USRE37020EExpiredUtility

Method for providing nutrition to elderly patients

79
Assignee: NESTEC LTDPriority: Jan 13, 1995Filed: Jul 9, 1998Granted: Jan 16, 2001
Est. expiryJan 13, 2015(expired)· nominal 20-yr term from priority
A61P 3/02A61P 3/00A23L 33/115A23L 33/21A23V 2002/00A23L 33/17A23L 33/15A23L 33/16
79
PatentIndex Score
33
Cited by
109
References
46
Claims

Abstract

The present invention provides a method for providing nutrition to elderly patients. Pursuant to the present invention, the enteral composition includes a protein source, a lipid source, and a carbohydrate source. Preferably, the protein source includes at least 18% of the total calories. In an embodiment, the carbohydrate source includes a source of dietary fiber including a balance of soluble to insoluble fiber ratio of approximately 1:3. Still further, the composition of the present invention also includes increased levels of certain vitamins and minerals.

Claims

exact text as granted — not AI-modified
We claim:  
     
       1. A method for providing nutrition to an elderly patient comprising administering to the patient an effective amount of a composition comprising: 
       a protein source including at least 18% of the calorie distribution of the composition;  
       a carbohydrate source; and  
       a lipid source including a mixture of medium and long chain triglycerides; and  
       
         a source of dietary fiber having a soluble fiber to insoluble fiber ratio of approximately  1 : 4  to  4 : 1 .  
       
     
     
       2. The method of claim  1  wherein the composition provides at least 100% of the USRDA of vitamins and minerals in approximately 1200 calories. 
     
     
       3. The method of claim  1  wherein the composition includes a source of dietary fiber having a soluble fiber to insoluble fiber ratio of approximately 1:4 to 4:1. 
     
     
       4. The method of claim  1  wherein the long chain triglycerides are selected to provide a ratio of n-6 to n-3 fatty acids of about 4:1 to about 10:1. 
     
     
       5. The method of claim  1  wherein the composition includes a source of beta-carotene. 
     
     
       6. The method of claim  1  wherein the composition includes the following vitamins and minerals: 
       
         
           
                 
                 
                 
               
                     
                     
                 
                     
                   Vitamin C 
                   120 to 300 mg/L 
                 
                     
                   Zinc 
                   15 to 30 mg/L 
                 
                     
                   Vitamin D 
                   400 to 800 mg/L 
                 
                     
                   Vitamin E 
                   60 to 180 mg/L 
                 
                     
                   Vitamin A 
                   3000 to 6000 IU/L 
                 
                     
                   Folic acid 
                   400 to 1600 mg/L 
                 
                     
                   Vitamin B 6   
                   2 to 8 mg/L 
                 
                     
                   Vitamin B 12   
                   6 to 18 mg/L 
                 
                     
                   Thiamine 
                   1.5 to 3 mg/L 
                 
                     
                   Riboflavin 
                   1.7 to 3.5 mg/L 
                 
                     
                   Calcium 
                   800 to 1600 mg/L 
                 
                     
                   Selenium 
                   50 to 150 mg/L 
                 
                     
                     
                 
             
                
               
               
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
     
     
       7. The method of claim  1  wherein the composition has a caloric density of approximately 1.2 kcal/ml. 
     
     
       8. A method for providing nutrition to an elderly patient comprising enterally administering to the patient an effective amount of a composition comprising: 
       a protein source;  
       a carbohydrate source including a source of dietary fiber having a soluble fiber to insoluble fiber ratio of about 1:4 to 4:1; and  
       a lipid source including a mixture of medium and long chain triglycerides.  
     
     
       9. The method of claim  8  wherein the protein comprises at least 18% of the calorie distribution of the composition. 
     
     
       10. The method of claim  8  wherein the composition provides at least 100% of the USRDA of vitamins and minerals in approximately 1200 calories. 
     
     
       11. The method of claim  8  wherein the long chain triglycerides are selected to provide a ratio of n-6 to n-3 fatty acids of about 4:1 to about 10:1. 
     
     
       12. The method of claim  8  wherein the composition includes a source of beta-carotene. 
     
     
       13. The method of claim  8  wherein the composition includes the following vitamins and minerals: 
       
         
           
                 
                 
                 
               
                     
                     
                 
                     
                   Vitamin C 
                   120 to 300 mg/L 
                 
                     
                   Zinc 
                   15 to 30 mg/L 
                 
                     
                   Vitamin D 
                   400 to 800 mg/L 
                 
                     
                   Vitamin E 
                   60 to 180 mg/L 
                 
                     
                   Vitamin A 
                   3000 to 6000 IU/L 
                 
                     
                   Folic acid 
                   400 to 1600 mg/L 
                 
                     
                   Vitamin B 6   
                   2 to 8 mg/L 
                 
                     
                   Vitamin B 12   
                   6 to 18 mg/L 
                 
                     
                   Thiamine 
                   1.5 to 3 mg/L 
                 
                     
                   Riboflavin 
                   1.7 to 3.5 mg/L 
                 
                     
                   Calcium 
                   800 to 1600 mg/L 
                 
                     
                   Selenium 
                   50 to 150 mg/L 
                 
                     
                     
