Trophic EP - Ideal for patients with cachexia or cancer.
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Trophic EP
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Transcript of Trophic EP - Ideal for patients with cachexia or cancer.
Trophic EP
Indication
Patients with high caloric and protein need and/or
hydric restriction and intolerance to high volumes.
Characteristics
§ Nutritionally balanced (complete)
§ Hyper caloric– 1.5 cal/ml
§ 18% PTN 52% CH 30% LIP
§ Saccharose, lactose and gluten free
§ Vanilla flavor
§ Tetra Pak 1000 ml
There’s a caloric deficit in hospitals
Hyper caloric
Aranjues, 2008; McClave, 1999; Nozaki, 2009; O’Meara, 2008; Teixeira, 2006.
Hyper caloric
Aranjues, 2008; McClave, 1999; Nozaki, 2009; O’Meara, 2008; Teixeira, 2006.
Hospitalar malnutrition
Respiratory sustem
Cicatrization
Immune system
Hyper caloric
1.5 cal/ml
Hyper caloric
Minimize/avoid consequences due to
malnutrition from inadequate nutrition or
caloric decifit
Hyper protein
PROTEIN MIX
• Whey protein isolate
• Soy isolate protein
• Calcium caseinate
Better gastric emptying
Fried et al. Pediatrics, 120(4),1992
Time (min)% R
esid
ue o
f gas
tric
radi
oact
ivity
0
20
40
60
80
100
60 120
Predominância de caseína (80%)
Soro do leite (100%)
Whey protein isolate
Casein predominant (80%)
Milk serum (100%)
Better gastric emptying
Fried et al. Pediatrics, 120(4),1992
BENEFITS• Gastrointestinal confort
• Less nausea and vomiting
• Less gastroparesis
• No risk of abdominal distention
Soy isolate protein
Higher nitrogenous retention
Tome, D. Proceedings of the 3rd International Whey Conference, Munich, 2001
Time (min)
Nitr
ogen
(mm
oles
)
0
20
40
60
80
100
120
0 40 80 140 180
Proteína do soro do leiteCaseína
Soy isolate protein
CaseinWhey protein
Higher nitrogenous retention
Tome, D. Proceedings of the 3rd International Whey Conference, Munich, 2001
BENEFITS• Better digestion
• Better absorption
• Higher levels of moving amino acids(observed after 40 min of ingestion)
• Higher nitrogenous retention
Soy isolate protein
Hermansen et al. Diabetes Care 24, 2001
Control Soy isolate protein Soy protein x Control
Significant difference (%)
Initial After 6 weeks
Initial After 6 weeks
p≠ (%) p§
Cholesterol total
5,59±0,81 5,45±0,88 5,68±0,84 5,11±0,78 0,0041 - 8±15 0,0826
LDL 3,64±0,80 3,33±0,72 3,63±0,78 3,01±0,68 0,0044 - 10±16 0,0483
HDL 1,28±0,29 1,33±0,34 1,31±0,22 1,38±0,35 0,2024 0±20 0,8517
TG (mmol/l) 1,70±1,49 1,79±1,17 1,70±1,17 1,63±0,97 0,3632 - 22±43 0,0400
ApoB100(g/l) 0,95±0,26 0,98±0,25 1,09±0,21 0,86±0,19 0,0249 - 30±38 0,0027
Lp(a)(U/l) 32,3±37,5 32,4±39,8 29,5±29,9 33,9±37,7 0,3488 - 8±34 0,1769
LDL/HDL rate 2,95±1,02 2,52±0,62 2,82±0,75 2,20±0,61 0,0007 - 12±18 0,0120
Dyslipidemia
Soy isolate protein
Whey protein isolateGastrointestinal confort, high levels of moving amino acids, better nitrogenous retention
Soy isolate proteinControl over lipids
Calcium caseinateComplements Aas. Profile and agregates great tasting
Quality Protein Mix and High Biological Value
Amino acid profile
Amino acid
supplying is
determinant in the
quality of the
response to
infection and injury
Hyper protein
18%
PTN
49% Calcium caseinate
27% Soy isolate protein
24% Whey protein isolate
Hyper protein
Supply protein needs, reverts
Nitrogenous Balance, enhances
generally pacient’s situation, reduces
hospital stay and clinical complication,
reverting in economy and bed turnover.
18% of PTN
Hyper protein
PTN : 18%CH : 52%LIP : 30%Vitamins and mineral levels to children above 10 years old.
Loss replacement
Balance
+ More tolerance & flexability
100% MaltodextrinLactose and saccharose free
Energy
Trophic EP
