雀巢佳膳纤维课件

,Title of content page,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Name of chairman,Title of content page,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,佳膳纤维,全营养配方,50:50,乳清蛋白,:,酪蛋白,适用于口服营养补充和管饲,水溶性和非水溶性膳食纤维配合,保护肠道健康,佳膳纤维 全营养配方保护肠道健康,作为标准配方,1 kcal/ml,应用于标准治疗,可以冲调至,1.5 Kcal/mL,满足对热量要求较高或对液体摄入限制的病人,e.g.,烧伤,COPD,心衰,可灵活配制不同能量密度,适应临床要求,作为标准配方,1 kcal/ml,应用于标准治疗可灵活,蛋白质特点和益处,Features,特点,Benefits,益处,蛋白质含量为全部热量的,16%,为中等程度,.(10g/250mL),蛋白质摄入量可被灵活掌握,满足病人蛋白质标准需求,1.0g+/kg,可覆盖,不同的应激状态的病人,50%,乳清蛋白,50%,酪蛋白,乳清蛋白,=,优质蛋白,乳清蛋白,=,胃排空快,提供易消化和吸收的所有必需氨基酸,防止瘦肉组织消耗,降低误吸危险,减少吸入性肺炎的发生,乳清蛋白富含半胱氨酸,促进谷胱甘肽生成,(,强抗氧化剂,增强免疫,),富含高支链氨基酸,促进肌肉体积和力量,蛋白质特点和益处Features特点Benefits益处蛋白,碳水化合物特点和益处,Features,特点,Benefits,益处,中等程度的碳水化合物含量,占总热量,50%,来源,-,麦芽糖糊精,玉米糖浆,蔗糖,豌豆淀粉,保持理想的渗透压,保证病人有好的耐受,低蔗糖,甜味低,耐受,低生糖指数,Low glycemic index,51(vs.bread),36(vs.glucose),可用于糖尿病人,临床意义的无乳糖,避免对乳糖不耐受的风险,碳水化合物特点和益处Features特点Benefits益处,脂肪特点和益处,Features,特点,Benefits,益处,占总热量的,33%,充分的非蛋白质热量,理想的必需脂肪酸比例关系,n-6:n-3=4:1,调节炎性反应,降低炎性因子的生成,25%of fat as MCT,迅速供能,脂肪特点和益处Features特点Benefits益处占总热,膳食纤维,:,特点和益处,Features,特点,Benefits,益处,膳食纤维含量,(total 15 g/L),50%,水溶性纤维,5g,聚果糖,(FOS),(,少量的豌豆纤维,),益生作用,:,维护肠道菌群,保护肠道健康,增强免疫,降低感染危险,.,降低腹泻危险,帮助改善血糖和血胆固醇控制,50%,非水溶性纤维,:,豌豆外皮纤维,增加粪便良,促进肠蠕动,减少便秘,膳食纤维:特点和益处 Features特点Benefits,膳食纤维,:,调节大肠功能,非水溶性纤维滞留水份,减少便秘,b,通过增加粪便良和滞留水份,使排便更容易,水溶性纤维,调节粪便量,促进肠通过时间,改善腹泻,佳膳纤维含有两者,即改善便秘,又可改善腹泻,Bowel Management,膳食纤维:调节大肠功能非水溶性纤维滞留水份,膳食纤维,:,促双岐杆菌纤维,(,益生元,),益生作用”,食物中不被消化的成份,选择性的刺激在结肠和直肠中有益菌的生长,保护宿主的健康,益生,或 促双岐杆菌膳食纤维帮助,双岐杆菌,P,生长,从而,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”,膳食纤维:促双岐杆菌纤维(益生元)益生作用”食物,益生作用的健康效果,增加有益细菌的生长,FOS,和,菊粉可明显增加双岐杆菌的活力,不从心降低大肠中有害菌的数量,(Kolida 2002;Gibson 1995;Roberfroid 1998),FOS,Inulin,Promotion of Healthy Intestinal Microbiota,益生作用的健康效果增加有益细菌的生长FOS Promotio,Function of Prebiotics,Function of Prebiotics,维生素类和矿物质,1500,毫升,100%,满足,US RDA,对,30,余种维生素和矿物质的要求,维生素类和矿物质1500 毫升100%满足 US RDA,佳膳纤维,-,适应症,:,外科,术前营养强化,(,佳膳可用于肠道准备,),术后,危重病人,脑外伤,/,手术,烧伤,整型外科,创伤,内科,调节肠道,(,便秘或腹泻,),应用抗菌素后,恢复肠道菌群,肿瘤,/,癌症,吞咽困难,神经科,l(e.g.,中风,Parkinsons,神经元疾病,多发性硬化症,),呼吸科,e.g.COPD,老年人,长期管饲,佳膳纤维-适应症:外科内科,佳膳纤维的强项,Nutren Fibre strengths:,50%,乳清蛋白,:50%,酪蛋白,富含,MCT(25%),低渗透压,(360mOsm/kg H,2,O),低蔗糖,(22 g/L),低生糖指数,(58 vs white bread,41 vs glucose),灵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纤维,病人耐受性好,佳膳纤维的强项Nutren Fibre strengths:,Nutren Fiber Study,Whelan et al.,J.Nutr.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 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 fortification of the formula with FOS and fiber.,Nutren Fiber StudyWhelan et a,NUTREN Fibre vs Ensure FOS,NUTREN Fibre,Ensure FOS,Nestle advantage,Carbohydrates(g/L),126.5,(50%TEI),Low GI=,58(vs.bread),41(vs.glucose),134(55%TEI),?GI,Lower carbohydrates content and low GI promote better glucose control,Protein (g/L),40(16%TEI),50%casein:50%whey,37(15%),sodium and calcium caseinates and soy protein isolate,Better protein profile:whey has high BV and promotes better feeding tolerance and maintain LBM,Fat (g/L),38(34%TEI),25%fat as MCT,41%fat as MUFA,33(30%TEI),No MCT oil,61%fat as MUFA,MCT does not affect serum 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%insoluble,10 (FOS/Inulin),?Insoluble fiber,A mixed blend of fiber to target total gut health through modulating diarrhea and constipation,microflora balance),Osmolality(mOsm/kg H2O),360,466(?),Lower osmolality for better feeding tolerance and decrease risk of diarrhea,Feeding route,Oral and tube feeding,Oral and tube feeding,-,NUTREN Fibre vs Ensure FOSNUT,Renovation of Nutren Optimum and Nutren Fibre formulation 2009/2010,Renovation of Nutren Optimum a,