Meeting Pediatric Nutrition Needs with an Enteral Formula Containing Real Food

Minor, Gerard; Cekola, Pamela; Cohen, Scott J.; Huhmann, Maureen B.

doi:10.1016/j.jand.2017.06.264

Cited by 1 publication

(3 citation statements)

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“…A recent, multicenter, retrospective study of 43 children who were medically unwell found improvements in GI symptoms when participants switched to an enteral formula based on real‐food ingredients 9 . Similarly, a prospective, observational study of 21 children with neurological impairments who switched to a 1.0 kcal/ml real‐food formula reported that calorie and protein goals were achieved without intolerance or serious adverse events 15 . Another study examined a low‐calorie real‐food formula in 16 hypometabolic pediatric patients with neurological impairments or neuromuscular disorders, who would traditionally receive standard enteral formulas manipulated with modular protein, vitamins, minerals, and water 19 .…”

Section: Discussionmentioning

confidence: 98%

“…9 Similarly, a prospective, observational study of 21 children with neurological impairments who switched to a 1.0 kcal/ml real-food formula reported that calorie and protein goals were achieved without intolerance or serious adverse events. 15 Another study examined a lowcalorie real-food formula in 16 hypometabolic pediatric patients with neurological impairments or neuromuscular disorders, who would traditionally receive standard enteral formulas manipulated with modular protein, vitamins, minerals, and water. 19 This formula was well tolerated and met the children's nutrition requirements without added modular nutrients or formula manipulation.…”

Section: Discussionmentioning

confidence: 99%

“…Most describe medically complex patients with a variety of chronic diseases, who often require a gastrostomy tube 7,10,11,13,14 . Some have reported on neurological conditions as the most frequent primary diagnosis, 15 whereas others describe anecdotally how blended formulas may support formula tolerance 9 . Another set examine the reasons for using blended formula, focusing mainly on the patients' and caregivers' desire for real food 11,16 …”

Section: Discussionmentioning

confidence: 99%

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Understanding the use and tolerance of a pediatric and an adult commercial blenderized enteral formula through real‐world data

Steel

Wile

Li³

et al. 2022

Nut in Clin Prac

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Background: Home enteral nutrition (HEN) is frequently prescribed to individuals who cannot consume adequate food orally. Commercial blenderized enteral formulas (CBEF) containing real-food ingredients are becoming more popular and more widely available; however, the demographics of patients receiving these formulas have rarely been evaluated, and little data are available on patient tolerance in the community. Methods: US claims data were obtained for children and adolescents/adults who used the CBEF of interest as the sole source of nutrition via enteral feeding tube in the community setting following discharge from acute care. Demographics, concomitant medications, clinical diagnoses, and Charlson Comorbidity Index scores were tabulated using descriptive statistics. Gastrointestinal (GI) symptoms before and after hospital discharge were compared using significance tests. Results:The study included 231 participants (180 children, 51 adolescents/ adults). CBEFs were prescribed to patients with a variety of diagnoses, of which the most common were digestive and respiratory disorders. Children experienced significantly lower rates of diarrhea, nausea, vomiting, constipation, and abdominal distension in the weeks following hospital discharge compared with the baseline (all P < 0.001). Adolescents/adults experienced significantly lower rates of constipation, nausea, and vomiting (all P < 0.05).Neither group increased their usage of GI medications following hospital discharge. Conclusion:These CBEFs, based on real-food ingredients, were prescribed to diverse patients in the community and were well tolerated. These formulas offer an alternative to standard polymeric formulas and an alternative or adjunct to homemade blenderized formulas.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%