Marketing aspects of development and promotion of products for enteral nutrition for herodietical purposes
Keywords:
Products for enteral nutrition, herodietetic purpose, emergency situations, older people, aging, metabolic activity, diabetes, raw components, approaches to classificationSynopsis
The current global demographic structure of the population at the global and national levels indicates significant rates of aging. As a result of this process, gradual metabolic changes appear in the body, characterized by a slowdown in metabolic processes, the level of assimilation of oxygen and nutrients, and a decrease in the body's functional capabilities. Nutrition is one of the main factors that ensure the vital activity of the human body. The completeness and correspondence of the food ration to the metabolic needs makes it possible to significantly influence the level of health and physiological state. Adherence to nutrition is important for older people, and especially in emergency situations arising from psycho-emotional and physical stress, diseases and injuries, in the process of rehabilitation and recovery. In connection with this, the practice of consumption (use) of products for enteral nutrition, which according to international legislation are considered dietary food products for special medical purposes, has become widespread. The paper analyzes general approaches to ensuring the nutritional needs of representatives of older age groups. Based on this, it was established that for their full satisfaction, physiological processes due to changes in metabolism during aging should be taken into account. It has been established that the elderly, senile and long-lived people need a balance of the main nutrients, namely an increased amount of protein and lipid components and a reduced amount of carbohydrates, adequate supply of vitamins and minerals. As a result of the study of nutritional needs of representatives of older age groups in emergency situations, it was established that their full satisfaction largely determines the success of treatment and rehabilitation, requires taking into account the specifics of metabolism and dietary principles. The peculiarities of the needs of representatives of this category of people who additionally suffer from diabetes, which requires restriction of carbohydrate consumption, were also studied. It has been established that enteral nutrition products are used to meet their nutritional needs. The work describes the main and additional raw components used in the production of products for enteral nutrition. The existing approaches to the classification of the studied products were also investigated, a classification was developed that reflects technological and consumer characteristics and is aimed at satisfying the interests and preferences of the target category of their consumers.
References
World Population Ageing 2019 (2019). Highlights. United Nations Organization. Department of economic and social affairs population division. Available at: https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Highlights.pdf
Aging and health (2022). World Health Organization. Available at: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
Resident Population of Ukraine by Sex and Age (2022). Derzhavna sluzhba statystyky Ukrayiny. Kyiv. Available at: http://db.ukrcensus.gov.ua/PXWEB2007/ukr/publ_new1/2022/roz_nas22.pdf
Bautmans, I., Knoop, V., Amuthavalli Thiyagarajan, J., Maier, A. B., Beard, J. R., Freiberger, E. et al. (2022). WHO working definition of vitality capacity for healthy longevity monitoring. The Lancet Healthy Longevity, 3 (11), e789–e796. doi: https://doi.org/10.1016/s2666-7568(22)00200-8
Teitelbaum, D., Guenter, P., Howell, W. H., Kochevar, M. E., Roth, J., Seidner, D. L. (2005). Definition of Terms, Style, and Conventions Used in A.S.P.E.N. Guidelines and Standards. Nutrition in Clinical Practice, 20 (2), 281–285. doi: https://doi.org/10.1177/0115426505020002281
Regulation (EU) No 609/2013 of the European Parliament and of the Council of 12 June 2013 on food intended for infants and young children, food for special medical purposes, and total diet replacement for weight control. Available at: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A02013R0609-20230321
Grigorov, Yu. G., Kozlovskaia, S. G. (1988). Pitanie i fenomen dolgoletiia. Kyiv: Znannja, 48.
