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Effect of Sodium Carbonate on Extraction by Aqueous Decoction of Total Polyphenols from Crushed and Whole Leaves of <i>Combretum micranthum</i> 碳酸钠对微蕨碎叶和全叶水煎法提取总多酚的影响</ amp;gt
Pub Date : 2023-01-01 DOI: 10.4236/fns.2023.149052
Papa Guedel Faye, Lahat Niang, Edouard Mbarick Ndiaye, Oumar Ibn Khatab Cisse, Alioune Sow, Nicolas Cyrille Ayessou, Mady Cisse
Sodium bicarbonate is sometimes used to aid in the extraction of total polyphenols. Its main effect is to increase the pH of the extraction solution. Raising the pH can cause changes in the chemical structure of polyphenols. This can lead to variations in their biological properties, solubility and stability. This work studied the effect of sodium carbonate on the extraction by aqueous decoction of total polyphenols from the leaves of Combretum micranthum. The content of total phenolic compounds in the extracts was estimated by the Folin-Ciocalteu method. The color of the samples was measured using a colorimeter (type: KONICA MINOLTA. Japan) based on the CIELAB color system. The results obtained were subjected to a one-way ANOVA analysis of variance with R software version 3.2.4 Revised (2018) and Minitab-18 software. The results reveal a drop in the concentration of extracted polyphenols proportional to the addition of sodium carbonate, i.e. a drop from 3.30 to 1.04 mg·AG·100 g-1 of extract on whole leaves and 3.921 to 2.551 mg·AG·100 g-1 extract on crushed leaves. On the other hand, the intensity of the coloring of the extracts increases significantly with the addition of sodium carbonate from 0.0 g·L -1 to 0.666 g·L-1.
碳酸氢钠有时用于辅助提取总多酚。其主要作用是提高萃取液的pH值。提高pH值会导致多酚的化学结构发生变化。这可能导致其生物特性、溶解度和稳定性的变化。本文研究了碳酸钠对水煎法提取紫菀叶中总多酚的影响。用Folin-Ciocalteu法测定提取物中总酚类化合物的含量。使用比色计(型号:KONICA MINOLTA)测量样品的颜色。(日本)基于CIELAB色彩系统。采用R软件3.2.4修订版(2018)和Minitab-18软件对所得结果进行单因素方差分析。结果表明,与碳酸钠添加量成正比,提取物中多酚的浓度下降,即全叶提取物从3.30 mg·AG·100 g-1下降到1.04 mg·AG·100 g-1,碎叶提取物从3.921 mg·AG·100 g-1下降到2.551 mg·AG·100 g-1。另一方面,随着碳酸钠的添加量从0.0 g·L-1增加到0.666 g·L-1,提取物的着色强度显著增加。
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引用次数: 0
Prevalence and Predictors of Double Burden of Malnutrition within Households in Africa: A Systematic Review 非洲家庭营养不良双重负担的患病率和预测因素:系统综述
Pub Date : 2023-01-01 DOI: 10.4236/fns.2023.1410058
Reynald Santos, Charles Sossa Jerome, Colette Azandjeme, Carmelle Mizehoun-Adissoda, Clémence Metonnou
In recent years, there has been growing interest in the emergence of double burden of malnutrition (DBM) in Africa. In this study, we reviewed the literature on double burden of malnutrition in households, reviewing previous studies investigating the prevalence of DBM in Africa and the factors associated with it. To identify relevant studies, we consulted the PubMed and Cochrane electronic databases, using specific search terms. A total of seventeen articles met the eligibility criteria. These articles were published between 2012 and 2022, and their data were collected between 2000 and 2019. Twelve of these studies used secondary data, including demographic and health surveys. The age of children and adults varied from study to study. All studies used Body Mass Index as a nutritional indicator for adults. For children, the height-for-age Z-score was most commonly used, while weight-for-age, weight-for-height and Body Mass Index-for-age were less commonly used. The national prevalence of double nutritional burden in households ranged from 1.71% to 38.7%, depending on the country and the year. However, direct comparisons between studies were limited due to differences in combinations of undernutrition, overweight or obesity. Among the factors associated with double nutritional burden within households, the most frequently cited in the selected articles were urban/rural residence, income or socioeconomic status, age of child and mother, household size and mother’s level of education. However, no study assessed physical activity, and very few examined the diet of household members. It is essential to take these different parameters into account when designing and implementing interventions to prevent the DBM in Africa. Community and societal factors will also need to be studied and taken into account in these interventions.