                 
             
                
               
               
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
     
     
       14. The method of claim  8  wherein the composition has a caloric density of approximately 1.2 kcal/ml. 
     
     
       15. A method for providing nutrition to an elderly patient comprising enterally administering to the patient an effective amount of a composition comprising: 
       a protein source;  
       a carbohydrate source including approximately 8 g/L to 10 g/L of a source of dietary fiber;  
       a lipid source including a mixture of medium and long chain triglycerides;  
       a vitamin and mineral source including the following vitamins and minerals in their respective amounts:  
       
         
           
                 
                 
                 
               
                     
                     
                 
                     
                   Vitamin C 
                   120 to 300 mg/L 
                 
                     
                   Zinc 
                   15 to 30 mg/L 
                 
                     
                   Vitamin D 
                   400 to 800 mg/L 
                 
                     
                   Vitamin E 
                   60 to 180 mg/L 
                 
                     
                   Vitamin A 
                   3000 to 6000 IU/L 
                 
                     
                   Folic acid 
                   400 to 1600 mg/L 
                 
                     
                   Vitamin B 6   
                   2 to 8 mg/L 
                 
                     
                   Vitamin B 12   
                   6 to 18 mg/L 
                 
                     
                   Thiamine 
                   1.5 to 3 mg/L 
                 
                     
                   Riboflavin 
                   1.7 to 3.5 mg/L 
                 
                     
                   Calcium 
                   800 to 1600 mg/L 
                 
                     
                   Selenium 
                   50 to 150 mg/L 
                 
                     
                     
                 
             
                
               
               
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
     
     
       16. The method of claim  15  wherein the protein comprises at least 18% of the calorie distribution of the composition. 
     
     
       17. The method of claim  15  wherein the composition includes a source of dietary fiber having a soluble fiber to insoluble fiber ratio of approximately 1:4 to 4:1. 
     
     
       18. The method of claim  15  wherein the long chain triglycerides are selected to provide a ratio of n-6 to n-3 fatty acids of about 4:1 to about 10:1. 
     
     
       19. The method of claim  15  wherein the composition has a caloric density of approximately 1.2 kcal/mL. 
     
     
       20. The method of claim  15  wherein the composition includes at least 100% of USRDA of vitamins and minerals. 
     
     
       21. A method for providing nutrition to an elderly patient comprising enterally administering to the patient an effective amount of a composition comprising: 
       
         a protein source;  
       
       
         a carbohydrate source including approximately  8  g/L to  10  g/L of a source of dietary fiber;  
       
       
         a lipid source; and  
       
       
         a source of beta carotene in an amount of approximately  2  to  10  mg/L. 
       
     
     
       22. The method of claim  21  wherein the dietary fiber source includes a mixture of soluble and insoluble fibers. 
     
     
       23. The method of claim  21  wherein the protein source comprises at least  18 %  of the calorie distribution of the composition.   
     
     
       24. The method of claim  21  further comprising a vitamin and mineral source, the vitamin and mineral source providing at least  100 %  of the USRDA of vitamins and minerals in  1200  calories.   
     
     
       25. The method of claim  21  wherein the composition includes a source of beta- carotene.   
     
     
       26. The method of claim  25  wherein the composition includes approximately  2  to  10  mg/L of beta- carotene.   
     
     
       27. The method of claim  21  further comprising a vitamin and mineral source, the vitamin and mineral source including the following vitamins and minerals in their respective amounts: 
       
         Vitamin C  120  to  300  mg/L  
       
       
         Zinc  15  to  30  mg/L  
       
       
         Vitamin D  400  to  800  IU/L  
       
       
         Vitamin E  60  to  180  IU/L  
       
       
         Vitamin A  3000  to  6000  IU/L  
       
       
         Folic Acid  400  to  1600  μg/L  
       
       
         Vitamin B 
         6  
           2  to  8  mg/L  
       
       
         Vitamin B 
         12  
           6  to  18  μg/L  
       
       
         Thiamine  1 . 5  to  3  mg/L  
       
       
         Riboflavin  1 . 7  to  3 . 5  mg/L  
       
       
         Calcium  800  to  1600  mg/L  
       
       
         Selenium  50  to  150  mg/L. 
       
     
     
       28. The method of claim  21  wherein the lipid source includes a mixture of medium and long chain triglycerides, the lipid source including at least  20 %  medium chain triglycerides and the long chain triglycerides are selected to provide a ratio of n -   6  to n -   3  fatty acids of  4 : 1  to  10 : 1 .   
     
     
       29. The method of claim  21  wherein the composition has a caloric density of approximately  1 . 2  kcal/mL. 
     
     
       30. The method of claim  21  wherein the source of dietary fiber has a soluble fiber to insoluble fiber ratio of approximately  1 : 4  to  4 : 1 . 
     
