experimental study, carried out in 2014. The bromatological analysis was carried out at the Laboratory of Bromatology and Food Microbiology of the Federal University of São Paulo, SP, Brazil. Three diets were standardized considering the daily volume and per meal administered, with or without polymeric enteral formula powder, total energy, energy density, macronutrient distribution and daily cost. Between DIET 1 and DIET 3 and between DIET 2 and DIET 3 there were statistically significant differences (p <0.05) in the variables studied. The two diets added with powdered enteral formula (DIET 1 and DIET 2) presented better energy density and macronutrient distribution. Three artisanal enteral diets were standardized and could be used by patients in enteral home therapy Descriptors: Food formulated; Food analysis; Diet therapy.Este estudio tuvo por objetivo estandarizar y comparar dietas enterales artesanales en cuanto a valor energético, densidad energética, macronutrientes y costo. Se trata de un estudio experimental, realizado en 2014. El análisis bromatológico fue realizado en el Laboratorio de Bromatología y Microbiología de Alimentos de la Universidad Federal de São Paulo, SP, Brasil. Se han normalizado tres dietas que se consideran el volumen diario y por comida administrada, más o menos de fórmula enteral polimérica en polvo, total de energía, densidad energética, distribución de macronutrientes y costo diário. Entre la DIETA 1 y la DIETA 3 y entre la DIETA 2 y la DIETA 3 hubo diferencias estadísticamente significativas (p <0.05) en las variables estudiadas. Las ...

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“…These factors contribute towards ensuring the right to healthy feeding to people with special feeding needs, as recommended in the guidelines of the Brazilian National Food and Nutrition Policy (PNAN) and National System on Food and Nutritional Safety (SISAN) (Brasil, 2012(Brasil, , 2011. Dn discharge from hospital, patients who need prolonged DENT may benefit from non-industrialized enteral nutrition, or rather, from handmade or semi-handmade diets (Santos et al, 2013). These formulas are made with in natura food commonly used at home, with or without nutritional modules and food products (Brasil, 2000).…”

Section: Introductionmentioning

confidence: 99%

Osmolality and pH in handmade enteral diets used in domiciliary enteral nutritional therapy

et al. 2017

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Patients who need prolonged domiciliary enteral nutritional therapy may benefit from handmade diets. However, the preparation of such diets might cause insecurity with regard to their nutritional composition and physical-chemical properties. Current study analyzes the osmolality and Hydrogen-Ion concentration (pH) on handmade enteral diets. To this purpose, six formulas and two juices, prescribed on discharge from hospital, were analyzed physically and chemically. Dsmolality and pH were respectively determined by cryoscopy and potentiometry. Most formulations were classified as isosmolar (with less than 400 mDsm/kg solvent), and only one was classified as slightly hyperosmolar, with rates ranging from 356.7 to 403.5 mDsm/kg solvent. Dn average, the standard formula presented higher osmolality than similar ones prepared for hyperglycemia. Among the juices, only one registered hyperosmolar concentration of 595.54 mDsm/kg solvent. All formulas presented pH rates classified as low acidity, ranging between 6.1 and 6.6, while the two juices had the lowest results, 4.73 and 4.66 each. The blend of ingredients used in handmade formulas and juices studied presented acceptable osmolality and pH rates for a safe administration and absence of gastrointestinal complications. Data showed here are consistent with an appropriate and healthy diet and contributed towards success in domiciliary enteral nutritional therapy.

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Qualidade nutricional e microbiológica de dietas enterais artesanais padronizadas preparadas nas residências de pacientes em terapia nutricional domiciliar

Cited by 19 publications

References 16 publications

Development of enteral homemade diets for elderly persons receiving home care and analysis of macro and micronutrient composition

Development of enteral homemade diets for elderly persons receiving home care and analysis of macro and micronutrient composition

Padronização de dietas enterais artesanais para uso domiciliar na Atenção Primária

Osmolality and pH in handmade enteral diets used in domiciliary enteral nutritional therapy

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