Aspects related to enteral nutrition with food at home: an integrative literature review
DOI:
https://doi.org/10.12957/demetra.2025.74196Keywords:
Enteral nutrition. Food. Food Intake.Abstract
Introduction: The use of enteral nutrition (EN) has increased significantly, especially in home environments. Although promising, the application of food-based nutritional preparations raises concerns among nutrition professionals regarding safety and efficacy, thus impacting prescription. Objective: To identify the main factors influencing the prescription of home enteral nutrition (HEN) with food-based preparations. Method: An integrative literature review was carried out using the descriptors "Enteral Nutrition", "Enteral Feeding", "Formulated Foods", "Home", "Home Care", and "Home Patient", in English, Portuguese, and Spanish. The databases consulted were PubMed, Virtual Health Library, ScienceDirect, and SciELO. Two researchers selected the studies following previously established eligibility criteria, and the studies selected were organized in an extraction table for analysis. Results: Of the 81 articles identified, six were included in the final analysis. The studies addressed three main aspects: nutritional and energy, microbiological, and socioeconomic. The food-based preparations showed variation in the composition of micronutrients and macronutrients, allowing adaptations to different health conditions. Both food preparations and industrialized formulas presented microbiological risks, requiring care in home management. The food preparations were economically advantageous and could be adjusted according to seasonality and the financial reality of the families. Conclusion: The prescription of HEN with food is influenced by nutritional, microbiological, and socioeconomic factors, which should ensure the efficacy and safety of home treatment.
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References
1. Menezes CS, Fortes RC. Estado nutricional e evolução clínica de idosos em terapia nutricional enteral domiciliar: uma coorte retrospectiva. Revista Latino-Americana de Enfermagem. 2019;27. https://doi.org/10.1590/1518-8345.2837.3198
2. Brasil. Caderno de Atenção Domiciliar Cuidados em Terapia Nutricional [Internet]. [Acesso 23 março 2022]. Disponível em: http://189.28.128.100/dab/docs/portaldab/publicacoes/caderno_atencao_domiciliar_vol3.pdf
3. Araújo EM, Menezes HC. Formulações com alimentos convencionais para nutrição enteral ou oral. Ciência e Tecnologia de Alimentos. 2006 Sep;26(3):533-8. https://doi.org/10.1590/S0101-20612006000300008
4. Bento APL, Garcia RWD, Jordão Júnior AA. Blenderized feeding formulas with nutritious and inexpensive foods. Revista de Nutrição. 2017 Aug;30(4):525-34. https://doi.org/10.1590/1678-98652017000400011
5. Mellado A, María L, Trinidad L. Complicaciones gastrointestinales relacionadas con la nutrición enteral domiciliaria. Rev Esp Nutr Comunitaria [Internet]. 2014;20(3):118-21.[Acesso 23 março 2022]. Disponível em:https://doi.org/10.14642/RENC.2014.20.3.5022
6. Bischoff SC, Austin P, Boeykens K, Chourdakis M, Cuerda C, Jonkers-Schuitema C, et al. ESPEN guideline on home enteral nutrition. Clinical Nutrition. 2020 Jan;39(1):5-22. https://doi.org/10.1016/j.clnu.2019.04.022
7. de Souza MT, da Silva MD, de Carvalho R. Revisão integrativa: o que é e como fazer/ Integrative review: what is it? How to do it? Einstein. 2010; 8(1 Pt 1):102-6;2010. https://doi.org/10.1590/S1679-45082010RW1134
8. Freitas S, Martins R, Martins F, Felgueiras C. Embedded Electricity Quality Analyzer. International Journal of Electrical Energy [Internet]. 2014;2(3). [Acesso 23 março 2022]. Disponível em: https://www.fc.up.pt/pessoas/jfgomes/pdf/vol_2_num_1_49_art_diagramaVenn.pdf
9. Santos VFN dos Bottoni A, Morais TB. Qualidade nutricional e microbiológica de dietas enterais artesanais padronizadas preparadas nas residências de pacientes em terapia nutricional domiciliar. Revista de Nutrição. 2013 Apr;26(2):205-14. https://doi.org/10.1590/S1415-52732013000200008
10. Rezende Machado de Sousa L, Rodrigues Ferreira SM, Madalozzo Schieferdecker ME. Características físico-químicas y nutricionales de las dietas enterales caseras. Nutrición Hospitalaria [Internet]. 2014 Mar 1 [cited 2022 Apr 27];29(3):568-74. https://dx.doi.org/10.3305/NH.2014.29.3.7083
