CHEMICAL EVALUATION OF MACRONUTRIENTS AND MINERALS FROM HANDMADE ENTERAL DIETS USED IN HOMECARE NUTRITIONAL THERAPY IN THE BRAZILIAN NATIONAL HEALTH SYSTEM
DOI:
https://doi.org/10.12957/demetra.2014.10424Keywords:
Segurança Alimentar e Nutricional, Assistência domiciliar, Nutrição enteral, Composição química, Sistema Único de Saúde, Adultos.Abstract
Objective: This study aimed to evaluate the chemical composition of nutrients and minerals from handmade enteral diets prescribed in enteral homecare. Methods: Datasheets from standard diets and lactose-free diets prescribed at discharge from public hospitals and by the Support Center for Family Health were collected. After the preparation of diets and assessment of viscosity, stability, odor, color and cost, five diets were selected and sorted into Group A and Group B, according to similarities in the composition. They were submitted to the chemical analysis of nutrients and minerals. Results were compared with the nutritional requirements proposed by the Reference Dietary Recommendation to men aged 51-70 years. Results and discussion: The analysis showed diets with a normal distribution of protein, lipids and carbohydrates. The total amount of dietary fiber in the diet of Group A was between 12 g and 15 g with 48% of soluble fiber. In Group B dietary fiber was 3.40 g, and in the standard lactose-free diet, between 6 and 8 g, with 65% of soluble fiber. Concerning minerals, all formulations were appropriate in iron and most of them in calcium, zinc, phosphorus, copper and sodium. No formulation evaluated presented appropriate values of potassium and magnesium. We observed low adequacy of many minerals in the formulations of 1.200 Kcal. Conclusion: The formulations analyzed have adequate macronutrients, but require adjustments in fiber. Minerals in reduced amounts need to be supplemented while dietary adjustments are not made.
DOI: http://dx.doi.org/10.12957/demetra.2014.10424
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