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5 . 2019

Evaluation of the nutritional value of products for enteral nutrition

Abstract

Optimal nutrition is especially important in the treatment and rehabilitation. In this regard, the use of special products of directed action - enteral nutrition is widespread. The market of these products is dynamically developing nowadays in Ukraine and worldwide. Basing on these statements, the development of enteral nutrition is an actual task.

The aim is the evaluation of the nutritional, in particular energy and biological, value of the developed dry soluble products for enteral feeding.

Material and methods. The developed dry soluble products for enteral nutrition “Reabilact” and “Reabilact-D ” were the objects for carrying out experimental studies, and dry enteral formula “Peptamen” (Nestle, Switzerland) was used as a reference sample. The content of macronutrients (protein - by Kjeldahl method, lipids - by Soxhlet extraction, carbohydrates - by Bertrand method) and micronutrients (vitamins A and C - by colorimetricalmethod, в-carotene - byphotometricalmethod, vitamins B1, B2, B3, B5, B6 -by capillary electrophoresis, mineral elements - by mass spectrometry with inductively coupled plasma) has been defined. Amino acid composition was determined by liquid column ion exchange chromatography. The energy value and glycemic index have been calculated.

Results and discussion. All studied samples were characterized by a high protein content (25-41%), the lipid content was 16.4-19.6%). The carbohydrate level in “Reabilact-D” (21.0%) was 2.6 fold lower, which was due to the physiological specificity of the target consumers (patients with diabetes mellitus). That is why sorbitol was used in this product (12.3%). The energy value of dry soluble products was 466 kcalper 100 g. Glycemic index of the dry mixture “Reabilact-D” (100 g) was 6.2 units. The results of the amino acid composition’s study of the products indicated that protein component was characterized by a high content and a balanced ratio of essential amino acids through the use of whey protein concentrate. The dominant amino acid was tryptophan (amino acid rate 145.0-175.0%), the limiting one was lysine (rate 102.9-123.9%). Studies of vitamin value indicated that the developed products contained a high content of vitamins, especially vitamins A and C, posessing antioxidant properties. It was found that the elemental composition of the proposed products was characterized by a balanced ratio of the basic chemical elements, which are essential for the human organism in the process of treatment and rehabilitation.

Conclusion. The researching results of the content of basic nutrients, vitamin and elemental composition of dry soluble products for enteral nutrition indicate their high nutritional (energy and biological) value. Basing on the established high content of proteins, vitamins (A, C, B1, B2, B6) and mineral elements, it can be stated that the consumption of the developed products will significantly improve the nutritional needs of the target category of victims during periods of treatment and rehabilitation.

Keywords:enteral nutrition, nutritional, energy and biological value, nutrients, amino acid composition, vitamins, mineral elements

For citation: Antiushko D.P., Gavalko Yu.V. Evaluation of the nutritional value of products for enteral nutrition. Voprosy pitaniia [Problems of Nutrition]. 2019; 88 (5): 63-71. doi: 10.24411/0042-8833-2019-10055 (in Russian)

References

1. Wilkinson A.W., Cuthbertson D. Мetabolism and the Response to Injury. Tunbridge Wells: Pitman Medical, 1977. 608 p.

2. Pochepen’ O.N. Nutritive Support in the Severely Burned. Minsk: BelMAPO, 2009: 25 p. (in Russian)

3. Bilsborough S., Mann N. A review of issues of dietary protein intake in human. Int J Sport Nutr Exerc Metab. 2006; 16 (2): 129-52.

