JPH1028550A - Nutritive composition for hepatopathic patient - Google Patents

Nutritive composition for hepatopathic patient

Info

Publication number
JPH1028550A
JPH1028550A JP8204136A JP20413696A JPH1028550A JP H1028550 A JPH1028550 A JP H1028550A JP 8204136 A JP8204136 A JP 8204136A JP 20413696 A JP20413696 A JP 20413696A JP H1028550 A JPH1028550 A JP H1028550A
Authority
JP
Japan
Prior art keywords
ethanolamine
composition
liver
fruit
plant
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP8204136A
Other languages
Japanese (ja)
Other versions
JP3540100B2 (en
Inventor
Hideki Ito
英樹 伊藤
Yasushi Arima
裕史 有馬
Hideo Hasegawa
秀夫 長谷川
Tamotsu Kuwata
有 桑田
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Meiji Dairies Corp
Original Assignee
Meiji Milk Products Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Meiji Milk Products Co Ltd filed Critical Meiji Milk Products Co Ltd
Priority to JP20413696A priority Critical patent/JP3540100B2/en
Publication of JPH1028550A publication Critical patent/JPH1028550A/en
Application granted granted Critical
Publication of JP3540100B2 publication Critical patent/JP3540100B2/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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  • Preparation Of Fruits And Vegetables (AREA)
  • Coloring Foods And Improving Nutritive Qualities (AREA)
  • Non-Alcoholic Beverages (AREA)
  • Medicines Containing Plant Substances (AREA)

Abstract

PROBLEM TO BE SOLVED: To obtain the subject composition capable of being taken for a long period of time, easy to be taken in terms of flavor or texture, and useful for a long-term alimentary therapy for reduction and recovery of hepatopathic disease symptoms by containing ethanolamine derived from a plant (preferably a fruit). SOLUTION: This nutritive composition contains ethanolamine derived from a plant, preferably from a fruit (a pineapple, a mandarin orange, an orange, a lemon, a lime, an apple, grapes a each, a persimmon, a kiwi fruit, etc.) in an amount of 10-800μg (preferably 100-500μg) per 1kcal. When taking the composition daily in an amount of 1,500kcal, about 150-750mg of ethanolamine is digested for a long period of time and a sufficient effect on recovery from hepatopatic disease is expected.

Description

【発明の詳細な説明】DETAILED DESCRIPTION OF THE INVENTION

【0001】[0001]

【発明の属する技術分野】本発明は、植物由来であるエ
タノールアミンを含有することを特徴とする、肝疾患者
用栄養組成物に関するものであり、さらに好ましくは、
果物由来のエタノールアミンを含んでなる、肝疾患者用
栄養組成物に関するものである。本発明に係る栄養組成
物は、それ自体で使用できるほか、広く一般に使用され
ている栄養組成物に、天然植物由来のエタノールアミン
を含んでなる栄養組成物とすることも可能であり、肝機
能が低下した患者に対しても、そしてまたその予防ない
し保健のために健常者に対しても広く使用できるもので
ある。
TECHNICAL FIELD [0001] The present invention relates to a nutritional composition for patients with liver disease, which comprises a plant-derived ethanolamine.
The present invention relates to a nutritional composition for liver disease patients, which comprises fruit-derived ethanolamine. The nutritional composition according to the present invention can be used as such, and can be used as a nutritional composition widely used in general, and a nutritional composition comprising ethanolamine derived from a natural plant, It can be widely used for patients with reduced levels and also for healthy people for its prevention or health.

【0002】[0002]

【従来の技術】肝機能が低下した患者に対する食餌療法
は、高エネルギー高たん白質組成の食餌が基礎となって
いる。さらに肝不全ではアミノ酸の代謝に異常が認めら
れることから、血漿遊離アミノ酸のインバランスの是正
を図るべくアミノ酸構成を考慮した食餌療法が必要であ
る。
BACKGROUND OF THE INVENTION Diet therapy for patients with impaired liver function is based on a diet of high energy and high protein composition. In addition, since abnormalities in amino acid metabolism are observed in liver failure, dietary treatment considering the amino acid composition is required to correct the imbalance of plasma free amino acids.

