Contribution of feeding and nutritional therapy to energy needs of bone marrow transplant patients

DOI: 10.15343/0104-7809.20112193200

Abstract

Patients in BMT need nutritional therapy generally, due to the effects of toxicity of the treatment. The objective of this study has been to
describe nutritional therapy and its contribution for total daily energy needs. This prospective study was developed from January 2002 to August 2007.
Energy necessities were considered by means of equations to calculate the power cost, considering the age group and a factor disease. Results: 89 patients
were eligible; 26 received oral feeding, an element that contributed to 76% of the total energy. The NPT has been necessary in 48% of the total, with
use average superior in allogeneic cases. Thirty one patients have received via oral plus NPT, and this has added 103% to the total energy. The average of
reached adjustment in NPT changed among groups (75% autologous versus 54% allogeneic; p = 0.001). Probe use happened in 35%, with a contribution,
added to the oral route, of 79% of the energy in 20 patients. The higher average ofenergy supplied has happened in the patients who received the three
forms: oral, enteral and NPT (122%). We conclude that the contribution of the therapies for the total energy has been greater in the patients than has
used the three combined forms. The NPT has contributed with a supply superior, as much when combined with the oral route as also in the isolated form.
The use of probes has contributed in a smaller degree, element than it can be associate to the high frequency of patient current gastrointestinal toxicities
in these. Allogeneic BMT patients have presented a greater difficulty to reach the total energy. Then, there is necessity of clinical tests controlled in order
to evaluate the applicability and benefits of the protocolled nutritional therapy.