Abstract
ABSTRACTObjective:To analyze scientific evidence on the use of blenderized tube feeding in children regarding nutritional composition, family satisfaction, and health outcomes.Data source:Survey was conducted in the PubMed, Scopus, Embase, and Virtual Health Library (VHL) databases using the following search terms: blenderized tube feeding OR blended tube feeding OR homemade OR pureed AND enteral nutrition AND enteral tube. The methodological quality of the selected articles was evaluated using the Critical Appraisal Skill Programme and Hierarchical Classification of Evidence.Data synthesis:After analysis, 11 articles were included in the present review. Most studies demonstrated improvements in health outcomes and greater family satisfaction after replacing the commercial enteral feeding with blenderized tube feeding.Conclusions:When guided and monitored by the healthcare team, a blenderized tube feeding ensures an adequate nutritional composition. The use of this method is also associated with positive health outcomes such as reductions in gastrointestinal symptoms and hospitalizations. Moreover, a high frequency of family satisfaction was verified.%
Highlights
Children with difficulties to maintain adequate nutrition orally may need to have a diet through an alternative feeding route, provided by a tube or gastrostomy for food, called enteral nutrition.[1]
The following guiding question was considered: in children who depend on enteral nutrition, how does blenderized tube feeding (BTF) compare to commercial feedings in terms of nutritional composition, family satisfaction, and health outcomes?
The selection of descriptors was guided by their proximity to the object in question, which were all grouped using the Boolean expressions AND and OR: blenderized tube feeding OR blended tube feeding OR homemade OR pureed AND enteral nutrition AND enteral tube
Summary
Children with difficulties to maintain adequate nutrition orally may need to have a diet through an alternative feeding route, provided by a tube or gastrostomy for food, called enteral nutrition.[1]. The blended homemade nutrition, nowadays called blenderized tube feeding (BTF), was the only form of food available for patients unable to eat orally. In the mid-20th century, commercial enteral feeding (CEF) was developed and propagated as more efficient and safer for having greater nutritional accuracy, ease of use, and sterility.[3] This fact made CEF a priority, and BTF started being only used by socially-vulnerable patients, who had limited access to commercial feedings due to their cost.[4]. A cultural shift toward greater consumption of unprocessed foods, with minimal addition of sugars and preservatives, has involved caregivers of children fed by probes, arousing new interest in the use of BTF.[5,6] commercial enteral feedings that contained “real foods” in its list of ingredients were developed such as chicken meat, carrots, peas, beans, among others
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