【0003】肝不全を特徴づけている肝性脳症の発現機
序については、重症肝障害における血漿遊離アミノ酸パ
ターンの異常、特に分岐鎖アミノ酸の減少および芳香族
アミノ酸、トリプトファン、メチオニンの上昇が特徴的
で、この血漿遊離アミノ酸パターンの乱れに由来する脳
内アミン代謝異常が肝性脳症の主な原因であることが明
らかになっている。肝不全時の血中分岐鎖アミノ酸の減
少は、肝障害により増加したインシュリンが筋組織や脂
肪組織での分岐鎖アミノ酸の取り込みを増加させるため
であり、また血中芳香族アミノ酸およびトリプトファン
の増加は、肝および筋のたん白質異化亢進、肝のたん白
質合成能の低下、さらには肝臓での芳香族アミノ酸およ
びトリプトファンの処理能力の低下によるものと考えら
れている。したがって肝不全を対象とした製剤では、芳
香族アミノ酸に比べ分岐鎖アミノ酸の配合割合を著しく
高くした遊離アミノ酸によって構成されている。
[0003] The mechanism of hepatic encephalopathy that characterizes hepatic failure is characterized by abnormal plasma free amino acid patterns in severe liver injury, in particular, a decrease in branched-chain amino acids and an increase in aromatic amino acids, tryptophan, and methionine. Thus, it has been clarified that abnormalities in amine metabolism in the brain resulting from this disorder in the plasma free amino acid pattern are the main cause of hepatic encephalopathy. The decrease in blood branched-chain amino acids during hepatic failure is due to the fact that insulin increased by liver injury increases the uptake of branched-chain amino acids in muscle tissue and adipose tissue, and increases in blood aromatic amino acids and tryptophan It is thought to be due to increased protein catabolism in the liver and muscle, a decrease in the ability of the liver to synthesize proteins, and a decrease in the ability of the liver to treat aromatic amino acids and tryptophan. Therefore, preparations for liver failure are composed of free amino acids in which the proportion of branched-chain amino acids is significantly higher than that of aromatic amino acids.

【0004】肝硬変など重症肝疾患時には脂質代謝に異
常が認められ、多価不飽和脂肪酸、特にリン脂質中のア
ラキドン酸、DHAの欠乏が報告されている。リン脂質
は主として肝ミクロソームで合成され、リポ蛋白として
血清中に存在する。リン脂質濃度の低下および構成脂肪
酸の異常は、肝における合成能の低下によるものと広く
考えられている。リン脂質は、胃粘膜防御機能において
も重要であり、肝硬変時のエネルギー利用率の半分以上
を脂質によっていることから、栄養補給として脂肪乳剤
によるリン脂質の強化とアラキドン酸およびDHAの添
加が試行されている。
In severe liver diseases such as cirrhosis, abnormalities in lipid metabolism are observed, and deficiencies of polyunsaturated fatty acids, particularly arachidonic acid and DHA in phospholipids, have been reported. Phospholipids are mainly synthesized in liver microsomes and are present in serum as lipoproteins. It is widely believed that the decrease in phospholipid concentration and the abnormality of constituent fatty acids are due to a decrease in synthetic ability in the liver. Phospholipids are also important in the gastric mucosal defense function. Since lipids account for more than half of the energy utilization rate during cirrhosis, it has been attempted to supplement phospholipids with fat emulsions and add arachidonic acid and DHA as nutritional supplements. ing.

【0005】[0005]

【発明が解決しようとする課題】従来の肝疾患用栄養組
成物は、肝疾患者における各種栄養成分のインバランス
の是正による、肝障害の維持または軽減を目的としてい
るのに対して、本発明は、肝障害を積極的に軽減および
修復する成分を含有して長期食餌療法において使用する
ことができるすぐれた栄養組成物を、新たに開発する目
的でなされたものである。
The conventional nutritional composition for liver disease is intended to maintain or reduce liver damage by correcting imbalance of various nutrients in patients with liver disease. The purpose of the present invention is to newly develop an excellent nutritional composition containing components that actively reduce and repair liver damage and that can be used in a long-term diet.

