title: Nutritional quality and osmolality of home-made enteral diets, and follow-up of growth of severely disabled children receiving home enteral nutrition therapy.
abstract: This study evaluated the nutritional quality of home-made enteral diets and their effect on growth parameters. Thirty pediatric patients receiving only homemade enteral diets were enrolled. Samples of milk-based (MB) and soup-based (SP) feeds were taken for chemical analyses. The children's anthropometric indexes were assessed. In the MB, the measured values for the macronutrients and energy corresponded to approximately 70% of the prescribed values. Conversely, the SP measured values corresponded to less than 50% of the prescribed values, except for carbohydrate. The prevalence of underweight was 30% (9/30) at the time of entry into home nutritional therapy and declined to 20% (6/30) at the time of the study (p = 0.007). Stunting increased throughout the follow up, from 30% (9/30) to 53% (16/30; p = 0.511). Obesity prevalence fell from 17% (4/23) to 9% (2/23; p < 0.001). Despite their inconsistent levels of macronutrients and energy, home-made enteral diets had no negative effect on the patients' weights.
authors.forename: Valdirene Francisca Neves
authors.initials: VF
authors.lastname: Santos
authors.forename: Tania Beninga
authors.initials: TB
authors.lastname: Morais
mesh_terms: D001835:Body Weight; D002675:Child, Preschool; D004750:Enteral Nutrition / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005526:Food, Formulated / Q000032:analysis*; D006128:Growth; D006699:Home Care Services; D006801:Humans; D007223:Infant; D008297:Male; D018977:Micronutrients / Q000032:analysis*; D009752:Nutritional Status; D018529:Nutritional Support; D009994:Osmolar Concentration
chemical_list: D018977:Micronutrients