近年来,人们越来越关注非洲出现的营养不良双重负担(DBM)。在本研究中,我们回顾了关于家庭营养不良双重负担的文献,回顾了之前调查非洲DBM患病率及其相关因素的研究。为了确定相关的研究,我们使用特定的搜索词查阅了PubMed和Cochrane电子数据库。共有17篇文章符合入选标准。这些文章发表于2012年至2022年之间,数据收集于2000年至2019年之间。其中12项研究使用了二手数据,包括人口和健康调查。儿童和成人的年龄因研究而异。所有的研究都使用身体质量指数作为成年人的营养指标。对于儿童来说,最常用的是年龄身高z分数,而年龄体重、身高体重和年龄体重指数则不太常用。根据国家和年份的不同,家庭双重营养负担的全国患病率从1.71%到38.7%不等。然而,由于营养不良、超重或肥胖组合的差异,研究之间的直接比较受到限制。在与家庭内双重营养负担有关的因素中,选定文章中最常引用的是城市/农村住所、收入或社会经济地位、儿童和母亲的年龄、家庭规模和母亲的教育水平。然而,没有研究评估身体活动,很少调查家庭成员的饮食。在设计和实施预防非洲DBM的干预措施时,必须考虑到这些不同的参数。在这些干预措施中也需要研究和考虑社区和社会因素。
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引用次数: 0
Eating Habits of High School Students in the District of Bamako in the Context of Nutritional Transition 营养转型背景下巴马科地区高中生的饮食习惯
Pub Date : 2023-01-01 DOI: 10.4236/fns.2023.1410055
Mamadou Saïdou Bah, Lebem Togtoga, Abdourahmane Ndong, Papa Djibril Ndoye, Khadim Niang, Papa Ndiaye
Introduction: Eating habits are consolidated in early childhood and continue throughout life. Adolescence is a stage of rapid growth linked to puberty affected by the nutritional transition. This study aimed to evaluate the eating habits of high school students in the district of Bamako. Methodology: The cross-sectional, descriptive study was conducted from June 15 to July 4, 2023. The sample size was calculated with the StatCalc program of the Epi 7.2 software. Data was collected using a questionnaire on KoboCollect. Analyses were performed using SPSS 26 software. Results: A total of 2400 high school students were surveyed. The average age of high school students was 16.9 years ± 1.4. The median age was 17, with extremes of 14 and 19. Of the high school students, 53.3% were boys. The sex ratio (M/F) was 1.14. About 89.4% of high school students had a Smartphone. Among high school students, 51.1% did not engage in physical activity outside of high school. Rice was the cereal most consumed by high school students (99.2%). Consumption of fish and seafood was very low (25.5%). Soft drinks were consumed on average 4.2 days/week. In addition, 60.8% of high school students consumed energy drinks. Certain eating behaviors were found in this study, such as nibbling (38.5%), eating in front of screens (79.0%), and skipping meals (46.1%). Conclusion: The most consumed cereal by high school students was rice. The consumption of ultra-processed products and sedentary leisure are habits to be monitored in the context of the prevention of food-related non-communicable diseases among high school students in the district of Bamako.