【0006】[0006]

【課題を解決するための手段】上記課題を解決するため
に各方面から鋭意検討した結果、エタノールアミンの腹
腔内投与ならびに経口投与により、四塩化炭素肝障害ラ
ットの血清トランスアミナーゼが有意に低下し肝障害の
修復効果が認められ、肝病理組織像のネクローシス部分
の面積が縮小することが認められた点(特願平8−61
599)に着目し、肝障害時の長期食餌療法栄養補給に
すぐれた栄養組成物の開発が可能であることを初めて発
見した。
Means for Solving the Problems As a result of diligent studies from various angles to solve the above-mentioned problems, it has been found that the intraperitoneal administration and the oral administration of ethanolamine significantly reduce the serum transaminase in rats with carbon tetrachloride-induced liver injury. The effect of repairing the disorder was observed, and the area of the necrosis portion of the liver histopathological image was reduced (Japanese Patent Application No. 8-61).
599), and discovered for the first time that it is possible to develop a nutritional composition excellent in long-term dietary nutritional supplementation during liver injury.

【0007】エタノールアミンは広く天然に存在し、情
報伝達系物質として生体に必要であることが知られてい
る。急性毒性試験の結果(特願平8−61599)から
も毒性は認められていない。エタノールアミンの分子量
は61.08と経口投与とした場合にもその吸収能にお
いて非常に有利な物質といえる。また、エタノールアミ
ンは、牛乳1mlあたり約8μg程度含まれている。しか
しエタノールアミンは、一般に魚類や獣肉類などの腐敗
による生成物としてアミン類が知られていることから、
安全性の面において、消費者のニーズに適合しない。
[0007] Ethanolamine exists widely in nature and is known to be necessary for living organisms as a signal transmission system substance. No toxicity was recognized from the results of the acute toxicity test (Japanese Patent Application No. 8-61599). Ethanolamine has a molecular weight of 61.08, which is a very advantageous substance in its absorption ability even when administered orally. Also, about 8 μg of ethanolamine is contained per 1 ml of milk. However, ethanolamines are generally known as amines as a product of spoilage of fish and meat,
Does not meet the needs of consumers in terms of safety.

【0008】そこで、上記のようにエタノールアミン自
体は非常に有効であるので、その有効性を生かしなが
ら、特に肝疾患者が摂取するのに適した栄養組成物を開
発する必要を認め、具体的には、長期間に亘って摂取す
ることができ、したがって異味、異臭等がなく風味や食
感の面でも摂取しやすく、もちろん安全性は確認されて
いるのみでなく、各種タイプの飲食品として加工可能で
ある点をすべて満足しうる組成物を開発する必要を認め
た。
[0008] In view of the above, since ethanolamine itself is very effective as described above, it was recognized that it was necessary to develop a nutritional composition particularly suitable for patients with liver disease while taking advantage of its effectiveness. Can be taken over a long period of time, so it has no off-flavors, off-flavors, etc., and is easy to take in terms of flavor and texture. It was recognized that there was a need to develop a composition that could satisfy all aspects of processability.

【0009】そこで先ず、天然物由来のエタノールアミ
ンに着目し、各方面から上記した要件を満足しうるエタ
ノールアミン源について検討した結果、天然物由来のエ
タノールアミン供給源として植物が有効であり、さらに
含有量について研究を重ねた結果、特に植物、好ましく
は果物に高い水準で存在していることをつきとめた。さ
らに共存物質の安全性の観点より、供給源として果物を
使用することがいっそう有効であることをつきとめた。
含有量の測定は、常法にしたがってアミノ酸分析法によ
り、励起波長340nm、蛍光波長455nmにて測定し
た。
[0009] First, attention was paid to ethanolamine derived from natural products, and as a result of examining ethanolamine sources capable of satisfying the above requirements from various fields, plants were effective as a source of ethanolamine derived from natural products. As a result of repeated studies on the content, they have found that they are present at high levels, especially in plants, preferably fruits. In addition, they found that it was more effective to use fruits as a source from the viewpoint of safety of coexisting substances.
The content was measured by an amino acid analysis method at an excitation wavelength of 340 nm and a fluorescence wavelength of 455 nm according to a conventional method.

