Bromatologic study of artisanal formulae and a proposal of ambulatory protocol of nutritional enteral care: DOI: 10.15343/0104-7809.20094467479

Enteral nutrition (EN) is an important therapeutic tool for individuals with complete gastrointestinal treatment, but able to ingestnutrients in adequate amount and/or quality. Thus, its formulas must follow nutritional recommendations and have its cost and chemical compositionidentified. The implem...

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Autores: Nunes Cirqueira, Alberto, Poltronieri, Fabiana, Caramico, Deise, Silvia Frangella, Vera
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2009
País:Brasil
Recursos:Centro Universitário São Camilo
Repositorio:O Mundo da Saúde (Online)
Idioma:portugués
OAI Identifier:oai:ojs3.revistamundodasaude.emnuvens.com.br:article/664
Acesso em linha:https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/664
Access Level:acceso abierto
Palavra-chave:Alimentos formulados. Análise de alimentos. Nutrição enteral.
Formulated foods. Food analysis. Enteral nutrition.
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dc.title.none.fl_str_mv Bromatologic study of artisanal formulae and a proposal of ambulatory protocol of nutritional enteral care: DOI: 10.15343/0104-7809.20094467479
Estudo bromatológico de fórmulas artesanais e proposta de protocolo ambulatorial de assistência nutricional enteral: DOI: 10.15343/0104-7809.20094467479
title Bromatologic study of artisanal formulae and a proposal of ambulatory protocol of nutritional enteral care: DOI: 10.15343/0104-7809.20094467479
spellingShingle Bromatologic study of artisanal formulae and a proposal of ambulatory protocol of nutritional enteral care: DOI: 10.15343/0104-7809.20094467479
Nunes Cirqueira, Alberto
Alimentos formulados. Análise de alimentos. Nutrição enteral.
Formulated foods. Food analysis. Enteral nutrition.
title_short Bromatologic study of artisanal formulae and a proposal of ambulatory protocol of nutritional enteral care: DOI: 10.15343/0104-7809.20094467479
title_full Bromatologic study of artisanal formulae and a proposal of ambulatory protocol of nutritional enteral care: DOI: 10.15343/0104-7809.20094467479
title_fullStr Bromatologic study of artisanal formulae and a proposal of ambulatory protocol of nutritional enteral care: DOI: 10.15343/0104-7809.20094467479
title_full_unstemmed Bromatologic study of artisanal formulae and a proposal of ambulatory protocol of nutritional enteral care: DOI: 10.15343/0104-7809.20094467479
title_sort Bromatologic study of artisanal formulae and a proposal of ambulatory protocol of nutritional enteral care: DOI: 10.15343/0104-7809.20094467479
dc.creator.none.fl_str_mv Nunes Cirqueira, Alberto
Poltronieri, Fabiana
Caramico, Deise
Silvia Frangella, Vera
author Nunes Cirqueira, Alberto
author_facet Nunes Cirqueira, Alberto
Poltronieri, Fabiana
Caramico, Deise
Silvia Frangella, Vera
author_role author
author2 Poltronieri, Fabiana
Caramico, Deise
Silvia Frangella, Vera
author2_role author
author
author
dc.subject.por.fl_str_mv Alimentos formulados. Análise de alimentos. Nutrição enteral.
Formulated foods. Food analysis. Enteral nutrition.
topic Alimentos formulados. Análise de alimentos. Nutrição enteral.
Formulated foods. Food analysis. Enteral nutrition.
