Balogh-Hartmann Fruzsina, Páger Csilla, Dávidovics Anna, Nagy Sára, Marosvölgyi Tamás, Makszin Lilla
Szentágothai Research Center, Institute of Bioanalysis, Medical School, University of Pécs, 7624 Pécs, Hungary.
Department of Languages for Biomedical Purposes and Communication, Medical School, University of Pécs, 7624 Pécs, Hungary.
Int J Mol Sci. 2025 Aug 25;26(17):8233. doi: 10.3390/ijms26178233.
Accurate assessment of protein content in Foods for Special Medical Purposes (FSMPs) is critical for patients with chronic kidney disease, who require tightly regulated protein intake. This study aimed to develop and apply a rapid, low-volume, and reproducible microchip-based gel electrophoresis method for analyzing total nitrogen (TN) content and electrophoretic profiles in FSMPs. Products of different consistencies (powder, liquid, yoghurt-like) were tested to evaluate the influence of common additives (e.g., milk proteins, stabilizers, sweeteners) on TN levels and protein patterns. The results revealed considerable variation in fractions among brands, largely attributable to additive composition. Notably, TN levels often exceeded the declared protein content, potentially leading to unintended nitrogen overconsumption in clinical settings. Statistical analysis identified significant TN differences between infant and adult FSMPs in liquid formulations, while powdered forms showed no such distinction. These findings highlight the clinical importance of precise analytical monitoring, as discrepancies between measured TN and labeled protein content could compromise dietary management in vulnerable populations. The proposed method provides a reliable tool for FSMP quality control and supports safer nutritional planning in therapeutic diets.
准确评估特殊医学用途食品(FSMPs)中的蛋白质含量对于慢性肾病患者至关重要,这类患者需要严格控制蛋白质摄入量。本研究旨在开发并应用一种基于微芯片的快速、低体积且可重复的凝胶电泳方法,用于分析FSMPs中的总氮(TN)含量和电泳图谱。对不同稠度(粉末状、液体状、酸奶状)的产品进行了测试,以评估常见添加剂(如乳蛋白、稳定剂、甜味剂)对TN水平和蛋白质模式的影响。结果显示,不同品牌之间各组分存在显著差异,这在很大程度上归因于添加剂组成。值得注意的是,TN水平常常超过宣称的蛋白质含量,这可能导致临床环境中意外的氮摄入过量。统计分析表明,液体配方的婴幼儿和成人FSMPs之间的TN存在显著差异,而粉末状产品则无此差异。这些发现凸显了精确分析监测的临床重要性,因为测得的TN与标注的蛋白质含量之间的差异可能会损害弱势群体的饮食管理。所提出的方法为FSMPs质量控制提供了可靠工具,并有助于治疗性饮食中更安全的营养规划。