商业和非商业肠内营养制剂的能量及营养成分比较

Comparison of Energy and Nutrient Contents of Commercial and Noncommercial Enteral Nutrition Solutions.

作者信息

Jolfaie Nahid Ramezani, Rouhani Mohammad Hossein, Mirlohi Maryam, Babashahi Mina, Abbasi Saeid, Adibi Peiman, Esmaillzadeh Ahmad, Azadbakht Leila

机构信息

Food Security Research Center and Department of Community Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.

Food Security Research Center and Department of Food Science and Technology, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Adv Biomed Res. 2017 Oct 16;6:131. doi: 10.4103/2277-9175.216784. eCollection 2017.

DOI:10.4103/2277-9175.216784

PMID:29142894

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5672649/

Abstract

BACKGROUND

Nutritional support plays a major role in the management of critically ill patients. This study aimed to compare the nutritional quality of enteral nutrition solutions (noncommercial vs. commercial) and the amount of energy and nutrients delivered and required in patients receiving these solutions.

MATERIALS AND METHODS

This cross-sectional study was conducted among 270 enterally fed patients. Demographic and clinical data in addition to values of nutritional needs and intakes were collected. Moreover, enteral nutrition solutions were analyzed in a food laboratory.

RESULTS

There were 150 patients who fed noncommercial enteral nutrition solutions (NCENS) and 120 patients who fed commercial enteral nutrition solutions (CENSs). Although energy and nutrients contents in CENSs were more than in NCENSs, these differences regarding energy, protein, carbohydrates, phosphorus, and calcium were not statistically significant. The values of energy and macronutrients delivered in patients who fed CENSs were higher ( < 0.001). Energy, carbohydrate, and fat required in patients receiving CENSs were provided, but protein intake was less than the required amount. In patients who fed NCENSs, only the values of fat requirement and intake were not significantly different, but other nutrition delivered was less than required amounts ( < 0.001). CENSs provided the nutritional needs of higher numbers of patients ( < 0.001). In patients receiving CENSs, nutrient adequacy ratio and also mean adequacy ratio were significantly higher than the other group ( < 0.001).

CONCLUSION

CENSs contain more energy and nutrients compared with NCENSs. They are more effective to meet the nutritional requirements of entirely fed patients.

摘要

背景

营养支持在危重症患者的管理中起着重要作用。本研究旨在比较肠内营养制剂（非商业制剂与商业制剂）的营养质量，以及接受这些制剂的患者所摄入和所需的能量及营养素量。

材料与方法

本横断面研究在270例接受肠内喂养的患者中进行。收集了人口统计学和临床数据以及营养需求和摄入量的值。此外，在食品实验室对肠内营养制剂进行了分析。

结果

150例患者接受非商业肠内营养制剂（NCENS），120例患者接受商业肠内营养制剂（CENS）。虽然CENS中的能量和营养素含量高于NCENS，但在能量、蛋白质、碳水化合物、磷和钙方面的这些差异无统计学意义。接受CENS的患者所摄入的能量和常量营养素值更高（<0.001）。接受CENS的患者所需的能量、碳水化合物和脂肪得到了提供，但蛋白质摄入量低于所需量。在接受NCENS的患者中，只有脂肪需求和摄入量的值无显著差异，但其他营养摄入量低于所需量（<0.001）。CENS满足了更多患者的营养需求（<0.001）。在接受CENS的患者中，营养素充足率以及平均充足率显著高于另一组（<0.001）。