description Enteral nutrition (EN) is an important therapeutic tool for individuals with complete gastrointestinal treatment, but able to ingestnutrients in adequate amount and/or quality. Thus, its formulas must follow nutritional recommendations and have its cost and chemical compositionidentified. The implementation of a care protocol guarantees EN qualification. The study aims to determine cost and chemical composition of4 formularizations (F1 - F4) comparing them with F5 and F6 published by Araújo; Menezes (2005) and to propose a protocol for nutritional careof this population. The analyzed formularizations are composed by in natura industrial foods, and are evaluated as regards cost and nutritionalcomposition through bromatologic laboratorial techniques for determination of the centesimal composition and Prosky et al. (1988) as concernsstaple fibers. The protocol was based on the literature and current legislation. F1 was less expensive without reaching lipidic recommendations;F2 had low proteic and caloric values and F3 reached nutritional values, but is more expensive. F4 reached recommended nutritional values (0.8Kcal/ml; 15% protein, 23% of lipids and 62% of carbohydrates) with reduced cost (R$331,20/month), higher only than F1’s. F1 presented 7,2 gof TP (Total Fiber content) (47.2% insoluble content (FI) and 52.8% soluble content (FS)); F2: 2.4g of FT (83.3% FI and 16.7% FS); F3: 7.6 g ofFT (52.6% FI and 47.4% FS) and F4: 5.6g of FT (89.3% FI and 10.7% FS), confirming the inadequacy of staple fibers in these diets. The protocolcombines nutritional variables (nutritional evaluation, food anamneses) and clinic (diagnostic, pharmacotherapy, examinations) regardingadequacy of individualized nutritional care (type, volume, administration of the formula). The best cost / benefit relation was that of F4, reachingnutritional balance, being an alternative for home feeding for individuals lacking income. The results of staple fibers ratify the necessity of itssupplementation when EN is exclusive. The protocol favors: register, control and evaluation of EN effectiveness.
publishDate 2009
dc.date.none.fl_str_mv 2009-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/664
url https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/664
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/664/604
dc.rights.driver.fl_str_mv Copyright (c) 2009 CC BY
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2009 CC BY
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Centro Universitário São Camilo
publisher.none.fl_str_mv Centro Universitário São Camilo
dc.source.none.fl_str_mv O Mundo da Saúde; Vol. 33 No. 4 (2009): OCTOBER/DECEMBER 2009; 467-479
O Mundo da Saúde; Vol. 33 Núm. 4 (2009): OCTOBER/DECEMBER 2009; 467-479
O Mundo da Saúde; v. 33 n. 4 (2009): OUTUBRO/DEZEMBRO DE 2009; 467-479
1980-3990
0104-7809
reponame:O Mundo da Saúde (Online)
instname:Centro Universitário São Camilo
instacron:SAOCAMILO
instname_str Centro Universitário São Camilo
instacron_str SAOCAMILO
institution SAOCAMILO
reponame_str O Mundo da Saúde (Online)
collection O Mundo da Saúde (Online)
repository.name.fl_str_mv O Mundo da Saúde (Online) - Centro Universitário São Camilo
repository.mail.fl_str_mv mundodasaude@saocamilo-sp.br || secretariapublica@saocamilo-sp.br
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spelling Bromatologic study of artisanal formulae and a proposal of ambulatory protocol of nutritional enteral care: DOI: 10.15343/0104-7809.20094467479Estudo bromatológico de fórmulas artesanais e proposta de protocolo ambulatorial de assistência nutricional enteral: DOI: 10.15343/0104-7809.20094467479Alimentos formulados. Análise de alimentos. Nutrição enteral.Formulated foods. Food analysis. Enteral nutrition.Enteral nutrition (EN) is an important therapeutic tool for individuals with complete gastrointestinal treatment, but able to ingestnutrients in adequate amount and/or quality. Thus, its formulas must follow nutritional recommendations and have its cost and chemical compositionidentified. The implementation of a care protocol guarantees EN qualification. The study aims to determine cost and chemical composition of4 formularizations (F1 - F4) comparing them with F5 and F6 published by Araújo; Menezes (2005) and to propose a protocol for nutritional careof this population. The analyzed formularizations are composed by in natura industrial foods, and are evaluated as regards cost and nutritionalcomposition through bromatologic