雀巢佳膳纖維課件

1、佳膳纖維 全營養(yǎng)配方 50:50 乳清蛋白: 酪蛋白 適用于口服營養(yǎng)補(bǔ)充和管飼 水溶性和非水溶性膳食纖維配合保護(hù)腸道健康佳膳纖維 全營養(yǎng)配方保護(hù)腸道健康作為標(biāo)準(zhǔn)配方, 1 kcal /ml, 應(yīng)用于標(biāo)準(zhǔn)治療可以沖調(diào)至 1.5 Kcal/mL, 滿足對熱量要求較高或?qū)σ后w攝入限制的病人 e.g. 燒傷, COPD, 心衰 可靈活配制不同能量密度, 適應(yīng)臨床要求作為標(biāo)準(zhǔn)配方, 1 kcal /ml, 應(yīng)用于標(biāo)準(zhǔn)治療可靈活蛋白質(zhì)特點(diǎn)和益處Features特點(diǎn)Benefits益處蛋白質(zhì)含量為全部熱量的 16%, 為中等程度. (10g/250mL)蛋白質(zhì)攝入量可被靈活掌握滿足病人蛋白質(zhì)標(biāo)準(zhǔn)需求 1.0

2、g+/kg 可覆蓋不同的應(yīng)激狀態(tài)的病人50% 乳清蛋白50% 酪蛋白乳清蛋白 = 優(yōu)質(zhì)蛋白乳清蛋白 = 胃排空快提供易消化和吸收的所有必需氨基酸, 防止瘦肉組織消耗 降低誤吸危險, 減少吸入性肺炎的發(fā)生乳清蛋白富含半胱氨酸促進(jìn)谷胱甘肽生成(強(qiáng)抗氧化劑, 增強(qiáng)免疫)富含高支鏈氨基酸促進(jìn)肌肉體積和力量蛋白質(zhì)特點(diǎn)和益處Features特點(diǎn)Benefits益處蛋白碳水化合物特點(diǎn)和益處Features特點(diǎn)Benefits益處中等程度的碳水化合物含量占總熱量50% 來源- 麥芽糖糊精,玉米糖漿, 蔗糖 ,豌豆淀粉 保持理想的滲透壓, 保證病人有好的耐受低蔗糖甜味低, 耐受低生糖指數(shù)Low glycemic

3、 index51 (vs. bread), 36 (vs. glucose)可用于糖尿病人 臨床意義的無乳糖避免對乳糖不耐受的風(fēng)險碳水化合物特點(diǎn)和益處Features特點(diǎn)Benefits益處脂肪特點(diǎn)和益處Features特點(diǎn)Benefits益處占總熱量的33% 充分的非蛋白質(zhì)熱量, 理想的必需脂肪酸比例關(guān)系 n-6:n-3 = 4:1調(diào)節(jié)炎性反應(yīng),降低炎性因子的生成 25% of fat as MCT迅速供能脂肪特點(diǎn)和益處Features特點(diǎn)Benefits益處占總熱膳食纖維: 特點(diǎn)和益處 Features特點(diǎn)Benefits益處膳食纖維含量 (total 15 g/L)50% 水溶性纖維5g

4、 聚果糖 (FOS)(少量的豌豆纖維)益生作用: 維護(hù)腸道菌群, 保護(hù)腸道健康, 增強(qiáng)免疫, 降低感染危險.降低腹瀉危險幫助改善血糖和血膽固醇控制50% 非水溶性纖維: 豌豆外皮纖維增加糞便良,促進(jìn)腸蠕動,減少便秘 膳食纖維: 特點(diǎn)和益處 Features特點(diǎn)Benefits膳食纖維:調(diào)節(jié)大腸功能非水溶性纖維滯留水份 減少便秘, b通過增加糞便良和滯留水份, 使排便更容易水溶性纖維 調(diào)節(jié)糞便量, 促進(jìn)腸通過時間,改善腹瀉 佳膳纖維含有兩者, 即改善便秘,又可改善腹瀉 Bowel Management膳食纖維:調(diào)節(jié)大腸功能非水溶性纖維滯留水份膳食纖維:促雙岐桿菌纖維 (益生元) 益生作用” 食物

