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Homemade Blenderized Formula THESIS.pdf (6.73 MB)
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Use of Homemade Blenderized Formula in Gastrostomy Tube Dependent Pediatric Patients with Feeding Intolerance: A Retrospective Analysis
Author Info
Bronston, Ashley Lynn
ORCID® Identifier
http://orcid.org/0000-0002-8093-5660
Permalink:
http://rave.ohiolink.edu/etdc/view?acc_num=osu1461197803
Abstract Details
Year and Degree
2016, Master of Science, Ohio State University, Allied Medical Professions.
Abstract
BACKGROUND: The use of blenderized foods for tube feedings is becoming more popular in response to exploring alternative options to commercial formulas. Such formulations have been documented to improve gastrointestinal symptoms, including gagging and retching. However, research that demonstrates the safety and efficacy of homemade blenderized formulas (HBF) is limited with regard to nutritional adequacy, weight maintenance, quality of life and gastrointestinal (GI) symptom alleviation. METHODS: This study was a retrospective chart review. Patients were identified from a pilot study conducted in 2014-15. Data extracted for each patient included demographic characteristics, diagnoses, anthropometric measurements, an initial commercial formula prescription, a dietitian supervised transition plan, 5-day dietary histories of homemade blenderized recipes, scores from the Pediatric Quality of Life Inventory questionnaires (Gastrointestinal Symptoms Module), and notes derived from the caregiver interviews. Nutritional adequacy was assessed using the Nutrition Data System for Research (NDSR) to assess formula volume, energy, macronutrients, and micronutrients.4 The nutritional adequacy of each HBF recipe was evaluated by comparing HBF delivery of energy and 27 key nutrients (including fiber) to the participant’s dietary recommendations, based on age and gender. Weight was monitored and compared throughout study visits using the Cerebral Palsy Gross Motor Function Classification System (CP GMFCS) Level 5-Tube Fed Growth Charts. The presence or absence of gastrointestinal symptoms was documented at each outpatient visit. Finally, health related quality of life was evaluated using the Pediatric Quality of Life Inventory (PEDsQL) – Gastrointestinal Symptoms Module. INCLUSION CRITERIA: Four youth, between the ages of 2 and 18 years, diagnosed with a neurodevelopmental disability, were on enteral feeding via gastrostomy tube > 3 months, and identified with persistent GI symptoms. RESULTS: Subjects presented with a mean of 3.5 GI symptoms. All subjects reported some degree of symptom alleviation during the intervention and post intervention, 75% of GI symptoms were resolved. The mean weight loss was 2.53 pounds + 4.14. On average, caregivers answered only 5 of the 14 domains on the PEDsQL due to the subjective nature of some questions. HBF was superior in the provision of nutrients for Subjects 1 and 2. In Subject 3, commercial formula was identified as the more nutritionally adequate formula, but only by two nutrients. The commercial formula and HBF in subject 4 was nutritionally comparable, with both delivering 20 nutrients according to their clinical recommendations. CONCLUSIONS: HBF alleviated most GI symptoms for the subjects in this study, especially symptoms related to diarrhea, retching and vomiting. Weight and nutrient intake must be closely monitored for potential variability. Inferences cannot be drawn from the PEDsQL for quality of life due to the high percentage of incomplete questions by caregivers. Homemade blenderized formula may be nutritionally comparable to commercial formula prescriptions, but require close monitoring and intervention by a Registered Dietitian Nutritionist (RDN).
Committee
Marcia Nahikian-Nelms, Dr. (Advisor)
Williams Carol (Other)
Wendelin Burdo-Hartman, Dr. (Other)
Colleen Spees, Dr. (Committee Member)
Jill Clutter, Dr. (Committee Member)
Pages
156 p.
Subject Headings
Medicine
;
Nursing
;
Nutrition
Keywords
homemade blenderized formula, enteral nutrition, tube feedings, pediatric enteral nutrition, blenderized formula
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Citations
Bronston, A. L. (2016).
Use of Homemade Blenderized Formula in Gastrostomy Tube Dependent Pediatric Patients with Feeding Intolerance: A Retrospective Analysis
[Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1461197803
APA Style (7th edition)
Bronston, Ashley.
Use of Homemade Blenderized Formula in Gastrostomy Tube Dependent Pediatric Patients with Feeding Intolerance: A Retrospective Analysis.
2016. Ohio State University, Master's thesis.
OhioLINK Electronic Theses and Dissertations Center
, http://rave.ohiolink.edu/etdc/view?acc_num=osu1461197803.
MLA Style (8th edition)
Bronston, Ashley. "Use of Homemade Blenderized Formula in Gastrostomy Tube Dependent Pediatric Patients with Feeding Intolerance: A Retrospective Analysis." Master's thesis, Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1461197803
Chicago Manual of Style (17th edition)
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Document number:
osu1461197803
Download Count:
1,007
Copyright Info
© 2016, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.