Department of Language and Cognition, University College London, London, UK.
Division of Language and Communication Science, City University London, London, UK.
J Hum Nutr Diet. 2018 Oct;31(5):634-646. doi: 10.1111/jhn.12563. Epub 2018 May 15.
The present review aimed to identify what is known about the use of blended diets in gastrostomy fed children and young people (i.e. children and young people refers to those who are aged up to 25 years with special educational needs or a disability in accordance with Part 3 of the Children and Family Act 2014; within the review, the word children is used for simplicity but encompasses young people too) and to identify gaps in the literature on this topic to inform future research and policy.
A scoping review methodology was used searching the online databases PUBMED, PsychINFO, CINAHL, SCOPUS and AMED, EMBASE for articles that addressed issues pertaining to blended diets. The review identified a broad range of literature, regardless of study design, and described and evaluated the quality, range and nature of research activity related to the use of blenderised diets.
Forty-three studies were included in the review. The studies focused on nutrition, equipment, the views of carers and patients, and the views of professionals. Several studies described the lack of evidence regarding pros and cons of blended diets and highlighted the need for further research into the field.
There were gaps in the evidence base regarding the impact of blended diets on the health and well-being of the children who receive them and upon the carers who feed the children. The nutritional impact of blended diets is not fully understood and the knowledge and views of professionals involved in the care of those receiving blended diets varies.
本综述旨在确定在胃造口喂养的儿童和青少年（即根据 2014 年《儿童和家庭法》第 3 部分，特殊教育需求或残疾的年龄在 25 岁以下的儿童和年轻人；在本综述中，为了简单起见使用了“儿童”一词，但也包括年轻人）中使用混合饮食的情况，并确定该主题文献中的空白，以告知未来的研究和政策。
采用范围综述方法，在 PUBMED、PsychINFO、CINAHL、SCOPUS 和 AMED、EMBASE 在线数据库中搜索解决与混合饮食相关问题的文章。该综述确定了广泛的文献，无论研究设计如何，均对与使用搅拌机饮食相关的研究活动的质量、范围和性质进行了描述和评估。
综述纳入了 43 项研究。这些研究集中在营养、设备、照顾者和患者的观点以及专业人员的观点上。有几项研究描述了缺乏关于混合饮食优缺点的证据，并强调需要进一步研究该领域。
关于混合饮食对接受者的健康和福祉以及喂养者的影响，证据基础存在空白。混合饮食的营养影响尚未完全了解，参与喂养接受混合饮食的患者的专业人员的知识和观点也有所不同。
