Study of calories, macronutrients and micronutrients gavages present in the hospitals of Mashhad compared to the reference in year 1395

Document Type : Research Paper

Authors

1 Department of Nutritional Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Associate Professor, Department of Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Abstract
Introduction: Malnutrition is one of the major problems in patients admitted to intensive care units. Intestinal nutrition is important for patients who do not have oral intake. Nutrition in hospitals is often done through a solution prepared in the hospital kitchen. A study on nutritional value in hospitals in Mashhad was carried out to provide a clearer vision for the best nutrition in order to provide the nutritional needs for hospitalized patients.
Materials and Methods: In this cross-sectional study, the contents of the baking instruction in the hospitals were analyzed using Nut4 software and the existing nutritional value was compared with the standard RDI of 2000 kilocalories per person. Data analysis was done using SPSS software and t-test. (Significance level <0.05).
Result: Mean calories, macronutrients and micronutrients were significantly lower than RDI standards. The average of vitamins, vitamin B12, vitamin E and vitamin D was lower than the standard RDI, but vitamin A, folic acid, vitamin C, and vitamin K were optimal. The amount of iron, calcium, zinc, copper was significant. However, no significant difference was observed between manganese and chromium.
Discussion: The gavage solution prepared in hospitals has been inadequate to meet the needs of patients. Due to the high use of hand gavage hospitals in our country, these recipes are designed to be of an acceptable nutritional value.
 

Keywords

References

  1. Hosseinpour-Niazi S, Naderi Z, Hosseinpour-Niazi N, Delshad M, Mirmiran P, Azizi F. Prevalence of malnutrition

    in hospitalized patients in Taleghani hospital in Tehran. J Gorgan Univ Med Sci 2012;13(4):97-106 .

    2. Chandra RK. Nutrition, immunity, and infection: Present knowledge and future directions. Lancet 1983;1(8326 Pt

    1):688-91.

    3. Cook AM, Peppard A, Magnuson B. Nutrition considerations in traumatic brain injury. Nutr Clin Pract

    2009;23(6):608-20.

    4. Drover JW, Cahill NE, Kutsogiannis J, Pagliarello G,Wischmeyer P, Wang M, et al. Nutrition therapy for the

    critically ill surgical patient: we need to do better! JPEN J Parenter Enteral Nutr 2010; 34(6): 644-52.

    5. Lochs H, Allison SP, Meier R, Pirlich M, Kondrup J,Schneider S, et al. Introductory to the ESPEN Guidelines on

    Enteral Nutrition: Terminology,definitions and general topics. Clin Nutr 2006; 25(2):180-6.

    6. Mokhalalati JK, Druyan ME, Shott SB, Comer GM.Microbial, nutritional and physical quality of commercial and

    hospital prepared tube feedings in Saudi Arabia. Saudi Med J 2004; 25(3): 331-41.

    7. Sullivan MM, Sorreda-Esguerra P, Platon MB, Castro CG, Chou NR, Shott S, et al. Nutritional analysis of

    blenderized enteral diets in the Philippines. Asia Pac J Clin Nutr 2004; 13(4): 385-91.

    8. Dehnadi Moghadam A, Yousefzade Chabok S, Ramezani F, Kazemnejd Leili E, Rahimi V. Evaluation of nutritional

    quality and microbial contamination of enteral feeding solutions in hospitalized patients referred to neurosurgical ICU

    of Poursina Hospital in Rasht. Pejouhandeh 2010; 15(5):213-9. [In Persian].

    9. Mokhalalati JK, Druyan ME, Shott SB, Comer GM. Microbial, nutritional and physical quality of commercial and

    hospital prepared tube feedings in Saudi Arabia. Saudi Med J 2004; 25(3): 331-41.

    10. Dehnadi Moghadam A, Yousefzade Chabok S, Ramezani F, Kazemnejd Leili E, Rahimi V. Evaluation of

    nutritional quality and microbial contamination of enteral feeding solutions in hospitalized patients referred to

    neurosurgical ICU of Poursina Hospital in Rasht. Pejouhandeh 2010; 15(5):213-9. [In Persian].

    11. Lucia Rocha CM, Beninga MT, Ferraz AD, Maria SD. Hazard analysis and critical control point system approach in

    the evaluation of environmental and procedural sources of contamination of enteral feedings in three hospitals. JPEN J

    Parenter Enteral Nutr 2000; 24(5): 296-303.

    12. Polderman KH, Jorna EM, Girbes AR. Inter-observer variability in APACHE II scoring: effect of strict guidelines

    and training. Intensive Care Med 2001; 27(8): 1365-9.

    13. Mahan LK, Raymond JL, Escott-Stump S. Nutrition assessment, intake: analysis of the diet. In: Mahan LK,

    Raymond JL, Escott-Stump S, editors. Krause's food and the nutrition care process. 13th ed. Philadelphia,PA: Saunders;

    2011.

    14. Salehifar E, Ala SH, Hosseini H. The study of hospital gavage solution and calorie and protein in take for patients

    needs from the special care unit at Imam Khomeini hospital, Sari, Iran during 2005-2006. J Mazandaran Univ Med Sci

    2008; 18(64): 81-5. [In Persian].

    15.Ramezani-Jolfaie N, Rouhani MH, Mirlohi M, Babashahi M, Abbasi S, Adibi P, et al. Evaluation of Nutritional

    Status in Patients Fed Enteral Nutrition Solutions (Commercial and Non-Commercial) and Comparison of Nutrient

    Contents in These Solutions. J Isfahan Med Sch 2016; 34(384): 594-604.

    16. Razavi SM, Barkhidarian B, Razavi SMA, Rahbari A, Ranjbar R, Seyedhamzeh S. Standardization of hospital

    formula. Med J Mashad Univ Med Sci 2014;57(1): 443-9. [In Persian].

    17. Kraft MD, Btaiche IF, Sacks GS, Kudsk KA. Treatment of electrolyte disorders in adult patients in the intensive

    care unit. Am J Health Syst Pharm 2005; 62(16): 1663-82.

  2. 18. Safavi M, Honarmand A. Admission hypomagnesemia--impact on mortality or morbidity in critically ill patients.

    Middle East J Anaesthesiol 2007; 19(3): 645-60.

    19. Escuela MP, Guerra M, Anon JM, Martinez-Vizcaino V, Zapatero MD, Garcia-Jalon A, et al. Total and ionized

    serum magnesium in critically ill patients. Intensive Care Med 2005; 31(1): 151-6.

    20. Soliman HM, Mercan D, Lobo SS, Melot C, Vincent JL. Development of ionized hypomagnesemia is associated

    with higher mortality rates. Crit Care Med 2003; 31(4): 1082-7.

    21. Yousefzadeh S, Shabbidar S, Dehnadi Moghaddam A, Ahmadi Dafchahi M. Assessment of nutritional support in

    head trauma patients in neurosurgery intensive care unit. J Gorgan Univ Med Sci 2007;9(3): 53-8. [In Persian].

    22. Daneshzad E, Azadbakhat L, Neamani F, Abasi S, Shirani F, Adibi P. Nutritional assessment of ICU impatients in

    Alzahra Hospital. J

medical journal of mashhad university of medical sciences
Volume 63, Issue 1
May and June 2020
Pages 2081-2087

Files

Share

How to cite

Statistics