WO1991009538A1 - Nutritionally complete enteral diet product - Google Patents

Nutritionally complete enteral diet product Download PDF

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Publication number
WO1991009538A1
WO1991009538A1 PCT/DK1990/000342 DK9000342W WO9109538A1 WO 1991009538 A1 WO1991009538 A1 WO 1991009538A1 DK 9000342 W DK9000342 W DK 9000342W WO 9109538 A1 WO9109538 A1 WO 9109538A1
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WO
WIPO (PCT)
Prior art keywords
product
diet product
nutritionally complete
enteral diet
juicy
Prior art date
Application number
PCT/DK1990/000342
Other languages
French (fr)
Inventor
Sven Froekjaer
Svend Eriksen
Ole Woerts
Original Assignee
Novo Nordisk A/S
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 Novo Nordisk A/S filed Critical Novo Nordisk A/S
Publication of WO1991009538A1 publication Critical patent/WO1991009538A1/en

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Classifications

    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L2/00—Non-alcoholic beverages; Dry compositions or concentrates therefor; Their preparation
    • A23L2/52—Adding ingredients
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/115—Fatty acids or derivatives thereof; Fats or oils

Definitions

  • the invention comprises a nutritionally complete enteral diet product.
  • nutritionally complete enteral diet product is to be understood as an enteral diet product which comprises fat, carbohydrate and protein.
  • enteral diet products have a pH value around neutrality and thus have to be sterilized, or preservatives have to be added.
  • the nutritionally complete enteral diet product according to the invention is characterized by the fact that the fat content is between 1 and 6% on an energy basis, and that the pH value is below or equal to 4.5, and that the osmolality is above 360 milli-osmol.
  • All nutritionally compatible protein (whereby the term compatible protein in this specification with claims comprises for instance whey proteins and protein hydrolyzates), carbohydrate and fat sources (including for instance the emulsifier described in co-pending Danish patent application No. 6575/89, filed on the same date as this application) and usual auxiliary agents can be used in the nutritionally complete enteral diet product according to the invention.
  • Nutritionally complete enteral diet products with a fat content on an energy basis between 1 and 6% belong to the prior art, examples being Criticare (Mead Johnson), Vivonex Standard (Norwich Eaton), and Vivonex T.E.N. (Norwich Eaton). All these prior art products have a milky appearance and an unsatisfactory taste, and also, they exhibit a pH value above 4.5, with the accompanying disadvantages already pointed out.
  • a nutritionally complete enteral diet product is known with a pH value below or equal to 4.5 and a fat content on an energy basis of between 3 and 60%.
  • all exemplified products have a milky appearance, and no examples are presented with a fat content between 3 and 6% on an energy basis.
  • the known diet products exhibit an osmolality below 350 milliosmol, and thus, there is no "room” for major amounts of aroma compounds.
  • a preferred embodiment of the diet product according to the invention is characterized by the fact that the fat content on an energy basis is between 4 and 6%, and that the pH value is in the range of between 3.0 to 4.3. This product exhibits a pronounced juicy appearance and a pronounced juicy taste, when properly flavoured.
  • a preferred embodiment of the diet product according to the invention is characterized by the fact that the caloric density of the diet product is above 0.68 Kcal/ml. In this manner more valuable nutritionally diet product is obtained.
  • the product according to the invention is illustrated by the following examples. Both the product according to Example 1 and to Example 2 exhibit a marked juicy appearance and a marked juicy taste. Furthermore, the product inside the scope of the invention according to Example 3 exhibits a marked juicy appearance and a marked juicy taste.
  • a diet product is prepared according to the following formula:
  • Protein Soy protein hydrolysate (N x 6.25) 3.75 g
  • Carbohydrate Maltodextrins 20.00 g
  • Fat Soy bean oil 0.60 g
  • I is dissolved in II. pH is measured to pH 4.3. Maltodextrin and pectin are dissolved in water by heating to 50" C. Ill is mixed with I + II and IV is added. Finally water (V) is added to a total volume of 1000 ml.
  • the product is homogenized on a high pressure homogenizer (Rannie - type 8.30 H). The product is filled in a suitable package and stored at 4 ⁇ C.
  • Soy protein hydrolysate (in an amount corresponding to 37.5 g protein) 37.5 kg 200 kg 200 kg 400 g 400 I 6000 g to 1000 I Production Procedure:
  • I is dissolved in II.
  • the pH value was 4.3.
  • Maltodextrin and pectin are dissolved in water by heating to 50 ⁇ C (III).
  • Ill is mixed with I + II and IV is added.
  • water (V) is added to a total volume of 1000 I.
  • the product is pre-homogenized on a low pressure homogenizer, pasteurized at 85 "C for 4 seconds and finally homogenized at a pressure around 250-350 kg/cm 2 at a temperature of 60° C.
  • the pasteurized, homogenized product is collected in a sterile storage tank.
  • the product is filled in a suitable package under aseptic conditions and stored at 4°C.
  • a diet product is prepared as in Example 1 except that the soy bean oil is replaced by safflower oil (4.0 g of safflower oil replaces 6.0 g of soy bean oil).
  • the enteral diet product, top up Special Formula, according to the invention, prepared as indicated in Example 1 has been compared to the commercial enteral diet product, top up Pineapple (European Patent No. 0246747), considered to be the prior art product most related to the product according to the invention.
  • the enteral diet product according to Example 1 top up Speci Formula, from a taste point of view, is significantly better ( ⁇ 0.01) than th commercial enteral diet product, top up Pineapple.

