Epp Lisa, Lammert Lisa, Vallumsetla Nishanth, Hurt Ryan T, Mundi Manpreet S
1 Division of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, Rochester, Minnesota, USA; the.
2 Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA; the.
Nutr Clin Pract. 2017 Apr;32(2):201-205. doi: 10.1177/0884533616662992. Epub 2016 Sep 1.
Long-term use of enteral nutrition (EN) continues to increase due to significant noted benefits. Patients also continue to express significant desire to pursue holistic and organic diets. Despite this, many nutrition providers are not well versed in assisting patients with blenderized tube feeding (BTF), and prevalence of its use is unknown.
A validated survey was administered to Oley Foundation members or individuals with access to the Oley website to assess the prevalence of BTF.
A total of 216 participants took the survey, of whom 125 (57.8%) were pediatric patients with a mean age of 5.4 ± 3.5 years and 91 (42.2%) were adults with a mean age of 51.7 ± 19.5 years. Of pediatric patients, 112 (89.6%) used BTF for an average of 71% of their total daily nutrition intake; 93 (83%) reported that BTF comprised >50% of their daily EN, 12 (10.7%) reported it comprised 25%-50% of their daily enteral intake, and 7 (6.3%) reported BTF comprised < 25% of their daily intake. In the adult population, 60 (65.9%) used BTF for an average of 56% of total daily nutrition intake; 41 (68.4%) reported BTF comprised >50% of their daily nutrition intake, 11 (18.3%) reported it compromised 25%-50%, and 8 (13.3%) reported BTF comprised <25% of their daily intake.
Most of the pediatric and adult patients surveyed use BTF as some portion of their enteral intake, making it essential that clinicians expand their knowledge related to BTF to appropriately care for this patient population.
由于已注意到的显著益处,肠内营养(EN)的长期使用持续增加。患者也持续表达出对采用整体有机饮食的强烈意愿。尽管如此,许多营养提供者并不精通协助患者进行匀浆管饲(BTF),其使用的普遍性也尚不清楚。
对奥里基金会成员或有权访问奥里网站的个人进行一项经过验证的调查,以评估BTF的普遍性。
共有216名参与者接受了调查,其中125名(57.8%)为儿科患者,平均年龄为5.4±3.5岁,91名(42.2%)为成年人,平均年龄为51.7±19.5岁。在儿科患者中,112名(89.6%)使用BTF,平均占其每日总营养摄入量的71%;93名(83%)报告BTF占其每日肠内营养的比例超过50%,12名(10.7%)报告占其每日肠内摄入量的25%-50%,7名(6.3%)报告BTF占其每日摄入量的比例低于25%。在成年人群中,60名(65.9%)使用BTF,平均占每日总营养摄入量的56%;41名(68.4%)报告BTF占其每日营养摄入量的比例超过50%,11名(18.3%)报告占25%-50%,8名(13.3%)报告BTF占其每日摄入量的比例低于25%。
大多数接受调查的儿科和成年患者将BTF用作其肠内摄入量的一部分,因此临床医生必须扩展其与BTF相关的知识,以便为这一患者群体提供适当的护理。