5、中不被消化的成份, 選擇性的刺激在結(jié)腸和直腸中有益菌的生長, 保護(hù)宿主的健康 益生, 或 促雙岐桿菌膳食纖維幫助雙岐桿菌P生長, 從而, 控制致病菌 INULIN(菊粉)2-60 fructose units FOS(低聚果糖)2-9 fructose units“Stay Healthy, Eat Bug Food”膳食纖維:促雙岐桿菌纖維 (益生元) 益生作用” 食物益生作用的健康效果增加有益細(xì)菌的生長FOS 和 菊粉可明顯增加雙岐桿菌的活力,不從心降低大腸中有害菌的數(shù)量(Kolida 2002; Gibson 1995; Roberfroid 1998)FOSInulin Promoti

6、on of Healthy Intestinal Microbiota益生作用的健康效果增加有益細(xì)菌的生長FOS PromotioFunction of PrebioticsFunction of Prebiotics維生素類和礦物質(zhì)1500 毫升100%滿足 US RDA 對30余種維生素和礦物質(zhì)的要求維生素類和礦物質(zhì)1500 毫升100%滿足 US RDA 佳膳纖維 -適應(yīng)癥:外科術(shù)前營養(yǎng)強(qiáng)化(佳膳可用于腸道準(zhǔn)備)術(shù)后危重病人腦外傷/手術(shù)燒傷整型外科創(chuàng)傷內(nèi)科調(diào)節(jié)腸道 (便秘或腹瀉)應(yīng)用抗菌素后, 恢復(fù)腸道菌群腫瘤/癌癥 吞咽困難神經(jīng)科l (e.g. 中風(fēng), Parkinsons, 神經(jīng)元疾

7、病, 多發(fā)性硬化癥)呼吸科, e.g. COPD老年人長期管飼佳膳纖維 -適應(yīng)癥:外科內(nèi)科佳膳纖維的強(qiáng)項(xiàng)Nutren Fibre strengths:50% 乳清蛋白 : 50% 酪蛋白富含 MCT (25%)低滲透壓 (360mOsm/kg H2O)低蔗糖 (22 g/L )低生糖指數(shù) (58 vs white bread, 41 vs glucose)靈活配制不同能量密度的溶液 (1 or 1.5 kcal/ml)水溶性和非水溶性膳食纖維,病人耐受性好 佳膳纖維的強(qiáng)項(xiàng)Nutren Fibre strengths:Nutren Fiber StudyWhelan et al. J. Nutr

8、. 135: 18961902, 2005.Aim: to investigate the effect of enteral formulas with and without prebiotic fructooligosaccharides (FOS) and fiber on the fecal microbiota and SCFAs.Study design:10 healthy subjects consumed both a standard enteral formula and Nutren fiber as a sole source of nutrition for 14

9、 days in a randomized, double-blind, crossover trial with a 6-wk washout phase.Results: This study demonstrates that standard enteral formula leads to adverse alterations to the fecal microbiota and SCFA concentrations in healthy subjects, and these alterations are partially prevented by fortificati

10、on of the formula with FOS and fiber.Nutren Fiber StudyWhelan et aNUTREN Fibre vs Ensure FOSNUTREN FibreEnsure FOSNestle advantageCarbohydrates (g/L)126.5 (50% TEI)Low GI = 58 (vs. bread), 41 (vs. glucose)134 (55% TEI)? GILower carbohydrates content and low GI promote better glucose controlProtein (

11、g/L)40 (16% TEI)50% casein: 50% whey37 (15%)sodium and calcium caseinates and soy protein isolateBetter protein profile: whey has high BV and promotes better feeding tolerance and maintain LBMFat (g/L)38 (34% TEI)25% fat as MCT41% fat as MUFA33 (30% TEI)No MCT oil61% fat as MUFAMCT does not affect s

12、erum cholesterol level. It is easily digested and absorbed, and also quick source of energy to spare protein Fiber (g/L)15 ( include 5g FOS)50% soluble 50% insoluble10 (FOS/Inulin)? Insoluble fiberA mixed blend of fiber to target total gut health through modulating diarrhea and constipation, microflora balance)Osmolality (mOsm/kg H2O)360466 (?)Lower osmolality for better feeding tolerance and decrease risk