Blenderized tube feeding use in adult home enteral nutrition patients

Ryan T Hurt, Jithinraj Edakkanambeth Varayil, Lisa M. Epp, Adele K. Pattinson, Lisa M. Lammert, Jennifer E. Lintz, Manpreet S. Mundi

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Background: Use of long-term enteral nutrition (EN) has increased dramatically in the United States. It has been the authors' experience that most home EN (HEN) patients use blenderized tube feeding (BTF) in addition to commercial EN. There are limited resources available for patients interested in BTF, and studies evaluating safety and effectiveness are limited. Methods: The authors conducted a prospective cross-sectional study (n = 54). Inclusion criteria: age >18 years, follow-up in HEN clinic, prescribed commercial EN. Participants were provided the survey at HEN follow-up appointments after receiving HEN for at least 3 weeks. Results: Median age (range) was 60.5 (22-87) years with 42.6% females (n = 23). BTF was used by 55.5% of patients (n = 30). Most (57%; n = 31) received HEN for >6 months. BTF use was a median of 4 (1-7) days per week. Most common reasons for using BTF were as follows: it is more natural (43%), like eating what their family does (33%), and tolerate BTF better (30%). In patients who use BTF, 80% reported maintaining goal body weight. BTF resulted in significantly less reported nausea, vomiting, bloating, diarrhea, and constipation compared with commercial EN. Conclusions: This is the first study to evaluate BTF use in an adult HEN population. More than 50% of our patients used and approximately 80% expressed a desire to use BTF if provided with adequate information. With new connection tube changes coming in the near future, adequate adapters for BTF need to be developed.

Original languageEnglish (US)
Pages (from-to)824-829
Number of pages6
JournalNutrition in Clinical Practice
Volume30
Issue number6
DOIs
StatePublished - Dec 1 2015

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Enteral Nutrition
Constipation
Nausea
Vomiting

Keywords

  • enteral formula
  • enteral nutrition
  • home enteral nutrition
  • nutritional support

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Hurt, R. T., Edakkanambeth Varayil, J., Epp, L. M., Pattinson, A. K., Lammert, L. M., Lintz, J. E., & Mundi, M. S. (2015). Blenderized tube feeding use in adult home enteral nutrition patients. Nutrition in Clinical Practice, 30(6), 824-829. https://doi.org/10.1177/0884533615591602

Blenderized tube feeding use in adult home enteral nutrition patients. / Hurt, Ryan T; Edakkanambeth Varayil, Jithinraj; Epp, Lisa M.; Pattinson, Adele K.; Lammert, Lisa M.; Lintz, Jennifer E.; Mundi, Manpreet S.

In: Nutrition in Clinical Practice, Vol. 30, No. 6, 01.12.2015, p. 824-829.

Research output: Contribution to journalArticle

Hurt, RT, Edakkanambeth Varayil, J, Epp, LM, Pattinson, AK, Lammert, LM, Lintz, JE & Mundi, MS 2015, 'Blenderized tube feeding use in adult home enteral nutrition patients', Nutrition in Clinical Practice, vol. 30, no. 6, pp. 824-829. https://doi.org/10.1177/0884533615591602
Hurt RT, Edakkanambeth Varayil J, Epp LM, Pattinson AK, Lammert LM, Lintz JE et al. Blenderized tube feeding use in adult home enteral nutrition patients. Nutrition in Clinical Practice. 2015 Dec 1;30(6):824-829. https://doi.org/10.1177/0884533615591602
Hurt, Ryan T ; Edakkanambeth Varayil, Jithinraj ; Epp, Lisa M. ; Pattinson, Adele K. ; Lammert, Lisa M. ; Lintz, Jennifer E. ; Mundi, Manpreet S. / Blenderized tube feeding use in adult home enteral nutrition patients. In: Nutrition in Clinical Practice. 2015 ; Vol. 30, No. 6. pp. 824-829.
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abstract = "Background: Use of long-term enteral nutrition (EN) has increased dramatically in the United States. It has been the authors' experience that most home EN (HEN) patients use blenderized tube feeding (BTF) in addition to commercial EN. There are limited resources available for patients interested in BTF, and studies evaluating safety and effectiveness are limited. Methods: The authors conducted a prospective cross-sectional study (n = 54). Inclusion criteria: age >18 years, follow-up in HEN clinic, prescribed commercial EN. Participants were provided the survey at HEN follow-up appointments after receiving HEN for at least 3 weeks. Results: Median age (range) was 60.5 (22-87) years with 42.6{\%} females (n = 23). BTF was used by 55.5{\%} of patients (n = 30). Most (57{\%}; n = 31) received HEN for >6 months. BTF use was a median of 4 (1-7) days per week. Most common reasons for using BTF were as follows: it is more natural (43{\%}), like eating what their family does (33{\%}), and tolerate BTF better (30{\%}). In patients who use BTF, 80{\%} reported maintaining goal body weight. BTF resulted in significantly less reported nausea, vomiting, bloating, diarrhea, and constipation compared with commercial EN. Conclusions: This is the first study to evaluate BTF use in an adult HEN population. More than 50{\%} of our patients used and approximately 80{\%} expressed a desire to use BTF if provided with adequate information. With new connection tube changes coming in the near future, adequate adapters for BTF need to be developed.",
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