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  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Health & Medical Sciences (AREA)
  • Nutrition Science (AREA)
  • Engineering & Computer Science (AREA)
  • Food Science & Technology (AREA)
  • Polymers & Plastics (AREA)
  • Oil, Petroleum & Natural Gas (AREA)
  • Mycology (AREA)
  • Coloring Foods And Improving Nutritive Qualities (AREA)

Abstract

In the nutritionally complete enteral diet product the fat content on an energy basis is between 1 and 6 %, the pH value is below or equal to 4.5, and the osmolality is above 360 milli-osmol. This product exhibits a more juicy appearance and juicy taste than the prior art products.

Description

NUTRITIONALLY COMPLETE ENTERAL DIET PRODUCT
The invention comprises a nutritionally complete enteral diet product. In this specification with claims the term "nutritionally complete enteral diet product" is to be understood as an enteral diet product which comprises fat, carbohydrate and protein.
The art comprising nutritionally complete enteral diet products is huge.
Most of these enteral diet products have a pH value around neutrality and thus have to be sterilized, or preservatives have to be added. Reference can be made to the commercial products Ensure (Ross), Osmolite (Ross), and Isocal (Mead Johnson).
Other nutritionally complete enteral diet products have a pH below or equal to 4.5, and thus are more microbially resistant. Reference can be made to European patent no. 0 246 747 and US 4 497 800.
These prior art nutritionally complete enteral diet products do all possess a milky appearance , i.e. they look like milk, but even so they do not necessarily taste like milk, but may have an acid juice like taste.
During the last years a trend among the consumers, i.e. the patients, has been developed in direction of a preference for a more juicy and less milky appearance, and for at correspondingly juicy taste. Thus, there is a need for a nutritionally complete enteral diet product with a more juicy appearance and a juicy taste.
The nutritionally complete enteral diet product according to the invention is characterized by the fact that the fat content is between 1 and 6% on an energy basis, and that the pH value is below or equal to 4.5, and that the osmolality is above 360 milli-osmol. All nutritionally compatible protein (whereby the term compatible protein in this specification with claims comprises for instance whey proteins and protein hydrolyzates), carbohydrate and fat sources (including for instance the emulsifier described in co-pending Danish patent application No. 6575/89, filed on the same date as this application) and usual auxiliary agents can be used in the nutritionally complete enteral diet product according to the invention.
Surprisingly, it has been found that the appearance of a properly formulated, nutritionally complete enteral diet product with a normal fat content around 30% on an energy basis and a pH value below or equal to 4.5 changes from milky to juicy, i.e. to a more transparent appearance, when the fat content, on an energy basis is reduced to a value in the interval from 1 to 6%. Also, there is ample "room" for aroma substances due to the fact that the osmolality of the diet product is above 360 millimol, and thus, a juicy taste of the diet product according to the invention is easily achieveable.
Nutritionally complete enteral diet products with a fat content on an energy basis between 1 and 6% belong to the prior art, examples being Criticare (Mead Johnson), Vivonex Standard (Norwich Eaton), and Vivonex T.E.N. (Norwich Eaton). All these prior art products have a milky appearance and an unsatisfactory taste, and also, they exhibit a pH value above 4.5, with the accompanying disadvantages already pointed out.
Also, from the applicant's European patent no. 0 246 747 a nutritionally complete enteral diet product is known with a pH value below or equal to 4.5 and a fat content on an energy basis of between 3 and 60%. However all exemplified products have a milky appearance, and no examples are presented with a fat content between 3 and 6% on an energy basis. Also, the known diet products exhibit an osmolality below 350 milliosmol, and thus, there is no "room" for major amounts of aroma compounds.
A preferred embodiment of the diet product according to the invention is characterized by the fact that the fat content on an energy basis is between 4 and 6%, and that the pH value is in the range of between 3.0 to 4.3. This product exhibits a pronounced juicy appearance and a pronounced juicy taste, when properly flavoured.
