Recommending ultra-processed oral nutrition supplements for unintentional weight loss: Are there risks?

Autor: Rivero-Mendoza D; Department of Food Science and Human Nutrition, University of Florida, Gainesville, Florida, USA., Caldwell CL; Department of Food Science and Human Nutrition, University of Florida, Gainesville, Florida, USA.; Department of Food and Nutrition Services, Ascension Sacred Heart Pensacola Hospital, Pensacola, Florida, USA., Cooper H; Department of Food Science and Human Nutrition, University of Florida, Gainesville, Florida, USA.; MRM Nutrition, San Diego, California, USA., Goldberg J; Department of Food Science and Human Nutrition, University of Florida, Gainesville, Florida, USA.; Veritas Collaborative, Atlanta, Georgia, USA., Lamothe M; Department of Food Science and Human Nutrition, University of Florida, Gainesville, Florida, USA.; Department of Food and Nutrition Services, University of Florida Health Shands Hospital, Gainesville, Florida, USA., Logan S; Department of Food Science and Human Nutrition, University of Florida, Gainesville, Florida, USA.; Lake Nona Performance Club, Orlando, Florida, USA., Smith EB; Department of Food Science and Human Nutrition, University of Florida, Gainesville, Florida, USA., Torna E; Department of Food Science and Human Nutrition, University of Florida, Gainesville, Florida, USA., Zeldman JA; Department of Food Science and Human Nutrition, University of Florida, Gainesville, Florida, USA.; Department of Health Education and Behavior, College of Health and Human Performance, University of Florida, Gainesville, Florida, USA., Dahl WJ; Department of Food Science and Human Nutrition, University of Florida, Gainesville, Florida, USA.
Jazyk: angličtina
Zdroj: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition [Nutr Clin Pract] 2023 Feb; Vol. 38 (1), pp. 88-101. Date of Electronic Publication: 2022 Oct 26.
DOI: 10.1002/ncp.10921
Abstrakt: Oral nutrition supplements (ONS) are widely recommended for the management of unintentional weight loss in patient populations, long-term care residents, and community-dwelling older adults. Most marketed ONS are ultra-processed, with precision nutrition and aseptic composition, as well as convenience and availability, driving their selection. However, therapeutic effectiveness is mixed and the potential health risks of consuming ultra-processed ONS long-term in lieu of less-processed foods have received little attention. A diverse and balanced microbiota supporting immunity and wellness is maintained by a diet rich in plant-sourced foods. The implications of ultra-processed ONS displacing plant-sourced foods, and specifically the potential for undesirable impacts on the gut microbiota, require consideration. Most ONS are either devoid of fiber or are supplemented with isolated or purified fibers that may contribute to adverse gastrointestinal symptoms and appetite suppression. In contrast, the diversity of microbial-available, nondigestible carbohydrates, together with the array of phytochemicals found in plant-sourced foods, support microbial diversity and its resiliency. This review outlines the clinical dilemma of recommending commercial ultra-processed ONS vs nutritionally adequate (eg, high-energy/high-protein) foods and beverages that contribute to diet quality, maintenance of a diverse and stable gut microbiota composition, and support nutrition status and health. Ultra-processed ONS may fall short of expected health benefits, and overreliance may potentially contribute to the risk for patient and older adult populations because of the displacement of a variety of healthful foods.
(© 2022 The Authors. Nutrition in Clinical Practice published by Wiley Periodicals LLC on behalf of American Society for Parenteral and Enteral Nutrition.)
Databáze: MEDLINE
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