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Journal of Tropical Pediatrics Advance Access published online on May 19, 2009
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmp033
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© The Author [2009]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

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

Valdirene Francisca Neves Santos and Tania Beninga Morais

Food Quality Control Laboratory, Federal University of São Paulo, Rua Napoleão de Barros, 889 04024-002 São Paulo, Brazil

Correspondence: Tania Beninga Morais, Food Quality Control Laboratory, Federal University of São Paulo Rua Napoleão de Barros, 889 04024-002 São Paulo, Brazil. Tel: +55-11-5571-1160; E-mail <tania.pnut{at}epm.br>.

Abstract


  Abstract

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 chidren's 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.

Key Words: Enteral feeding • Home health care


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