laboratorial techniques for determination of the centesimal composition and Prosky et al. (1988) as concernsstaple fibers. The protocol was based on the literature and current legislation. F1 was less expensive without reaching lipidic recommendations;F2 had low proteic and caloric values and F3 reached nutritional values, but is more expensive. F4 reached recommended nutritional values (0.8Kcal/ml; 15% protein, 23% of lipids and 62% of carbohydrates) with reduced cost (R$331,20/month), higher only than F1’s. F1 presented 7,2 gof TP (Total Fiber content) (47.2% insoluble content (FI) and 52.8% soluble content (FS)); F2: 2.4g of FT (83.3% FI and 16.7% FS); F3: 7.6 g ofFT (52.6% FI and 47.4% FS) and F4: 5.6g of FT (89.3% FI and 10.7% FS), confirming the inadequacy of staple fibers in these diets. The protocolcombines nutritional variables (nutritional evaluation, food anamneses) and clinic (diagnostic, pharmacotherapy, examinations) regardingadequacy of individualized nutritional care (type, volume, administration of the formula). The best cost / benefit relation was that of F4, reachingnutritional balance, being an alternative for home feeding for individuals lacking income. The results of staple fibers ratify the necessity of itssupplementation when EN is exclusive. The protocol favors: register, control and evaluation of EN effectiveness.Nutrição enteral (NE) é importante ferramenta terapêutica para indivíduos com trato gastrintestinal íntegro, mas impossibilitados deingerir nutrientes em quantidade e/ou qualidade adequadas. Assim, suas fórmulas devem contemplar as recomendações nutricionais e ter custoe composição química identificados. O estabelecimento de protocolo de atendimento garante qualificação da NE. O estudo visou a determinarcusto e composição química de 4 formulações (F1a F4), comparando-as com F5 e F6, e propor protocolo para atendimento nutricional dessapopulação. As formulações analisadas compõem-se por alimentos “in natura” e industrializados, sendo avaliadas mediante custo e composiçãonutricional pelas técnicas laboratoriais bromatológicas para determinação da composição centesimal e de Prosky et al. (1988) para fibras. Oprotocolo baseou-se na literatura e legislação vigentes. F1 apresentou menor custo, sem atingir recomendações lipídicas; F2 apresentou baixosvalores proteicos e calóricos; e F3 alcançou valores nutricionais, porém com custo mais elevado; F4 atingiu valores nutricionais recomendados(0,8 kcal/mL, 15% de proteína, 23% de lípides e 62% de carboidratos) com custo reduzido, apenas superior ao da F1. F1 apresentou 7,2g de FT(Fibras Totais) (47,2% Insolúveis (FI) e 52,8% Solúveis(FS)); F2 apresentar 2,4 g de FT (83,3% FI e 16,7% FS); F3 7,6 g de FT (52,6% FI e 47,4% FS)e F4 apresentar 5,6 g de FT (89,3% FI e 10,7% FS), confirmando inadequação de fibras nessas dietas. O protocolo reúne variáveis nutricionais(avaliação nutricional, anamnese alimentar) e clínicas (diagnóstico, farmacoterapia, exames) para adequação do cuidado nutricional individualizado(tipo, volume, administração da fórmula). A melhor relação custo benefício foi de F4, alcançando equilíbrio nutricional, sendo alternativa paraalimentação domiciliar de indivíduos de menor poder aquisitivo. Os resultados das fibras ratificam a necessidade de sua suplementação quandoda NE exclusiva. O protocolo favorece: registro, controle e avaliação da efetividade da NE.Centro Universitário São Camilo2009-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/664O Mundo da Saúde; Vol. 33 No. 4 (2009): OCTOBER/DECEMBER 2009; 467-479O Mundo da Saúde; Vol. 33 Núm. 4 (2009): OCTOBER/DECEMBER 2009; 467-479O Mundo da Saúde; v. 33 n. 4 (2009): OUTUBRO/DEZEMBRO DE 2009; 467-4791980-39900104-7809reponame:O Mundo da Saúde (Online)instname:Centro Universitário São Camiloinstacron:SAOCAMILOporhttps://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/664/604Copyright (c) 2009 CC BYinfo:eu-repo/semantics/openAccessNunes Cirqueira, Alberto Poltronieri, FabianaCaramico, Deise Silvia Frangella, Vera 2020-06-09T18:08:33Zoai:ojs3.revistamundodasaude.emnuvens.com.br:article/664Revistahttps://revistamundodasaude.emnuvens.com.br/mundodasaude/indexPRIhttps://revistamundodasaude.emnuvens.com.br/mundodasaude/oamundodasaude@saocamilo-sp.br || secretariapublica@saocamilo-sp.brhttps://doi.org/10.15343/0104-78091980-39900104-7809opendoar:2020-06-09T18:08:33O Mundo da Saúde (Online) - Centro Universitário São Camilofalse
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