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An observational study to evaluate micronutrient status during enteral feeding

Record type: Article

Background: There are few data on the optimal micronutrient composition of paediatric enteral feeds. The recent European Directive on Foods for Special Medical Purposes (1999/21/EC) did not distinguish between the composition of adult and paediatric feeds.
Aims: To evaluate, in an open, observational study, the long term nutritional biochemistry of 12 children aged 1–6 years and/or 8–20 kg.
Methods: The children were receiving at least 50% of their estimated average requirement (EAR) for energy from paediatric enteral formulae: 1.0 kcal/ml (Nutrison Paediatric Standard) or 1.5 kcal/ml (Nutrison Paediatric Energy Plus). Venous blood samples for trace elements, vitamins, and minerals were taken at study entry and six months later. Parents kept three day food and feed records every month.
Results: Despite a median energy intake of only 75% EAR (range 52–158%), 67% (n = 8) achieved their reference nutrient intake (RNI) for all micronutrients. No significant micronutrient deficiencies were seen on blood analysis after six months. Eighty three per cent (n = 10) had vitamin B12 and 92% (n = 11) had copper intake >150% RNI. Fifty eight per cent (n = 7) had high plasma B12 (>733 µmol/l) and 75% (n = 9) had high serum copper (>22 µmol/l) concentrations.
Conclusions: Children without excess losses maintain adequate micronutrient status on long term enteral feeding. Subjects had high blood concentrations of vitamin B12 and copper, and had high dietary intakes of these micronutrients. We suggest that the maximum nutrient guidelines for paediatric enteral feeds should be more clearly defined.

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Citation

Johnson, T.E., Janes, S.J., MacDonald, A., Elia, M. and Booth, I.W. (2002) An observational study to evaluate micronutrient status during enteral feeding Archives of Disease in Childhood, 86, (6), pp. 411-415. (doi:10.1136/adc.86.6.411).

More information

Published date: 2002
Keywords: micronutrient, enteral, nutrition

Identifiers

Local EPrints ID: 25670
URI: http://eprints.soton.ac.uk/id/eprint/25670
ISSN: 0003-9888
PURE UUID: 42f4baf8-c6ce-4dc8-a59d-245a94ec76ba

Catalogue record

Date deposited: 20 Apr 2006
Last modified: 17 Jul 2017 16:09

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Contributors

Author: T.E. Johnson
Author: S.J. Janes
Author: A. MacDonald
Author: M. Elia
Author: I.W. Booth

University divisions


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