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Appetite during consumption of enteral formula as a sole source of nutrition: the effect of supplementing pea-fibre and fructo-oligosaccharides

Published online by Cambridge University Press:  08 March 2007

Kevin Whelan ,
Loukia Efthymiou ,
Patricia A. Judd ,
Victor R. Preedy  and
Moira A. Taylor
Kevin Whelan*
Affiliation:
Nutritional Sciences Research Division, King's College London, 150 Stamford Street, London SE1 9NH, UK
Loukia Efthymiou
Affiliation:
Nutritional Sciences Research Division, King's College London, 150 Stamford Street, London SE1 9NH, UK
Patricia A. Judd
Affiliation:
Lancashire School of Health and Postgraduate Medicine, Harrington Building, University of Central Lancashire, Preston PRI 2HE, UK
Victor R. Preedy
Affiliation:
Nutritional Sciences Research Division, King's College London, 150 Stamford Street, London SE1 9NH, UK
Moira A. Taylor
Affiliation:
School of Biomedical Sciences, Medical School, University of Nottingham, Nottingham NG7 2UH, UK
*
*Corresponding author: Dr Kevin Whelan, fax +44 (0)20 78 48 41 85, email kevin.whelan@kcl.ac.uk
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Abstract

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Liquid enteral formulas are commonly used as a sole source of nutritional support of patients in hospital and community settings. Their effect on appetite has important consequences for dietary management of such patients and is likely to be affected by the formula composition. The aim of the present study was to compare appetite within healthy subjects consuming both a standard formula and one supplemented with pea-fibre (10g/l) and fructo-oligosaccharide (FOS; 5g/l) as a sole source of nutrition. Eleven healthy subjects consumed a standard formula or a pea-fibre/FOS formula as a sole source of nutrition for 14d in a double-blind, cross-over trial. Appetite was recorded using standard 100mm lines anchored at each end by a phrase denoting the most extreme appetite sensation. Consumption of the pea-fibre/FOS formula resulted in higher mean fullness (46 v.37mm, P=0·035), minimum fullness (13 v. 9mm, P=0·024) and minimum satiety (12 v. 8mm, P=0·012) compared to the standard formula. As there were no differences in macronutrient intake between formulas, these differences are likely to be due to supplementation with pea-fibre and FOS. The effect on appetite of the composition of an enteral formula, both with respect to nutrient content and functional components such as pea-fibre and FOS, may be an important aspect to consider in the dietary management of patients consuming enteral formula as a sole source of nutrition.

Keywords

Enteral nutritionAppetiteFibreFructo-oligosaccharidesHungerPrebiotics
Type
Research Article
Information
British Journal of Nutrition , Volume 96 , Issue 2 , August 2006 , pp. 350 - 356
Copyright
Copyright © The Nutrition Society 2006

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