11. Mezzomo R, Thais, Lemos H, Karenn, Zaparolli R, Fiori S, et al. Glycemic index and glycemic load of standard enteral homemade diets for domiciliary use. Nutr clín diet hosp [Internet]. 2018;38(3):168-73. https://doi.org/10.12873/383thais
12. Vieira MMC, Santos VFN, Bottoni A, Morais TB. Nutritional and microbiological quality of commercial and homemade blenderized whole food enteral diets for home-based enteral nutritional therapy in adults. Clinical Nutrition. 2018 Feb;37(1):177-81. https://doi.org/10.1016/j.clnu.2016.11.020
13. Cutchma G, Mazur E, Caryna, Thieme, Daniela R, De França, et al. Nutrition formulas: influence on nutritional condition, clinical condition and complications in household nutrition therapy. Nutr clín diet hosp [Internet]. 2016;36(2):45-54. https://doi.org/10.12873/362cutchma
14. Wong A, Banks MD, Bauer JD. A Survey of Home Enteral Nutrition Practices and Reimbursement in the Asia Pacific Region. Nutrients [Internet]. 2018 Feb 1;10(2):214. https://doi.org/10.3390%2Fnu10020214
15. Moazen M, Rahmdel S, Abdollahzadeh S, Zahedani M, Seyed M, Mazloomi M, et al. Microbiological Quality of Commercial Enteral Feedings used in Two Public Hospitals in Shiraz, Iran. J Health Sci Surveillance Sys April [Internet]. 2014;2(2).[Acesso 27 abril 2022] Disponível em: https://jhsss.sums.ac.ir/article_42750_b7e75bb11cfe3e4d4995d443e3d89269.pdf
16. Domingues Dziedicz D. Home Enteral Nutrition in Oncogeriatry: Infusion versus Energy Needs. Gerontology & Geriatric Medicine. 2021 Mar 5;7(1):1-6.[Internet].[Acesso 31 maio 2022] Disponível em: https://www.heraldopenaccess.us/article_pdf/36/home-enteral-nutrition-in-oncogeriatry-infusion-versus-energy-needs.pdf
17. Galindo C de O, Beux MR, da Costa RL, Uniat KC, Leobet J, Ferreira SMR, et al. Home‐Prepared Enteral Tube Feeding: Evaluation of Microbiological Contamination, Hygiene, and the Profile of the Food Handler. Nutrition in Clinical Practice. 2020 Sep 25;36(3):704-17. https://doi.org/10.1002/ncp.10577
18. dos Santos EF, Xavier de Melo V, Ávila S, de Araújo Marques Dengo V, Dall’igna ALA, Dziedicz DD, et al. Macronutrients and energy in home‐prepared enteral tube feeding: Comparison between food composition table estimates, nutrition labels, and laboratory analysis. Nutrition in Clinical Practice. 2021 Dec 13;37(4):896-906.https://doi.org/10.1002/ncp.10795
19. Santiago RF, Luz MHBA. Práticas de educação em saúde para cuidadores de idosos: um olhar da enfermagem na perspectiva freireana. Revista Mineira de Enfermagem [Internet]. 2012;16(1):136-42.[Acesso 27 abril 2022] Disponível em: https://www.revenf.bvs.br/pdf/reme/v16n1/19.pdf
20. Naves LK, Tronchin DMR. Nutrição enteral domiciliar: perfil dos usuários e cuidadores e os incidentes relacionados às sondas enterais. Revista Gaúcha de Enfermagem [Internet]. 2018 Sep. 3;39. https://doi.org/10.1590/1983-1447.2018.2017-0175
21. Pimiento JM, Evans DC, Tyler R, Barrocas A, Hernandez B, Araujo-Torres K, et al. Value of nutrition support therapy in patients with gastrointestinal malignancies: a narrative review and health economic analysis of impact on clinical outcomes in the United States. J Gastrointest Oncol [Internet]. 2021 Disponível em: https://doi.org/10.21037/jgo-20-326
22. Candido Franca S, Rupp de Paiva SA, Helena Borgato M, Mendes Bertoncello Fontes C, Pessuto Simonetti J, Molina Lima SA, et al. La dieta artesanal versus la dieta industrializada en pacientes con nutrición enteral domiciliaria: una revisión integradora. Nutrición Hospitalaria [Internet]. 2017 Dec 1;34(6):1281-7. Disponível em: https://dx.doi.org/10.20960/nh.1301
23. Maeda M, Fukuda H, Shimizu S, Ishizaki T. A comparative analysis of treatment costs for home-based care and hospital-based care in enteral nutrition patients: A retrospective analysis of claims data. Health Policy (Amsterdam, Netherlands) [Internet]. 2019 Apr 1;123(4):367-72. https://doi.org/10.1016/j.healthpol.2018.12.006
24. Parrish C, Escuro A. Blenderized Tube Feeding: Suggested Guidelines to Clinicians. undefined [Internet], 2014. [Acesso 27 abril 2022]. Disponível em: https://www.semanticscholar.org/paper/Blenderized-Tube-Feeding%3A-Suggested-Guidelines-to-Parrish-Escuro/3bd11dfa5c7eae82d2be2ff4f3ba67fd931c4c3d
25. Mesquita P, Renata Q, Vieira, Lima De Medeiros J, Maria, Pessoa J, et al. Nutrição enteral e risco de contaminação microbiológica: uma revisão de literatura. https://doi.org/10.59171/nutrivisa-2014v1e9042
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