饮食习惯在儿童早期得到巩固,并在一生中持续下去。青春期是一个快速成长的阶段,与青春期有关,受营养过渡的影响。本研究旨在评估巴马科地区高中生的饮食习惯。方法:横断面描述性研究于2023年6月15日至7月4日进行。用Epi 7.2软件的StatCalc程序计算样本量。使用KoboCollect上的问卷收集数据。采用SPSS 26软件进行分析。结果:共调查高中生2400人。高中生平均年龄为16.9岁±1.4岁。平均年龄为17岁,极端年龄为14岁和19岁。高中生中男生占53.3%。性别比(M/F)为1.14。89.4%的高中生拥有智能手机。在高中学生中,51.1%的学生没有参加高中以外的体育活动。大米是高中生食用最多的谷物(99.2%)。鱼类和海鲜的消费量非常低(25.5%)。每周平均有4.2天饮用软饮料。此外,60.8%的高中生饮用能量饮料。在这项研究中发现了某些饮食行为,如啃食(38.5%),在屏幕前吃饭(79.0%)和不吃饭(46.1%)。结论:中学生食用最多的谷类食品是米饭。在预防巴马科地区高中生与食物有关的非传染性疾病的背景下,需要监测超加工产品的消费和久坐不动的休闲习惯。
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引用次数: 0
Comparison of Chick Quality, Health, and Inflammation from Two Hatchery Environments 两种孵化场环境下雏鸡品质、健康和炎症的比较
Pub Date : 2023-01-01 DOI: 10.4236/fns.2023.149053
Kaylin M. Chasser, Audrey F. Duff, Kate McGovern, Mike Trombetta, Lisa R. Bielke
Hatchery contamination can result in ingested or inhaled microbes that may modify colonization of the intestinal and respiratory tract, with potential to influence early growth, inflammation, and overall health. Six experiments were completed to compare chick quality, inflammation, and health between two hatcheries (H1 and H2). On embryonic d0, 45 eggs from the same breeder flock were set at each hatchery. On d0, length, abdominal height, navel and leg abnormalities, and self-righting were measured for 36 chicks/hatchery, yolk sacs were weighed, and crop/cloaca swabs were cultured from 12 chicks/hatchery. On d7, mid-ileum and ceca were cultured from 12 chicks/hatchery. On d0 and d7, body weight (BW) and intestinal weight were measured, lung/air sac swabs and liver were cultured, and liver and air sacs were scored for health. Blood was collected on d0 and d7 for serum alpha-1-acid glycoprotein concentrations in Exp 1 and 2. Data was analyzed using Student’s t-test or χ2, significance p < 0.05. On d0, BW, length, yolk free BW, and intestinal weight were greater for H2 chicks (p < 0.05). Liver bacterial recovery was decreased in H2 on d0 (p < 0.05) and there were fewer average leg and righting abnormalities in H2 (p < 0.05). Decreased lactase positive Enterobacteriaceae were noted in H2 in crop/cloaca and lung/air sac swabs (p < 0.05), and of alpha and beta hemolysis in crop/cloaca swabs, and alpha and gamma hemolysis in lung/air sac swabs (p < 0.05) on d0. By d7, only alpha hemolytic bacteria were increased in lung/air sac swabs of H2. Based on factors measured, chicks from H2 showed favorable microbial colonization, starting quality, and improved health on d0. While not sustained through d7, differences in d0 microbial recovery may have shifted microbial development and potentially influenced immune response development. These experiments elucidated the importance of hatchery environment on early chick quality, microbial colonization, overall inflammation, and chick health.
