Nutritional quality and osmolality of home-made enteral feeds for pediatric patients in home-based enteral nutrition

BV UNIFESP: Teses e dissertaçõe

Nutritional Quality and Osmolality of Home-made Enteral Diets, and Follow-up of Growth of Severely Disabled Children Receiving Home Enteral Nutrition Therapy

This study evaluated the nutritional quality of home-made enteral diets and their effect on growth parameters. Thirty pediatric patients receiving only homemade enteral diets were enrolled. Samples of milk-based (MB) and soup-based (SP) feeds were taken for chemical analises. the chidrens anthropometric indexes were assessed. in the MB, the measured values for the macronutrients and energy corresponded to approximately 70 of the prescribed values. Conversely, the SP measured values corresponded to less than 50 of the prescribed values, except for carbohydrate. the prevalence of underweight was 30 (9/30) at the time of entry into home nutritional therapy and declined to 20 (6/30) at the time of the study (p 0.007). Stunting increased throughout the follow up, from 30 (9/30) to 53 (16/30; p 0.511). Obesity prevalence fell from 17 (4/23) to 9 (2/23; p 0.001). Despite their inconsistent levels of macronutrients and energy, home-made enteral diets had no negative effect on the patients weights.Universidade Federal de São Paulo, Food Qual Control Lab, BR-04024002 São Paulo, BrazilUniversidade Federal de São Paulo, Food Qual Control Lab, BR-04024002 São Paulo, BrazilWeb of Scienc