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Commercial Enteral Formulas and Nutritional Support Team

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Diet and Nutrition in Critical Care

Abstract

According to the World Health Organization, foods for special dietary uses are defined as those foods which are specially processed or formulated to satisfy particular dietary requirements which exist because of a particular physical or physiological condition and/or specific disease, ordinary foods being unable to satisfy these requirements.

Formulas can be considered as either complete or incomplete depending on whether they alone can fulfill all of the individual’s nutritional requirements. Complete formulas can be classified according to the protein’s chemical form, protein quantity, caloric density, osmolarity, and/or possible fiber additive, with qualitative and quantitative differences between them depending on the age range they are intended for. Selection of formulas must consider mainly the patient’s age, the functional digestive capacity, and the underlying disease. Clinical nutrition teams should be multidisciplinary groups in charge of providing nutritional support and setting the criteria for the selection and prescription of enteral nutrition products in hospitals.

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Abbreviations

DRIs:

Dietary reference intakes

EN:

Enteral nutrition

LCT:

Long chain triglycerides

MCT:

Medium chain triglycerides

MTD:

Maltodextrine

TCV:

Total caloric value

References

  • ASPEN Board of Directors. Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients. JPEN J Parenter Enteral Nutr. 2002;26 Suppl 1:1–138.

    Google Scholar 

  • Bankhead R, Boullata J, Brantley S, Corkins M, Guenter P, Krenitsky J, ASPEN Boards of Directors, et al. ASPEN Enteral nutrition practice recommendations. JPEN J Parenter Enteral Nutr. 2009;33:122–67.

    Article  PubMed  Google Scholar 

  • Braegger C, Decsi T, Dias JA, Hartman C, Kolacek S, Koletzko B, ESPGHAN Committee on Nutrition, et al. Practical approach to paediatric enteral nutrition: a comment by the ESPGHAN committee on nutrition. J Pediatr Gastroenterol Nutr. 2010;51:110–22.

    Article  PubMed  Google Scholar 

  • Briassoulis G, Filippou O, Hatzi E, Papassotiriou I, Hatzis T. Early enteral administration of immunonutrition in critically ill children: results of a blinded randomized controlled clinical trial. Nutrition. 2005;21:799–807.

    Article  PubMed  Google Scholar 

  • Charney P, Russell M. Enteral formulations. In: Rolandelli RH, editor-in-Chief. Clinical nutrition- enteral and tube feeding, 4th ed. Philadelphia: Elsevier Saunders; 2005. pp. 216–23.

    Google Scholar 

  • Commission Directive 1999/21/CE of 25 March 1999 on dietary foods for special medical purposes. http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:1999:091:0029:0036:EN:PDF. Accessed 15 May 2013.

  • Commission Directive 2006/141/EC of 22 December 2006 on infant formulae and follow-on formulae and amending Directive 1999/21/EC. http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2006:401:0001:0033:EN:PDF. Accessed 15 May 2013.

  • Council of Europe. Resolution ResAP(2003)3 on food and nutritional care in hospitals. 2003. http://www.nutritionday.org/uploads/media/Resolution_of_the_Council_of_Europe.pdf. Accessed 7 June 2013.

  • ESPEN. Guidelines on enteral nutrition. Clin Nutr. 2006;25(2):180–360. http://www.espen.org/. Accessed 28 May 2013.

  • Grimble GK. Quantitative and qualitative aspects of nitrogen supply in enteral nutrition in relation to free amino acids and peptides. In: Cynober LA, editor. Metabolic and therapeutics aspects of amino acids in clinical nutrition, 2nd ed. Boca Raton: CRC Press; 2004. pp. 529–56. http://www.ebook3000.com/Metabolic-Therapeutic-Aspects-of-Amino-Acids-in-Clinical-Nutrition--Second-Edition_39089.html

  • Heimburger DC, Weinsier RL. Guidelines for evaluating and categorizing enteral feeding formulas according to therapeutic equivalence. JPEN J Parenter Enteral Nutr. 1985;9:61–7.