孵化场污染可导致摄入或吸入微生物,可能改变肠道和呼吸道的定植,有可能影响早期生长、炎症和整体健康。为了比较H1和H2两个孵化场的雏鸡质量、炎症和健康状况,进行了6项试验。在胚胎期,每个孵化场分别从同一种鸡群中取出45个鸡蛋。10日,测定36只雏鸡(孵化场)的体长、腹高、肚脐和腿部异常及自矫直情况,称重卵黄囊,培养12只雏鸡(孵化场)的嗉囊/阴囊拭子。第7天,12只雏鸡/孵化场培养回肠中段和盲肠。第0、7天,测定体重和肠道重量,培养肺/气囊拭子和肝脏,并对肝脏和气囊进行健康评分。试验1和试验2的血清α -1-酸性糖蛋白浓度分别于试验1和试验2的第10和第7天采血。数据分析采用Student’s t检验或χ2,显著性p < 0.05。试验第10天,H2组的体重、体长、无蛋黄体重和肠重显著高于对照组(p < 0.05)。H2组在0时肝脏细菌恢复减少(p < 0.05), H2组平均腿部和翻正异常减少(p < 0.05)。作物/阴囊和肺/气囊拭子H2中乳糖酶阳性肠杆菌减少(p < 0.05),作物/阴囊拭子α溶血和β溶血以及肺/气囊α溶血和γ溶血减少(p < 0.05)。到第7天,H2组肺/气囊拭子中只有α溶血性细菌增加。根据所测因素,H2处理的雏鸡在第10天表现出良好的微生物定植、起始质量和健康状况。虽然没有持续到7月,但微生物恢复的差异可能改变了微生物的发育,并可能影响免疫反应的发展。这些实验阐明了孵卵环境对早期雏鸡质量、微生物定植、整体炎症和雏鸡健康的重要性。
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引用次数: 0
Dietary Vitamin K Restriction and Effectiveness of Vitamin K Antagonists Prescribed at the CNHU-HKM University Cardiology Clinic/BENIN CNHU-HKM大学心脏病学诊所/BENIN规定的饮食维生素K限制和维生素K拮抗剂的有效性
Pub Date : 2023-01-01 DOI: 10.4236/fns.2023.1410059
Clémence Germaine Metonnou, Charles Jérôme Sossa, Lamidhi Salami, Rébécca Sabgohan, Colette Azandjeme, Camelle Mizehoun-Adossoda, Virginie Mongbo
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引用次数: 0
Environment and Awareness Influencing Food Safety in the Western Area, Sierra Leone 影响塞拉利昂西部地区食品安全的环境和意识
Pub Date : 2023-01-01 DOI: 10.4236/fns.2023.1411064
Philip John Kanu, Hamid Turay, Abdulai Kandeh, Mary Hodges
Food safety, nutrition, health and wellbeing are inextricably linked. This study investigated the environmental, awareness and practices amongst both food vendors and consumers in and around Freetown the capital of Sierra Leone. The population of the area has vastly out-grown the infrastructure laid down before and since independence. De-centralization of authority to local councils as recommended post-war has only been partial. The role of local versus central government in the planning and maintenance of water, sanitation and market-infrastructure and related policies was explored. This is a qualitative study that used semi-structured interviews with vendors, consumers and 29 key informants. Amongst an estimated population of 5386 actors in food services a sample size of 309 vendors, consumers in and around the 12 busiest market hubs in Western Area Urban and Rural Districts were sampled. Most of the respondents described “food safety” as “good-to-eat, well taken care-off, and free from germs”. The respondents cited that main causes to unsafe food are poor hygienic practices: 38%, contamination by flies: 28%, uncovered food/ improper handling/poor personal hygiene: 21%, and environmental factors, such as improper refuse disposal: 11%. Respondents expressed that consuming unsafe foods can lead to diarrhoea: 34%, food poisoning: 24%, vomiting: 17%, stomach ache/pain: 16%, or typhoid: 9%. Various measures to improve food safety were cited as hand washing: 60%, cleaning surroundings: 57%, covering food: 56%, washing utensils: 52%, covering hair: 42% and using a face mask: 32%. However almost 76% of food vendors interviewed were trading near gutters, where muddy/dirty water settled, with slippery floors, discarded plastic waste, flies and inadequate water, sanitation, and/or storage facilities. None of the food vendors had had any formal training on food safety. Despite progress recently made in solid and liquid waste management during the “Transform Freetown” agenda much more improvement in infrastructure and behaviour change is required. Similarly, despite improvements in formal market facilities the pattern of informal street trading remains the most prevalent especially for the poor. The link between “safe food” and good health was only partially understood, whilst the widespread application of recommended practices to reduce risks was lacking due in part to inadequate infrastructure. As the importance of food safety becomes better understood by administrators and the public the investments required in infrastructure and social and behavioural change will contribute towards a healthier environment and outcomes.
