Department of Pediatrics, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Pediatric Nutrition Unit, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Nutr Clin Pract. 2022 Aug;37(4):783-796. doi: 10.1002/ncp.10853. Epub 2022 Apr 11.
The use of homemade tube feeding formula has become increasingly popular for children requiring enteral nutrition. This project aimed to investigate nutrition and preparation of blenderized tube feeding in the field of children and adolescents with neurological impairment.
A scoping review was performed using established methodologies. In January 2021, we searched PubMed, Embase, CINAHL Complete, the Cochrane Central Register of Controlled Trials, and gray literature to identify relevant articles.
Twenty-two papers were included describing the composition of food items, preparation procedures, and food safety. No randomized controlled trials and only a few prospective studies were included. A broad variety of food items from all food groups and many examples of recipes were presented. Most recipes provided 1.0 kcal/ml but tended to contain less energy and nutrients than expected, which could be due to preparation issues, such as sieving and the high viscosity of the blend. Preparation requires a commercial-grade household blender and diligence to ensure thorough household hygiene for adequate food safety.
This review revealed practical experience in the nutrition and preparation aspects of blenderized tube feeding but minimal empirical evidence. Multiple examples of the composition of food items and preparation procedures for blenderized tube feeding were found, but uncertainty regarding the ideal composition or preparation was also exposed. The future of blenderized tube feeding would benefit from clinically tested recipes that include an evaluation of nutrients, viscosity, and microbial contamination, as well as the effect of the food's appearance and scent on the target group.
对于需要肠内营养的儿童，自制管饲配方的使用越来越流行。本项目旨在研究神经损伤儿童和青少年领域中搅拌机管饲的营养和制备。
采用既定方法进行范围综述。2021 年 1 月，我们检索了 PubMed、Embase、CINAHL Complete、Cochrane 对照试验中心注册库和灰色文献，以确定相关文章。
纳入了 22 篇描述食物成分、制备程序和食品安全的论文。没有随机对照试验，只有少数前瞻性研究。提出了来自所有食物组的各种食物和许多食谱示例。大多数食谱提供 1.0 kcal/ml，但能量和营养含量往往低于预期，这可能是由于制备问题，如筛分和混合物的高粘度。制备需要商用级家用搅拌机，并需要勤奋确保家庭卫生达到足够的食品安全水平。
本综述揭示了搅拌机管饲在营养和制备方面的实际经验，但实证证据很少。发现了搅拌机管饲食物成分和制备程序的多个示例，但也暴露了对理想成分或制备的不确定性。搅拌机管饲的未来将受益于经过临床测试的食谱，包括对营养、粘度和微生物污染的评估，以及食物外观和气味对目标群体的影响。