Pritulska, N., Antiushko, D. (2016). Criteria for the development of older adults food products. Tovari i rinki, 2 (22), 83–92. Available at: http://journals.knute.edu.ua/commodities-and-markets/article/view/1173/1145
Kaur, D., Rasane, P., Singh, J., Kaur, S., Kumar, V., Mahato, D. K., Dey, A., Dhawan, K., Kumar, S. (2019). Nutritional Interventions for Elderly and Considerations for the Development of Geriatric Foods. Current Aging Science, 12 (1), 15–27. doi: https://doi.org/10.2174/1874609812666190521110548
Nutrition for Healthy Aging. Available at: https://www.nchpad.org/630/2596/Nutrition~for~Healthy~Aging
Alvis, B. D., Hughes, C. G. (2015). Physiology Considerations in Geriatric Patients. Anesthesiology Clinics, 33 (3), 447–456. doi: https://doi.org/10.1016/j.anclin.2015.05.003
Clegg, M. E., Williams, E. A. (2018). Optimizing nutrition in older people. Maturitas, 112, 34–38. doi: https://doi.org/10.1016/j.maturitas.2018.04.001
Dumic, I., Nordin, T., Jecmenica, M., Stojkovic Lalosevic, M., Milosavljevic, T., Milovanovic, T. (2019). Gastrointestinal Tract Disorders in Older Age. Canadian Journal of Gastroenterology and Hepatology, 2019, 1–19. doi: https://doi.org/10.1155/2019/6757524
Govindaraju, T., Sahle, B., McCaffrey, T., McNeil, J., Owen, A. (2018). Dietary Patterns and Quality of Life in Older Adults: A Systematic Review. Nutrients, 10 (8), 971. doi: https://doi.org/10.3390/nu10080971
Papadopoulou, S. K. (2020). Sarcopenia: A Contemporary Health Problem among Older Adult Populations. Nutrients, 12 (5), 1293. doi: https://doi.org/10.3390/nu12051293
Herforth, A., Arimond, M., Álvarez-Sánchez, C., Coates, J., Christianson, K., Muehlhoff, E. (2019). A Global Review of Food-Based Dietary Guidelines. Advances in Nutrition, 10 (4), 590–605. doi: https://doi.org/10.1093/advances/nmy130
Antjushko, D. P., Karpenko, P. O. (2016). Prospects for using products for enteral nutrition in gerodietetic practice. Problemy stareniia i dolgoletiia, 25 (2), 215–221.
Patkova, A., Joskova, V., Havel, E., Kovarik, M., Kucharova, M., Zadak, Z., Hronek, M. (2017). Energy, Protein, Carbohydrate, and Lipid Intakes and Their Effects on Morbidity and Mortality in Critically Ill Adult Patients: A Systematic Review. Advances in Nutrition, 8 (4), 624–634. doi: https://doi.org/10.3945/an.117.015172
Lee, Z.-Y., Loh, C. T. I., Lew, C. C. H., Ke, L., Heyland, D. K., Hasan, M. S. (2022). Nutrition therapy in the older critically ill patients: A scoping review. Annals of the Academy of Medicine, Singapore, 51 (10), 629–636. doi: https://doi.org/10.47102/annals-acadmedsg.2022160
Pravda, J. (2014). Metabolic theory of septic shock. World Journal of Critical Care Medicine, 3 (2), 45–54. doi: https://doi.org/10.5492/wjccm.v3.i2.45
Ahmed, T., Haboubi, N. (2010). Assessment and management of nutrition in older people and its importance to health. Clinical Interventions in Aging, 5, 207–216. doi: https://doi.org/10.2147/cia.s9664
Longo, V. D., Anderson, R. M. (2022). Nutrition, longevity and disease: From molecular mechanisms to interventions. Cell, 185 (9), 1455–1470. doi: https://doi.org/10.1016/j.cell.2022.04.002
Wilkinson, A. W., Cuthbertson, D. (1977). Metabolism and the response to injury. Cambridge: Pitman Medical Publishing, 250.
Weinsier, R. L., Morgan, S. L., Perrin, V. G. (1993). Fundamentals of clinical nutrition. St. Louis: Mosby-Year Book, 196.
Selye, H. (1976). Stress in Health and Disease. Boston: Butterworths, 1256.