食品安全、营养、健康和福祉密不可分。本研究调查了塞拉利昂首都弗里敦及其周边地区食品供应商和消费者的环境、意识和做法。该地区的人口已经大大超过了独立前后所铺设的基础设施。按照战后的建议,将权力下放到地方议会只是部分的。探讨了地方政府与中央政府在规划和维持水、卫生和市场基础设施及有关政策方面的作用。这是一项定性研究,采用了对供应商、消费者和29名关键线人的半结构化访谈。在估计的5386名食品服务参与者中,对西部地区城市和农村地区12个最繁忙的市场中心及其周围的309名供应商和消费者进行了抽样调查。大多数受访者将“食品安全”描述为“好吃、保养好、没有细菌”。受访者指出,造成食品不安全的主要原因是卫生习惯不良(38%)、苍蝇污染(28%)、未遮盖食物/处理不当/个人卫生不良(21%)以及环境因素(如垃圾处理不当):11%。答复者表示,食用不安全食品可导致腹泻:34%,食物中毒:24%,呕吐:17%,胃痛/胃痛:16%,或伤寒:9%。改善食品安全的各种措施包括洗手:60%,清洁环境:57%,覆盖食物:56%,清洗餐具:52%,覆盖头发:42%,使用口罩:32%。然而,接受采访的近76%的食品供应商在排水沟附近进行交易,那里有泥泞/脏水沉降,地板湿滑,有废弃的塑料废物,苍蝇,水,卫生设施和/或储存设施不足。这些食品摊贩都没有接受过正式的食品安全培训。尽管最近在“改造弗里敦”议程期间在固体和液体废物管理方面取得了进展,但需要在基础设施和行为改变方面进行更多的改进。同样,尽管正规市场设施有所改善,但非正规街头交易的模式仍然最为普遍,特别是对穷人而言。"安全食品"与良好健康之间的联系仅得到部分了解,而减少风险的建议做法没有得到广泛应用,部分原因是基础设施不足。随着管理人员和公众对食品安全的重要性有了更好的了解,在基础设施以及社会和行为改变方面所需的投资将有助于实现更健康的环境和成果。
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引用次数: 0
Trends of Laboratory-Detected Heavy Metals in Children: Solutions for Heavy Metal Contamination in Infant Food Products 实验室检测儿童重金属的趋势:婴儿食品重金属污染的解决方案
Pub Date : 2023-01-01 DOI: 10.4236/fns.2023.149051
Maidah Khan
In 2019, an investigation by the U.S. House of Representatives revealed major infant food conglomerates had products with high levels of arsenic, lead, cadmium, and mercury, posing concerns for infants’ vulnerability to the neurotoxic effects of these metals. Trends of laboratory-detected heavy metals were analyzed in children aged zero to five from 1999-2020, providing insights on heavy metal contamination in infant food products. Utilizing National Health and Nutrition Examination Survey (NHANES) data, mean heavy metal levels in children were calculated, considering gender, race, and income-to-poverty ratio as proxies for assessing associations with increasing heavy metal rates in infant food. Findings indicated an overall decrease in mean concentrations over time, though remaining elevated. Black children exhibited higher lead levels than the overall average, while the Asian subgroup displayed higher levels of total blood mercury and cadmium levels. Lack of internal standards in regulatory bodies, particularly the FDA, exacerbates the issue, with no legally enforceable guidelines or strict maximum levels for heavy metals in infant foods. Urgent FDA interventions are needed, addressing contamination at the sources of raw materials, implementing transparent and extensive product testing, and comprehensive manufacturer labeling to inform consumers about elevated heavy metal levels in infant products.