【0010】また、エタノールアミンの含有量について
も検討した結果、次のことがわかり、本発明の完成に至
った。つまり、エタノールアミンの含有量については、
本発明に係る栄養組成物は1kcalあたり10〜800μ
g、さらに望ましくは100〜500μgのエタノール
アミンを含むことにより、1日1500kcal摂取した場
合150〜750mgのエタノールアミンを長期間摂取す
ることができ、肝障害の修復に十分な効果が期待される
ものである。
Further, as a result of studying the content of ethanolamine, the following was found, and the present invention was completed. In other words, regarding the content of ethanolamine,
Nutritional composition according to the present invention is 10-800μ per 1 kcal
g, more desirably, 100-500 μg ethanolamine, so that when taken 1500 kcal a day, 150-750 mg ethanolamine can be taken for a long period of time, which is expected to have a sufficient effect on repairing liver damage. It is.

【0011】本発明においては植物(好適には果物)由
来のエタノールアミンが使用されるが、エタノールアミ
ンとしては、充分に精製した精製品が使用されることは
もちろんのことであるが、粗精製品でも含有物でもある
いはその処理物でも、自由に使用することができる。含
有物としては、植物(果物)の搾汁液等エタノールアミ
ンを含有する植物由来物がすべて使用可能であり、その
処理物としては、濃縮物〜ペースト化物〜乾燥物等各種
の処理をして得られたものが適宜使用可能である。
In the present invention, ethanolamine derived from a plant (preferably a fruit) is used. As the ethanolamine, it is a matter of course that a purified product which has been sufficiently purified is used. The product, the inclusion or the processed product can be used freely. As the ingredients, all plant-derived substances containing ethanolamine, such as squeezed liquids of plants (fruits), can be used, and the processed products are obtained by various treatments such as concentrated to pasted to dried products. Those that have been used can be used as appropriate.

【0012】植物としては、エタノールアミンを含有す
る植物が広く使用され、例えば野菜類、果物類が1種又
は2種以上好適に使用される。野菜類としては、ホウレ
ン草、小松菜等葉菜類のほか、ニンジン、大根、ゴボウ
等根菜類、芋類等が適宜使用される。果物としては、パ
インアップル、ミカン、オレンジ、レモン、ライム、リ
ンゴ、ブドウ、モモ、カキ、キウイ等各種の果物が広く
使用される。
As the plants, plants containing ethanolamine are widely used, and for example, one or more vegetables and fruits are suitably used. As vegetables, besides leaf vegetables such as spinach and komatsuna, root vegetables such as carrot, radish and burdock, potatoes and the like are appropriately used. As fruits, various fruits such as pineapple, mandarin orange, orange, lemon, lime, apple, grape, peach, oyster and kiwi are widely used.

【0013】本発明においては、上記した栄養組成物を
そのまま肝疾患者に摂取させてもよいが、その他の食品
成分を配合して用いると更に良い結果が得られる。その
他の食品成分としては、蛋白質源、糖質源、及び/又は
脂質源があり、必要あれば他の成分も加えて、液状〜ペ
ースト状〜固状の各種形態の飲食品タイプの組成物とす
ることができる。
In the present invention, the above-mentioned nutritional composition may be taken by a liver diseased person as it is, but better results can be obtained when other food ingredients are used in combination. Other food components include protein sources, carbohydrate sources, and / or lipid sources, and other components may be added as necessary to form liquid-to-paste-to-solid food and drink-type compositions. can do.