A preferred embodiment of the diet product according to the invention is characterized by the fact that the caloric density of the diet product is above 0.68 Kcal/ml. In this manner more valuable nutritionally diet product is obtained. The product according to the invention is illustrated by the following examples. Both the product according to Example 1 and to Example 2 exhibit a marked juicy appearance and a marked juicy taste. Furthermore, the product inside the scope of the invention according to Example 3 exhibits a marked juicy appearance and a marked juicy taste.
EXAMPLE 1
A diet product is prepared according to the following formula:
Composition for 100 ml
Protein: Soy protein hydrolysate (N x 6.25) 3.75 g Carbohydrate: Maltodextrins 20.00 g Fat: Soy bean oil 0.60 g
Water to 100 ml
For the preparation of one liter of product the procedure is as follows:
Constituents: I Citric acid 5.000 g
Aspartame 0.500 g
Ascorbic acid 1.000 g
Vitamin premix 0.1 g
Fresh orange extract 10.0 g Orange concentrate (5:1) 10.0 g
Orange flavour 0.5 g β-caroten 1.5 g I Soy protein hydrolysate (in an amount corresponding to 37.5 g protein) 37.5 g Water 200 g III Maltodextrin 200 g Pectin 0.40 g Demineralized water 400 ml
IV Soy bean oil 6.0 g V Demineralized water to 1000 ml
Production Procedure:
I is dissolved in II. pH is measured to pH 4.3. Maltodextrin and pectin are dissolved in water by heating to 50" C. Ill is mixed with I + II and IV is added. Finally water (V) is added to a total volume of 1000 ml. The product is homogenized on a high pressure homogenizer (Rannie - type 8.30 H). The product is filled in a suitable package and stored at 4βC.
For the preparation of one thousand litre of a similar, enriched product the procedure is as follows:
Constituents I Citric acid 5000 g
Aspartame 500 g
Ascorbic acid 1000 g
Vitamin premix 100 g
Fresh orange extract 10 kg Orange concentrate (5:1) 10 kg
Orange flavour 500 g β-caroten 1500 g
II Soy protein hydrolysate (in an amount corresponding to 37.5 g protein) 37.5 kg 200 kg 200 kg 400 g 400 I 6000 g
Figure imgf000006_0001
to 1000 I Production Procedure:
I is dissolved in II. The pH value was 4.3. Maltodextrin and pectin are dissolved in water by heating to 50 βC (III). Ill is mixed with I + II and IV is added. Finally water (V) is added to a total volume of 1000 I. The product is pre-homogenized on a low pressure homogenizer, pasteurized at 85 "C for 4 seconds and finally homogenized at a pressure around 250-350 kg/cm2 at a temperature of 60° C. The pasteurized, homogenized product is collected in a sterile storage tank. The product is filled in a suitable package under aseptic conditions and stored at 4°C.
EXAMPLE 2
A diet product is prepared as in Example 1 except that the soy bean oil is replaced by safflower oil (4.0 g of safflower oil replaces 6.0 g of soy bean oil).
EXAMPLE 3
The enteral diet product, top up Special Formula, according to the invention, prepared as indicated in Example 1 , has been compared to the commercial enteral diet product, top up Pineapple (European Patent No. 0246747), considered to be the prior art product most related to the product according to the invention.
The two types of products have been tested both in a ranking test, using hospital staff as judges, and in a patient acceptability test, where the patiens were served the product for 3 days and asked whether they found it juice-like or not. The results of the two tests are given in Tables 1 and 2. TABLE 1
Figure imgf000008_0001
5% level (α<0.05): 42-54* 1% level (α<0.01): 41-55*
* Lowest and highest significant rank sum (G. Jeliinek, Sensory Evaluation of Foo E. Horwood Ltd., Chichester, England, 1985).
Thus, the enteral diet product according to Example 1 , top up Speci Formula, from a taste point of view, is significantly better (α<0.01) than th commercial enteral diet product, top up Pineapple.
TABLE 2
Patient acceptability
No. of samples tested: 2
No. of judges: 16/19 Juice-like
Number of
Product Yes No judges
5 top up
Special Formula 14 2 16
top up
Pineapple 9 10 19
A paired difference test: 10 5% level (α≤0.05): 14*. 12** 1% level (α<0.01): 15*. 14**
* Number of judges: 16 ** Number of judges: 19
(G. Jeliinek, Sensory Evaluation of Food, E. Horwood Ltd., Chichester, England, 15 1985).
Thus, the enteral diet product according to Example 1 , top up Special Formula, is considered a juice-like product (α=0.01), whereas the commercial product, top up Pineapple, is not even on the 5% level considered a juice-like product.

