含高量牛乳蛋白及難消化性麥芽糊精之配方對長期照護住民營養改善之研究

The improvement on the nutritional status of long term care residents by the supplementation of formula containing high contents of dairy protein and resistant maltodextrin

蔡宜珊(Yi-Shan Tsai)

指導教授 ： 王進崑

中山醫學大學/健康管理學院/營養學系碩士班/碩士(2017年)

摘要

研究顯示長期照護機構中利用管灌餵食的住民，容易因為餵食量不足、長期臥床及活動度不足而引起腸胃道問題而導致營養狀況不佳，進而提高感染率、再住院率及死亡率。現今市場上營養補充品十分多元且選擇性眾多，營養補充後對體位之影響及營養狀況評估是非常重要的。本研究主要目的為探討「含高量牛乳蛋白及難消化性麥芽糊精之配方對長期照護住民營養改善之研究」作為完全補充或部分補充來源，病患經12週介入後是否改善體位及營養狀況。本試驗共計招募70位受試者，依個案之體位、活動量，評估受試者每日熱量需求，完全補充組依建議熱量灌食5-7罐 (1250-1750 Kcal) 營養配方品，部分補充組灌食2-4罐 (500-1000 Kcal)，研究介入為期12週，在營養品介入前、後 (即第0週及第12週) 評估血液生化值、體位、臨床症狀及餵食狀況。結果顯示，兩組受試者經12週補充後，體位狀態 (包含體重、腰圍、臀圍、中臂圍、中臂肌圍及三頭肌皮層厚度等) 均有顯著提升；在血液生化檢查數值方面，無論以完全補充或部分補充為來源，血中之血清白蛋白、總蛋白質、前白蛋白數值均有上升；兩組之血中電解質均在正常範圍之內，且肝、腎功能並無異常。綜合上述，補充「含高量牛乳蛋白及難消化性麥芽糊精之配方」後，可以改善受試者之營養狀態。

關鍵字

牛乳蛋白 ； 難消化性麥芽糊精 ； 血清白蛋白 ； 血清前白蛋白

並列摘要

Studies showed that long-term care residents with the long term tube feeding could easily cause gastrointestinal problems because of insufficient supplementation and bedrid or lack of activity. Poor nutrition status could increase the infections, re- hospitalization, and mortality. Nutritional supplements are very diverse and selective. After the nutrition supplementation, the impact of nutritional status assessment is very important.
The aim of this study was to understand the effect of full or part feeding of this formula for 12 weeks on the improvement of nutritional status. 70 participants were included in this study. According to the subjects of the anthropometric status and activity, the dietary nutrient requirements were well assessed. In full supplementation group, each subject was given 5-7 bottles
(1250-1750 kcal); and in part supplementation group, each subject was given 2-4 bottles (500-1000 kcal). The experimental intervention period was 12 weeks. Biochemical analyses, physiological symptoms and dietary condition were measured at the begining, and 12 weeks of intervention.
Results showed that full and part supplementation groups, the body weight, waist circumference, hip circumference, mid arm circumference, triceps skinfold thickness and arm muscle circumference were significantly increased. In addition, albumin, total protein and pre-albumin in serum were also increased. Blood electrolytes were in normal range, hepatic and kidney functions were normal. In conclusion, the intervention of high contents of dairy protein dietary supplements can maintain the anthropometric status and who improve the nutritional status of long-term care residents.

並列關鍵字

dairy protein ； resistant maltodextrin ； blood albumin ； blood pre-albumin

參考文獻

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