Preiser, J.-C., Ichai, C., Orban, J.-C., Groeneveld, A. B. J. (2014). Metabolic response to the stress of critical illness. British Journal of Anaesthesia, 113 (6), 945–954. doi: https://doi.org/10.1093/bja/aeu187
Smith-Ryan, A. E., Hirsch, K. R., Saylor, H. E., Gould, L. M., Blue, M. N. M. (2020). Nutritional Considerations and Strategies to Facilitate Injury Recovery and Rehabilitation. Journal of Athletic Training, 55 (9), 918–930. doi: https://doi.org/10.4085/1062-6050-550-19
Montero-Odasso, M. M., Kamkar, N., Pieruccini-Faria, F., Osman, A., Sarquis-Adamson, Y., Close, J. et al. (2021). Evaluation of Clinical Practice Guidelines on Fall Prevention and Management for Older Adults. JAMA Network Open, 4 (12), e2138911. doi: https://doi.org/10.1001/jamanetworkopen.2021.38911
Beljaev, O. V. (2009). Parenteralnoe i ienteralnoe pitanie v intensivnoi terapii. Kyiv: KIM, 344.
Lew, C. C. H., Yandell, R., Fraser, R. J. L., Chua, A. P., Chong, M. F. F., Miller, M. (2016). Association Between Malnutrition and Clinical Outcomes in the Intensive Care Unit: A Systematic Review. Journal of Parenteral and Enteral Nutrition, 41 (5), 744–758. doi: https://doi.org/10.1177/0148607115625638
Barendregt, K., Soeters, P., Allison, S., Sobotka, L. (2008). Basics in clinical nutrition: Simple and stress starvation. E-SPEN, the European e-Journal of Clinical Nutrition and Metabolism, 3 (6), e267–e271. doi: https://doi.org/10.1016/j.eclnm.2008.06.006
Long, C. L., Schaffel, N., Geiger, J. W., Schiller, W. R., Blakemore, W. S. (1979). Metabolic Response to Injury and Illness: Estimation of Energy and Protein Needs from Indirect Calorimetry and Nitrogen Balance. Journal of Parenteral and Enteral Nutrition, 3 (6), 452–456. doi: https://doi.org/10.1177/014860717900300609
Lobo, D. N., Gianotti, L., Adiamah, A., Barazzoni, R., Deutz, N. E. P., Dhatariya, K. et al. (2020). Perioperative nutrition: Recommendations from the ESPEN expert group. Clinical Nutrition, 39 (11), 3211–3227. doi: https://doi.org/10.1016/j.clnu.2020.03.038
Tsukrovyi diabet: yak zrozumity, shcho chas vidvidaty likaria? (2023). Tsentr hromadskoho zdorov'ia Ministerstva okhorony zdorov'ia Ukrainy. Available at: https://phc.org.ua/news/cukroviy-diabet-yak-zrozumiti-scho-chas-vidvidati-likarya
Tcukrovii diabet. Klinichna nastanova zasnovana na dokazah. Available at: https://www.dec.gov.ua/wp-content/uploads/2023/01/2023_nastanova-czd_dorosli.pdf
Grunberger, G., Sherr, J., Allende, M., Blevins, T., Bode, B., Handelsman, Y. et al. (2021). American Association of Clinical Endocrinology Clinical Practice Guideline: The Use of Advanced Technology in the Management of Persons With Diabetes Mellitus. Endocrine Practice, 27 (6), 505–537. doi: https://doi.org/10.1016/j.eprac.2021.04.008
Pro osnovni pryntsypy ta vymohy do orhanichnoho vyrobnytstva, obihu ta markuvannia orhanichnoi produktsii (2023). Zakon Ukraini No. 771/97-VR v redakcii. 31.03.2023. Available at: https://zakon.rada.gov.ua/laws/show/2496-19#Text
Regulation (EU) 2016/128 of 25 September 2015 of the European Parliament and of the Council as regards the specific compositional and information requirements for food for special medical purposes. Available at: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A02016R0128-20210715
Cederholm, T., Barazzoni, R., Austin, P., Ballmer, P., Biolo, G., Bischoff, S. C. et al. (2017). ESPEN guidelines on definitions and terminology of clinical nutrition. Clinical Nutrition, 36 (1), 49–64. doi: https://doi.org/10.1016/j.clnu.2016.09.004
Dresen, E., Weißbrich, C., Fimmers, R., Putensen, C., Stehle, P. (2021). Medical high-protein nutrition therapy and loss of muscle mass in adult ICU patients: A randomized controlled trial. Clinical Nutrition, 40 (4), 1562–1570. doi: https://doi.org/10.1016/j.clnu.2021.02.021
Downloads
Pages
Published
License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