【0014】本組成物におけるたん白質源としては、動
物性および植物性たん白質、さらにその加水分解物およ
び結晶アミノ酸を使用することができる。たん白質源と
しての各原材料の使用割合については特に規制しない
が、動物性たん白質としては、牛乳、卵、獣肉、鶏肉、
魚肉等を原料として得られる動物由来のたん白質が使用
され、また、植物性たん白質としては、小麦、大豆、
米、コーン等を原料として得られる植物由来のたん白質
が使用される。加水分解物としては、腸管における吸収
にすぐれた低分子ペプチドが考えられ、さらに望ましく
は肝疾患に対する効果を期待し、分岐鎖アミノ酸を多く
含んだ高フィッシャー比の加水分解物が有効である。結
晶アミノ酸としては、一般にその有効性が認知されてい
る、L−アルギニンや分岐鎖アミノ酸、その他必須アミ
ノ酸などが使用でき、特に規制されるものではない。ま
た、たん白質含有量を押さえた組成物を作成し、すでに
製剤となっている高フィッシャー比製剤と同時使用する
ことで、肝疾患者に対してさらなる効果が期待される。
As the protein source in the present composition, animal and vegetable proteins, as well as their hydrolysates and crystalline amino acids can be used. There are no particular restrictions on the proportion of each ingredient used as a protein source, but animal proteins include milk, eggs, meat, chicken,
Animal-derived proteins obtained from fish meat and the like are used, and as vegetable proteins, wheat, soybeans,
Plant-derived proteins obtained from rice, corn and the like are used. As the hydrolyzate, a low-molecular peptide excellent in absorption in the intestinal tract can be considered, and more preferably, a hydrolyzate containing a large amount of branched-chain amino acids and having a high Fischer ratio is effective in expecting an effect on liver disease. As crystalline amino acids, L-arginine, branched-chain amino acids, other essential amino acids, and the like, whose effectiveness is generally recognized, can be used, and are not particularly limited. Further, by preparing a composition with a reduced protein content and using it simultaneously with a high-Fisher-ratio preparation that has already been prepared, further effects are expected for patients with liver disease.

【0015】本組成物における糖質源としては、フルク
トース、ラクツロース、グルコース、デキストリン、乳
糖等が使用できる。含有量として特に規制するものでは
ないが、エネルギー比率としてみた場合50〜65%を
糖質より供給することが望ましい。
As the carbohydrate source in the present composition, fructose, lactulose, glucose, dextrin, lactose and the like can be used. Although the content is not particularly limited, it is desirable to supply 50 to 65% from the saccharide in terms of the energy ratio.

【0016】脂質源としては、植物油、魚油、獣油など
が使用でき、含有脂肪酸としてEPA、DHA、アラキ
ドン酸、リノレン酸等の強化が望ましい。脂質のエネル
ギー比率としては、20〜30%が望ましい。また乳化
安定剤として、植物および卵黄由来のレシチンを使用す
ることもできる。
As a lipid source, vegetable oil, fish oil, animal oil and the like can be used, and it is desirable to enhance EPA, DHA, arachidonic acid, linolenic acid and the like as fatty acids contained therein. The energy ratio of the lipid is preferably 20 to 30%. Further, as an emulsion stabilizer, lecithin derived from a plant and egg yolk can be used.

【0017】以下、本発明組成物の製造例について述べ
る。
Hereinafter, production examples of the composition of the present invention will be described.

【0018】[0018]

【製造例1】市販パインアップル(ハワイ産)可食部2
000kgを圧搾し、果汁を得る。得られた果汁を目開き
106μmのフィルターにてろ過する。ろ液を濃縮機に
供して加熱減圧濃縮し、1kgあたり2150mgのエタノ
ールアミンを含んだパインアップル濃縮果汁を得た。次
に下記の表1で示す配合組成により、常法に従って肝疾
患者に有効な組成物を製造した。
[Production Example 1] Pine apple (from Hawaii) edible part 2
Squeeze 000 kg to obtain fruit juice. The obtained juice is filtered with a filter having a mesh size of 106 μm. The filtrate was supplied to a concentrator and concentrated by heating under reduced pressure to obtain a concentrated pineapple juice containing 2150 mg of ethanolamine per 1 kg. Next, a composition effective for a liver disease patient was produced according to a conventional method according to the composition shown in Table 1 below.

【0019】[0019]

【表1】 [Table 1]

【0020】製造した組成物は、1mlあたり1kcalに調
整されており、肝疾患者が一日あたり1500ml飲用す
れば、およそ300mgのエタノールアミンを摂取するこ
とが可能である。
The composition prepared is adjusted to 1 kcal per 1 ml, and if a liver diseased person drinks 1500 ml per day, it is possible to take about 300 mg of ethanolamine.