4. Pritul’s’ka N.V., Gulіch M.P., Motuzka Ju.M., et al. Enteral nutritional support to the population in emergency situations. Kiїv: Kyiv National University of Trade and Economics. 2018: 280 p. (in Ukrainian)

5. Akbaylar H. Basic principles of enteral feeding. Turk J Gastroenterol. 2012; 13 (4): 186-91.

6. Horoshilov I.E. Enteral nutrition in gastroenterology: yesterday, today, tomorrow. Gastroenterologiya [Gastroenterology]. 2005; 14 (109): 21-32. (in Russian)

7. Bhandalkar Sh., Kunzel T. Enteral Nutrition Market Overview and Forecast to 2025. New York: BG Company, 2018: 89 p.

8. Enteral Nutrition Market Report. URL: http://www.nutritioncare.org/ENMarketReport/

9. Nezdolіy A.O., Antyushko D.P. Marketing research on the expectations of consumers of functionally oriented products. Vostochno- evropeyskiy zhurnal peredovykh tekhnologiy [Eastern European Journal of Advanced Technology]. 2015; 5/11 (77): 26-30. (in Ukrainian)

10. Pritul’s’ka N.V., Gulіch M.P., Motuzka Ju.M., Antyushko D.P., Maslєnіn Є.І. Sumіsh dlya enteral’nogo harchuvannya hvorih prigіpermetabolіzmі "Energіya vіdnovlennya". Pat. Ukraїni No. 83048 z prіoritetom vіd 27.02.2013. Opubl. 27.08.2013. Zayavka No. u 2013 02495. (in Ukrainian)

11. Pritul’s’ka N.V., Aslanyan S.A., Gulіch M.P., Motuzka Ju.M., Antyushko D.P., Maslenіn Є.І. Sumіsh dlya enteral’nogo harchuvannya "Reabіlakt-D". Pat. Ukraїni 83183 z prіoritetom vіd 22.03.2013. Opubl. 27.08.2013. Zayavka No. u 2013 03562. (in Ukrainian)

12. DSTU 4305:2004. Frukti, ovochі ta produkti їh pereroblyannya. Metod viznachennya vmіstu karotinu. (in Ukrainian)

13. MT 04-71-2011. Determination of the content of water-soluble vitamins in premixes and vitamin mixtures. (in Russian)

14. Dorohovich A.M., Kovbasa V.M., Dorohovich V.V., Gulych M.P., Jaremenko O.M. Spossіb viznachennya glіkemіchnogo іndeksu harchovogo produktu. Pat. Ukraїni No. 40623 z prіoritetom vіd 10.07.2008. Opubl. 27.04.2009. Zayavka No. u 200809063 (in Ukrainian)

15. Kozarenko T.D., Zuev S.N., Mulyar N.F. Ion exchange chromatography of amino acids (theoretical basis and practice). Novosibirsk: Nauka. Sibirskoe otdelenie, 1981: 160 p. (in Russian)

16. MUK 4.1.1483-03. Determination of the content of chemical elements in the diagnosed biosubstrates, preparations and biologically active additives by mass spectrometry with inductively coupled argon plasma. Moscow: Moment, 2003: 34 p. (in Russian)

17. Petrova M.V., Butrov A.V., Biharri Sh.D., Storchay M.N. Monitoring of metabolism in patients in critical conditions. Effektivnaya farmakoterapiya [Effective Pharmacotherapy]. 2014; 36: 8-13. (in Russian)

18. Evert A.B., Boucher J.L., Cypress M., et al. Nutrition Recommendation for the Management of Adults with Diabetes. Diabetes Care. 2014; 37 (suppl 1): 120-43.

19. Protein Requirements. Report of the Joint FAO/Who Expert Group. Zheneva: VOZ, 1966: 90 p. (in Russian)

20. Kondrup J., Allison S., Elia M. ESPEN guidelines for nutrition screening. Clin Nutr. 2003; 22: 415-23.

21. De Wiel H.J. Mineral Elements in Medical Practice. London: Horizontal, 2003: 47 p.

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CHIEF EDITOR
CHIEF EDITOR
Viktor A. Tutelyan
Full Member of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Scientific Director of the Federal Research Centre of Nutrition, Biotechnology and Food Safety (Moscow, Russia)

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