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Original Article
1 (
2
); 29-33
doi:
10.25259/JFDR_7_2021

Homemade blenderized Ryles tube formula is equally efficient as commercial formula in terms of anthropometric and biochemical measurements in tertiary care neurologic intensive care unit: A single center study

Department of Clinical Nutrition and Dietetics, Prathima Institute of Medical Sciences, Nagunoor, Telangana, India
Department of Nutrition and Dietetics, Mahindra and Mahindra Limited, Nagpur, Maharashtra, India
Department of Anesthesia, Prathima Institute of Medical Sciences, Nagunoor, Telangana, India
Corresponding author: Manjiri Ranade Mudgalkar, Department of Clinical Nutrition and Dietetics , Prathima Institute of Medical Sciences,Nagunoor, Telangana, India. dr.maanjiri@yahoo.co.in
How to cite this article: Mudgalkar MR, Mainde R, Mudgalkar N. Homemade blenderized ryles tube formula is equally efficient as commercial formula in terms of anthropometric and biochemical measurements in tertiary care neurologic intensive care unit - A single centre study. J Food Diet Res 2021;1:29-33.

Abstract

Objectives:

In Indian intensive care units (ICUs), malnutrition is a leading cause of death and morbidity. There is a scarcity of information on the state of malnutrition in India and the efficacy of homemade Ryle’s tube formula in neurologic cases as compared to commercial formula feed. The goals of the present study were to evaluate the nutritional status of neurological disorder patients, to prepare a home-based feed using locally available cereal and pulse combinations, and to investigate the impact of two different Ryes tube formulas on nutritional status.

Material and Methods:

A prospective, randomized comparative study was conducted in the neurological ICU of a tertiary care medical college hospital located in rural Telangana. Group A was given commercial formula, while Group B was given homemade Ryle’s tube formula, which was calorically equivalent to commercial formula. The Harris-Benedict equation was used to determine the patients’ caloric requirements. During hospital stay, both groups received a comparable amount of Ryle’s tube feeding. The impact of two different formulations was evaluated using quantitative indices including weight, body mass index, triceps skinfold thickness, and serum albumin over a period of 2 weeks. The standard deviation and mean were determined. The researchers used a paired t-test with a two-tailed distribution. If the P < 0.05, it was considered significant. For data processing, open-source software open Epi 2007 was used.

Results:

In both classes, thirty patients were enrolled. On admission, the demographic profiles of both groups were identical, as evidenced by non-significant P-values. According to the sample parameters, there was no substantial difference between the two formulas at the end of the study period. Both formulas were equally efficacious for the nutritional assessment parameters during the study period.

Conclusion:

On initial admission, malnutrition was uncommon in the neurologic ICU. In terms of study parameters, both formulas were equally efficient. The homemade blenderized formula was 50% less expensive than commercial formula, making it an important nutritional supplementation option for the deprived strata of the population.

Keywords

Malnutrition
Neurosurgical intensive care unit
Enteral nutrition
Homemade blenderized formula
Commercial formula

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