Lipid profile and cost of enteral nutrition formula with addition of fish oil used in a public hospital

The present study evaluated the lipid profile of enteral nutrition formulas with added fish oil used in a public hospital, with an emphasis on the fatty acid (FA) composition. FA composition was determined using gas chromatography coupled to a flame ionization detector (GC-FID). Nine enteral nutriti...

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Published in:Clinical nutrition ESPEN Vol. 57; pp. 288 - 296
Main Authors: Castanheira Neia, Vanessa Javera, Landi Masquio, Deborah Cristina, Claudino, Paola Alves, Duso, Pamela, Tadano, Débora Kanegae, Bolognese, Marciele Alves, Magalhães de Souza, Patrícia, Santos, Oscar Oliveira, Visentainer, Jesuí Vergílio, Molin Netto, Bárbara Dal
Format: Journal Article
Language:English
Published: Elsevier Ltd 01-10-2023
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Abstract The present study evaluated the lipid profile of enteral nutrition formulas with added fish oil used in a public hospital, with an emphasis on the fatty acid (FA) composition. FA composition was determined using gas chromatography coupled to a flame ionization detector (GC-FID). Nine enteral nutrition formulas were evaluated and the results obtained were compared with those reported on the formulas labels. The sample with the highest percentage of added fish oil according to the label information had the lowest total amounts of eicosapentaenoic acid and docosahexaenoic acid (EPA + DHA) (p < 0.05). In the evaluation of the total amount of polyunsaturated fatty acids/saturated fatty acids (ΣPUFA/ΣSFA) ratio, five samples were not within the values recommended by Brazilan and international health regulatory agencies. Regarding the n-6/n-3 fatty acids ratio, five samples showed values higher than the recommended ratio. It was observed that EPA + DHA content was positively correlated with the cost of the diet. Importantly, we also found that there was a significant difference between the results of our analysis and the descriptions found on the labels for fatty acids n-6, n-3, EPA, DHA, SFA, PUFA and MUFA. We conclude that the discrepancies for fatty acids between the values obtained in the analyses and the values reported on the labels highlight the need for more rigorous inspection when public hospitals purchase enteral nutrition formulas with added fish oil, since the administration of formulas with inadequate levels of FA in hospitalized patients can compromise clinical results during the hospitalization period.
AbstractList BACKGROUND & AIMSThe present study evaluated the lipid profile of enteral nutrition formulas with added fish oil used in a public hospital, with an emphasis on the fatty acid (FA) composition. METHODSFA composition was determined using gas chromatography coupled to a flame ionization detector (GC-FID). Nine enteral nutrition formulas were evaluated and the results obtained were compared with those reported on the formulas labels. RESULTSThe sample with the highest percentage of added fish oil according to the label information had the lowest total amounts of eicosapentaenoic acid and docosahexaenoic acid (EPA + DHA) (p < 0.05). In the evaluation of the total amount of polyunsaturated fatty acids/saturated fatty acids (ΣPUFA/ΣSFA) ratio, five samples were not within the values recommended by Brazilan and international health regulatory agencies. Regarding the n-6/n-3 fatty acids ratio, five samples showed values higher than the recommended ratio. It was observed that EPA + DHA content was positively correlated with the cost of the diet. Importantly, we also found that there was a significant difference between the results of our analysis and the descriptions found on the labels for fatty acids n-6, n-3, EPA, DHA, SFA, PUFA and MUFA. CONCLUSIONSWe conclude that the discrepancies for fatty acids between the values obtained in the analyses and the values reported on the labels highlight the need for more rigorous inspection when public hospitals purchase enteral nutrition formulas with added fish oil, since the administration of formulas with inadequate levels of FA in hospitalized patients can compromise clinical results during the hospitalization period.
The present study evaluated the lipid profile of enteral nutrition formulas with added fish oil used in a public hospital, with an emphasis on the fatty acid (FA) composition. FA composition was determined using gas chromatography coupled to a flame ionization detector (GC-FID). Nine enteral nutrition formulas were evaluated and the results obtained were compared with those reported on the formulas labels. The sample with the highest percentage of added fish oil according to the label information had the lowest total amounts of eicosapentaenoic acid and docosahexaenoic acid (EPA + DHA) (p < 0.05). In the evaluation of the total amount of polyunsaturated fatty acids/saturated fatty acids (ΣPUFA/ΣSFA) ratio, five samples were not within the values recommended by Brazilan and international health regulatory agencies. Regarding the n-6/n-3 fatty acids ratio, five samples showed values higher than the recommended ratio. It was observed that EPA + DHA content was positively correlated with the cost of the diet. Importantly, we also found that there was a significant difference between the results of our analysis and the descriptions found on the labels for fatty acids n-6, n-3, EPA, DHA, SFA, PUFA and MUFA. We conclude that the discrepancies for fatty acids between the values obtained in the analyses and the values reported on the labels highlight the need for more rigorous inspection when public hospitals purchase enteral nutrition formulas with added fish oil, since the administration of formulas with inadequate levels of FA in hospitalized patients can compromise clinical results during the hospitalization period.
Author Magalhães de Souza, Patrícia
Castanheira Neia, Vanessa Javera
Duso, Pamela
Bolognese, Marciele Alves
Molin Netto, Bárbara Dal
Santos, Oscar Oliveira
Visentainer, Jesuí Vergílio
Tadano, Débora Kanegae
Claudino, Paola Alves
Landi Masquio, Deborah Cristina
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  givenname: Pamela
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  givenname: Marciele Alves
  surname: Bolognese
  fullname: Bolognese, Marciele Alves
  organization: Food Science Graduate Program, Center of Agrarian Sciences, Universidade Estadual de Maringá (UEM), Colombo Avenue, 5790, 87020-900, Maringá, Parana, Brazil
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  givenname: Patrícia
  surname: Magalhães de Souza
  fullname: Magalhães de Souza, Patrícia
  organization: Department of Chemistry, Exact Science Center, Universidade Estadual de Maringá (UEM), Colombo Avenue, 5790, 87020-900, Maringá, Parana, Brazil
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  givenname: Oscar Oliveira
  surname: Santos
  fullname: Santos, Oscar Oliveira
  organization: Department of Chemistry, Exact Science Center, Universidade Estadual de Maringá (UEM), Colombo Avenue, 5790, 87020-900, Maringá, Parana, Brazil
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  givenname: Jesuí Vergílio
  surname: Visentainer
  fullname: Visentainer, Jesuí Vergílio
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  givenname: Bárbara Dal
  surname: Molin Netto
  fullname: Molin Netto, Bárbara Dal
  email: barbaradm@ufpr.br
  organization: Postgraduate Program in Food and Nutrition, Department of Nutrition, Universidade Federal do Parana (UFPR), Lothario Meissner Ave., 632, Jardim Botanico Campus, 80210-170, Curitiba, Parana, Brazil
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Keywords Food composition
Docosahexaenoic acid
Formulated foods
Eicosapentaenoic acid
Nutritional therapy
Quality control
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Snippet The present study evaluated the lipid profile of enteral nutrition formulas with added fish oil used in a public hospital, with an emphasis on the fatty acid...
BACKGROUND & AIMSThe present study evaluated the lipid profile of enteral nutrition formulas with added fish oil used in a public hospital, with an emphasis on...
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StartPage 288
SubjectTerms Docosahexaenoic acid
Eicosapentaenoic acid
Food composition
Formulated foods
Nutritional therapy
Quality control
Title Lipid profile and cost of enteral nutrition formula with addition of fish oil used in a public hospital
URI https://dx.doi.org/10.1016/j.clnesp.2023.06.007
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Volume 57
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