    Article  CAS  PubMed  Google Scholar 

  • Joeckel RJ, Phillips SK. Overview of infant and pediatric formulas. Nutr Clin Pract. 2009;24:356–62.

    Article  PubMed  Google Scholar 

  • Joint FAO/WHO Food standards programme. Codex Alimentarius Commission. Report of the 14th session of the Codex Committee on foods for special dietary uses. Bonn-Bad Godesberg, FRG, 24 Jan–1 Feb 1985.

    Google Scholar 

  • Kemp AS, Hill DJ, Allen KJ, Anderson K, Davidson GP, Day AS, Australian Consensus Panel, et al. Guidelines for the use of infant formulas to treat cows milk protein allergy: an Australian Consensus Panel opinion. Med J Aust. 2008;188(2):109–12.

    PubMed  Google Scholar 

  • Koletzko B, Hermoso M. Reference nutrient intakes for infants, children and adolescents. In: Koletzko B, Cooper P, Garza C, editors. Children’s nutrition – a practical reference guide. Basel: Karger; 2008. p. 285–92.

    Chapter  Google Scholar 

  • Kreymann KG, Berger MM, Deutz NEP, Hiesmayr M, Jolliet P, Kazandjiev G, et al. ESPEN guidelines on enteral nutrition: intensive care. Clin Nutr. 2006;25:210–23.

    Article  CAS  PubMed  Google Scholar 

  • Lattimer JM, Haub MD. Effects of dietary fiber and its components on metabolic health. Nutrients. 2010;2:1266–89.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Lochs H, Allison SP, Meier R, Pirlich M, Kondrup J, Schneider S, et al. Introductory to the ESPEN guidelines on enteral nutrition: terminology, definitions and general topics. Clin Nutr. 2006;25:180–6.

    Article  CAS  PubMed  Google Scholar 

  • Marik PE, Zaloga GP. Immunonutrition in critically ill patients: a systematic review and analysis of the literature. Intensive Care Med. 2008;34:1980–90.

    Article  PubMed  Google Scholar 

  • Mehta NM, Compher C, ASPEN Board of Directors. ASPEN clinical guidelines: nutrition support of the critically ill children. JPEN J Parenter Enteral Nutr. 2009;33:260–76.

    Article  PubMed  Google Scholar 

  • Mowatt-Larssen CA, Brown RO, Wojtysiak SL, Kudsk KA. Comparison of tolerance and nutritional outcome between a peptide and a standard enteral formula in critically ill, hypoalbuminemic patients. JPEN J Parenter Enteral Nutr. 1992;16:20–4.

    Article  CAS  PubMed  Google Scholar 

  • Muskiet FAJ. Pathophysiology and evolutionary aspects of dietary fats and long-chain polyunsaturated fatty acids across the life cycle. In: Montmayeur JP, le Coutre J, editors. Fat detection: taste, texture, and post ingestive effects. Boca Raton: CRC Press; 2010. Chapter 2. Frontiers in Neuroscience. http://www.ncbi.nlm.nih.gov/books/NBK53557/

  • Pedrón Giner C, Navas López VM. Fórmulas de nutrición enteral en pediatría. Madrid: Ergón; 2013. http://www.senpe.com/grupo_estandarizacion.html

  • Schneider PJ. Nutrition support teams: an evidence-based practice. Nutr Clin Pract. 2006;21(1):62–7.

    Article  PubMed  Google Scholar 

  • Vidigal MV, Leite HP, Nogueira PC. Factors associated with peptide-based formula prescription in a pediatric intensive care unit. J Pediatr Gastroenterol Nutr. 2012;54(5):620–3.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Consuelo Carmen Pedrón-Giner .

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Pedrón-Giner, C.C., Navas-López, V.M., Martínez-Costa, C., Martínez-Zazo, A. (2014). Commercial Enteral Formulas and Nutritional Support Team. In: Rajendram, R., Preedy, V., Patel, V. (eds) Diet and Nutrition in Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8503-2_75-1

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  • DOI: https://doi.org/10.1007/978-1-4614-8503-2_75-1

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  • Online ISBN: 978-1-4614-8503-2

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