【0021】[0021]

【製造例2】市販温州みかん(佐賀県産)200kg(果
肉、じょうのう、アルベド、フラベドなど果実全体)を
粉砕し、温水2000リットル中にて一昼夜攪拌浸漬し
た後、水溶液を目開き106μmのフィルターにてろ過
する。このろ液を濃縮機に供して加熱減圧濃縮すること
で、1kgあたり4620mgのエタノールアミンを含んだ
濃縮原料を得た。次に下記の表2で示す配合組成によ
り、常法に従って肝疾患者に有効な組成物を製造した。
[Production Example 2] 200 kg of commercially available Unshu mandarin oranges (produced in Saga Prefecture) (whole fruits such as pulp, joyou, albedo and flavedo) are crushed and immersed in 2,000 liters of warm water with stirring all day and night. Filter with a filter. This filtrate was supplied to a concentrator and concentrated by heating under reduced pressure to obtain a concentrated raw material containing 4620 mg of ethanolamine per kg. Next, a composition effective for a liver disease patient was produced according to a conventional method according to the composition shown in Table 2 below.

【0022】[0022]

【表2】 [Table 2]

【0023】製造した組成物は、1mlあたり1kcalに調
整されており、肝疾患者が一日あたり1500ml飲用す
れば、およそ750mgのエタノールアミンを摂取するこ
とが可能である。
The prepared composition is adjusted to 1 kcal per 1 ml, and if a liver diseased person drinks 1500 ml per day, it is possible to take about 750 mg of ethanolamine.

【0024】[0024]

【発明の効果】本発明によれば、有効成分の一つとして
エタノールアミンを含有することにより、肝疾患者のQ
OLを尊重した長期間の栄養治療(GOT値、GPT値
の減少および被障害細胞の再生)にも十分対応可能であ
り、健常者における肝疾患予防効果も十分期待できる。
含有するエタノールアミンは天然物由来であり、肝疾患
の治療に対して副作用もなく安全且つ有効に長期治療が
可能である。
According to the present invention, by containing ethanolamine as one of the active ingredients, the quality of Q
It can sufficiently cope with long-term nutritional treatment (reduction of GOT value and GPT value and regeneration of damaged cells) that respects OL, and can also be expected to have a sufficient effect of preventing liver disease in healthy subjects.
The ethanolamine contained is derived from a natural product, and can be safely and effectively treated for a long term without side effects in treating liver diseases.

───────────────────────────────────────────────────── フロントページの続き (72)発明者 桑田 有 東京都東村山市栄町1−21−3 明治乳業 株式会社栄養科学研究所内 ────────────────────────────────────────────────── ─── Continued on the front page (72) Inventor Yu Kuwata 1-21-3 Sakaecho, Higashimurayama-shi, Tokyo Meiji Dairies Co., Ltd.

Claims (3)

【特許請求の範囲】[Claims] 【請求項1】 植物、好ましくは果物より得られたエタ
ノールアミンを1kcal当たり10〜800μg含有する
こと、を特徴とする肝疾患者用栄養組成物。
1. A nutritional composition for patients with liver disease, comprising 10-800 μg of ethanolamine obtained from a plant, preferably a fruit, per 1 kcal.
【請求項2】 該エタノールアミンが、エタノールアミ
ン自体及び/又はその含有物であること、を特徴とする
請求項1に記載の組成物。
2. The composition according to claim 1, wherein the ethanolamine is ethanolamine itself and / or a content thereof.
【請求項3】 該エタノールアミン含有物が、植物搾汁
液、好ましくは果物搾汁液の濃縮液及び/又はその処理
物であること、を特徴とする請求項2に記載の組成物。
3. The composition according to claim 2, wherein the ethanolamine-containing substance is a concentrate of a vegetable juice, preferably a fruit juice and / or a processed product thereof.
JP20413696A 1996-07-16 1996-07-16 Nutrition composition for patients with liver disease Expired - Fee Related JP3540100B2 (en)

Priority Applications (1)

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Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP20413696A JP3540100B2 (en) 1996-07-16 1996-07-16 Nutrition composition for patients with liver disease

Publications (2)

Publication Number Publication Date
JPH1028550A true JPH1028550A (en) 1998-02-03
JP3540100B2 JP3540100B2 (en) 2004-07-07

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Country Link
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