     
       31. A method for providing nutrition to an elderly patient comprising enterally administering to the patient an effective amount of a composition comprising: 
       
         a protein source;  
       
       
         a carbohydrate source including approximately  8  g/L to  10  g/L of a source of dietary fiber; and  
       
         a lipid source including long chain triglycerides that are selected to provide a ratio of n -   6  to n -   3  fatty acids of  4 : 1  to  10 : 1 .   
     
     
       32. The method of claim  31  wherein the dietary fiber source includes a mixture of soluble and insoluble fibers. 
     
     
       33. The method of claim  31  wherein the protein source comprises at least  18 %  of the calorie distribution of the composition.   
     
     
       34. The method of claim  31  further comprising a vitamin and mineral source, the vitamin and mineral source providing at least  100 %  of the USRDA of vitamins and minerals in  1200  calories.   
     
     
       35. The method of claim  31  wherein the composition includes a source of beta- carotene.   
     
     
       36. The method of claim  35  wherein the composition includes approximately  2  to  10  mg/L of beta- carotene.   
     
     
       37. The method of claim  31  further comprising a vitamin and mineral source, the vitamin and mineral source including the following vitamins and minerals in their respective amounts: 
       
         Vitamin C  120  to  300  mg/L  
       
       
         Zinc  15  to  30  mg/L  
       
       
         Vitamin D  400  to  800  IU/L  
       
       
         Vitamin E  60  to  180  IU/L  
       
       
         Vitamin A  3000  to  6000  IU/L  
       
       
         Folic Acid  400  to  1600  μg/L  
       
       
         Vitamin B 
         6  
           2  to  8  mg/L  
       
       
         Vitamin B 
         12  
           6  to  18  μg/L  
       
       
         Thiamine  1 . 5  to  3  mg/L  
       
       
         Riboflavin  1 . 7  to  3 . 5  mg/L  
       
       
         Calcium  800  to  1600  mg/L  
       
       
         Selenium  50  to  150  mg/L. 
       
     
     
       38. The method of claim  31  wherein the lipid source includes a mixture of medium and long chain triglycerides, the lipid source including at least  20 %  medium chain triglycerides.   
     
     
       39. The method of claim  31  wherein the composition has a caloric density of approximately  1 . 2  kcal/mL. 
     
     
       40. A method for providing nutrition to an elderly patient comprising enterally administering to the patient an effective amount of a composition comprising: 
       
         a protein source;  
       
       
         a carbohydrate source including approximately  8  g/L to  10  g/L of a source of dietary fiber;  
       
       
         a lipid source;  
       
         a source of beta - carotene; and    
       
         a vitamin and mineral source including the following vitamins and minerals in their respective amounts:  
       
       
         Vitamin C  120  to  300  mg/L  
       
       
         Zinc  15  to  30  mg/L  
       
       
         Vitamin D  400  to  800  IU/L  
       
       
         Vitamin E  60  to  180  IU/L  
       
       
         Vitamin A  3000  to  6000  IU/L  
       
       
         Folic Acid  400  to  1600  μg/L  
       
       
         Vitamin B 
         6  
           2  to  8  mg/L  
       
       
         Vitamin B 
         12  
           6  to  18  μg/L  
       
       
         Thiamine  1 . 5  to  3  mg/L  
       
       
         Riboflavin  1 . 7  to  3 . 5  mg/L  
       
       
         Calcium  800  to  1600  mg/L  
       
       
         Selenium  50  to  150  mg/L. 
       
     
     
       41. The method of claim  40  wherein the protein source comprises at least  18 %  of the calorie distribution of the composition.   
     
     
       42. The method of claim  40  wherein the composition includes approximately  2  to  10  mg/L of beta- carotene.   
     
     
       43. The method of claim  40  wherein the composition has a caloric density of approximately  1 . 2  kcal/mL. 
     
     
       44. The method of claim  40  wherein the lipid source includes a mixture of medium and long chain triglycerides, the lipid source including at least  20 %  medium chain triglycerides and the long chain triglycerides are selected to provide a ratio of n -   6  to n -   3  fatty acids of  4 : 1  to  10 : 1 .   
     
     
       45. The method of claim  40  wherein the vitamin and mineral source provides at least  100 %  of the USRDA of vitamins and minerals in  1200  calories.   
     
     
       46. A method for providing nutrition to an elderly patient comprising enterally administering to the patient an effective amount of a composition comprising: 
         a protein source comprising at least  18   %  of the calorie distribution of the composition;    
         a carbohydrate source including approximately  8  g/L to  10  g/L of a source of dietary fiber, the source of dietary fiber including a mixture of soluble and insoluble fibers, the carbohydrate source comprising approximately  48   %  to  55   %  of the calorie distribution of the composition;    
         a lipid source comprising approximately  26   %  to  36   %  of the calorie distribution of the composition; and    
         a source of beta - carotene in an amount of approximately  2  to  10  mg/L.

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