2019年,美国众议院的一项调查显示,主要的婴儿食品集团的产品中含有高浓度的砷、铅、镉和汞,令人担忧婴儿容易受到这些金属的神经毒性影响。分析了1999年至2020年期间0至5岁儿童实验室检测到的重金属趋势,为婴儿食品中的重金属污染提供了见解。利用国家健康和营养检查调查(NHANES)的数据,计算儿童的平均重金属水平,考虑性别、种族和收入与贫困比率作为评估婴儿食品中重金属含量增加的相关性的代理指标。研究结果表明,随着时间的推移,平均浓度总体下降,但仍保持在较高水平。黑人儿童的铅含量高于整体平均水平,而亚洲儿童的血液中汞和镉的含量也高于整体平均水平。监管机构,特别是FDA缺乏内部标准,使问题更加严重,没有法律上可执行的指导方针或严格的婴儿食品中重金属的最高水平。FDA需要紧急干预,从原材料源头解决污染问题,实施透明和广泛的产品测试,以及全面的制造商标签,告知消费者婴儿产品中重金属含量升高。
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引用次数: 0
&lt;i&gt;β&lt;/i&gt;-Glucans: Characterization, Extraction Methods, and Valorization &lt;i&gt;β&lt;/i&gt;-葡聚糖:表征、提取方法和增值
Pub Date : 2023-01-01 DOI: 10.4236/fns.2023.1410061
Ana Chioru, Aurica Chirsanova
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引用次数: 1
Survey of Cereal Consumption Habits in the Community of Djougou, Benin 贝宁Djougou社区谷物消费习惯调查
Pub Date : 2023-01-01 DOI: 10.4236/fns.2023.149054
Mouhamed N. El-Hadji Alassane Moutawakilou, J. Kisito Chabi-Sika, Agossou D. P. Noumavo, Haziz Sina, Joseph Dossou, Lamine Baba-Moussa, Farid Baba-Moussa
The cereal group occupies a prominent place in the dietary habits of people in northern Benin and there is little recent information on cereal consumption. This study aims to assess the consumption, acquisition and supply of cereals to households in the community of Djougou. A semi-directive survey with KoBoCollect was conducted among 369 households to collect individual cereal food consumption data. The survey data processed by statistical tools showed that the most consumed cereals are maize (95%, p = 0.887), millet (58%, p = 0.755), rice (55%, p = 0.753), sorghum (15%, p = 0.635), wheat (5%, p = 0.920) and fonio barely 5%. The most common mode of acquisition in Djougou is purchase (50%, p = 0.947) but donation is also observed (25%, p = 0.988) as well as production observed in 20.6% of households. Purchases are made from retailers in local markets (45%, p = 0.920) but also in streets and alleys (30%, p = 0.765). The most widely used preservation technique is drying at room temperature (70%, p = 0.995). Households most often dry in the areas provided in the field (50%, p = 0.783) and at home (40%, p = 0.643). The preferred storage location is the kitchen (60%, p = 0.790). The bedroom (20%, 0.669) and the store (15%, 0.522) are the alternative places for storing cereals. In addition, the supply costs of cereals increased between 2020 and 2021. This vertiginous rise in prices is due, among other things, to the covid19 pandemic. The various data generated not only make it possible to have fresh data but also to invest them in the assessment of health risks for the achievement of a high level of protection of the health and life of consumers.
