Bromatologic study of artisanal formulae and a proposal of ambulatory protocol of nutritional enteral care

DOI: 10.15343/0104-7809.20094467479

Abstract

Enteral nutrition (EN) is an important therapeutic tool for individuals with complete gastrointestinal treatment, but able to ingest
nutrients in adequate amount and/or quality. Thus, its formulas must follow nutritional recommendations and have its cost and chemical composition
identified. The implementation of a care protocol guarantees EN qualification. The study aims to determine cost and chemical composition of
4 formularizations (F1 - F4) comparing them with F5 and F6 published by Araújo; Menezes (2005) and to propose a protocol for nutritional care
of this population. The analyzed formularizations are composed by in natura industrial foods, and are evaluated as regards cost and nutritional
composition through bromatologic laboratorial techniques for determination of the centesimal composition and Prosky et al. (1988) as concerns
staple fibers. The protocol was based on the literature and current legislation. F1 was less expensive without reaching lipidic recommendations;
F2 had low proteic and caloric values and F3 reached nutritional values, but is more expensive. F4 reached recommended nutritional values (0.8
Kcal/ml; 15% protein, 23% of lipids and 62% of carbohydrates) with reduced cost (R$331,20/month), higher only than F1’s. F1 presented 7,2 g
of TP (Total Fiber content) (47.2% insoluble content (FI) and 52.8% soluble content (FS)); F2: 2.4g of FT (83.3% FI and 16.7% FS); F3: 7.6 g of
FT (52.6% FI and 47.4% FS) and F4: 5.6g of FT (89.3% FI and 10.7% FS), confirming the inadequacy of staple fibers in these diets. The protocol
combines nutritional variables (nutritional evaluation, food anamneses) and clinic (diagnostic, pharmacotherapy, examinations) regarding
adequacy of individualized nutritional care (type, volume, administration of the formula). The best cost / benefit relation was that of F4, reaching
nutritional balance, being an alternative for home feeding for individuals lacking income. The results of staple fibers ratify the necessity of its
supplementation when EN is exclusive. The protocol favors: register, control and evaluation of EN effectiveness.