谷物类食品在贝宁北部人民的饮食习惯中占有重要地位,关于谷物消费的最新资料很少。本研究旨在评估巨沟社区家庭谷物的消费、获取和供应情况。利用KoBoCollect对369户家庭进行了半指示性调查,以收集个人谷物食品消费数据。经统计工具处理的调查数据显示,食用最多的谷物是玉米(95%,p = 0.887)、小米(58%,p = 0.755)、大米(55%,p = 0.753)、高粱(15%,p = 0.635)、小麦(5%,p = 0.920)和玉米(5%)。在鼓沟中,最常见的获取方式是购买(50%,p = 0.947),但也有捐赠(25%,p = 0.988)和生产(20.6%的家庭)。人们在当地市场(45%,p = 0.920)和街头巷尾的零售商那里购物(30%,p = 0.765)。使用最广泛的保存技术是室温干燥(70%,p = 0.995)。家庭最常在田间提供的区域(50%,p = 0.783)和家中(40%,p = 0.643)进行干燥。首选的储藏地点是厨房(60%,p = 0.790)。卧室(20%,0.669)和商店(15%,0.522)是储存谷物的可选场所。此外,谷物的供应成本在2020年至2021年期间有所增加。这种令人眩晕的价格上涨,除其他外,是由于2019冠状病毒病大流行。产生的各种数据不仅使人们有可能获得新的数据,而且还可以将这些数据用于评估健康风险,以实现对消费者健康和生命的高水平保护。
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引用次数: 0
Prescription and Delivery of Enteral Nutrition for ICU Patients: A Case Study of a Hospital in the Interior of Brazil ICU患者肠内营养的处方和递送:以巴西内陆某医院为例
Pub Date : 2023-01-01 DOI: 10.4236/fns.2023.1410056
Valtemir Paula de Oliveira Junior, Daiane Costa dos Santos, Sibele Santos Fernandes, Mariana Buranelo Egea
Background: The objective of the present study was to evaluate during one year the total delivery of volume, calories, and proteins and compare them with the total prescribed to ICU patients using ENT (Enteral Nutrition Therapy) exclusively. Methods: Data on the prescribed or infused volume, calories, and protein, as well as their respective needs for each individual, were collected. Anthropometric parameters and age data were also collected from the medical records of 41 patients admitted to the intensive care unit. Results: Prescribed versus infused enteral diet volume was presented in 5 weeks which corresponds to the maximum duration of ICU treatment. Regarding sampling, the majority corresponded to elderly people (>64 years old) and males (63.4%). The total average prescribed was 719.2 mL of enteral diet on an average of 649.7 mL delivered. In addition, there was no significant difference between the prescribed and delivered volume, caloric value, and protein content of the diet only in the last week of hospitalization, which corresponded to the range of 29 - 36 days. Several factors make it difficult to reach the patient’s caloric and protein recommendations. Most of the reasons are not recorded, corresponding to 57.1%, indicating the difficulty of assessing the inadequacy of the prescribed and delivered volume. Conclusion: To our knowledge, this is the first time that a prescription vs. delivery assessment has been carried out for patients in the Brazilian Midwest. In addition, although our research is a difficulty reported worldwide (in most hospitals), we also provide opportunities for how the problem was solved in our case, which may contribute to other cases.
背景:本研究的目的是评估一年内总体积,热量和蛋白质的输送,并将其与专门使用ENT(肠内营养治疗)的ICU患者的总处方进行比较。方法:收集处方或输注量、卡路里和蛋白质的数据,以及每个人各自的需求。还收集了41名重症监护病房患者的医疗记录中的人体测量参数和年龄数据。结果:处方与输注肠内饮食量在5周内出现,对应于ICU治疗的最长时间。在抽样方面,大多数为老年人(>64岁)和男性(63.4%)。总处方平均为719.2 mL肠内饮食,平均递送649.7 mL。此外,仅在住院的最后一周,即29 - 36天的范围内,饮食的规定量、热量值和蛋白质含量与实际量之间没有显著差异。有几个因素使患者难以达到建议的热量和蛋白质。大多数原因没有记录,占57.1%,表明难以评估规定和交付量的不足。结论:据我们所知,这是第一次对巴西中西部患者进行处方与递送评估。此外,虽然我们的研究是全世界(在大多数医院)报道的困难,但我们也提供了如何在我们的病例中解决问题的机会,这可能有助于其他病例。
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引用次数: 0
期刊
Food and Nutrition Sciences
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