Claims

1. Nutritionally complete enteral diet product, wherein the fat content on an energy basis is between 1 and 6%, the pH value is below or equal to 4.5, and the osmolality is above 360 milli-osmol.
2. Diet product according to Claim 1 , wherein the fat content on an energy basis is between 4 and 6%, the pH value is in the range of between 3.0 to 4.3, and the osmolality is above 400 milli-osmol.
3. Diet product according to Claim 1 or 2, wherein the caloric density of the diet product is above 0.68 Kcal/ml.
PCT/DK1990/000342 1989-12-22 1990-12-21 Nutritionally complete enteral diet product WO1991009538A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DK657789A DK657789D0 (en) 1989-12-22 1989-12-22 IN THE NUTRITIONALLY COMPLETE, ENTERAL, DIETETIC PRODUCT
DK6577/89 1989-12-22

Publications (1)

Publication Number Publication Date
WO1991009538A1 true WO1991009538A1 (en) 1991-07-11

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0486425A2 (en) 1990-11-01 1992-05-20 Sandoz Nutrition Ltd. High acid system nutritional formulations
US5464619A (en) * 1994-06-03 1995-11-07 The Procter & Gamble Company Beverage compositions containing green tea solids, electrolytes and carbohydrates to provide improved cellular hydration and drinkability
WO2000000043A1 (en) * 1998-06-30 2000-01-06 Abbott Laboratories Soy-based nutritional product
DE19930221A1 (en) * 1999-06-30 2001-01-11 Peter Marcinowski Food supplement based mainly on plant sources also contains a fruit-derived hydroxycarboxylic acid such as citric acid to eliminate fat products
WO2001050889A1 (en) * 2000-01-12 2001-07-19 Semper Foods Ab Nutritional drink
FR2865900A1 (en) * 2004-02-06 2005-08-12 United Pharmaceuticals Sa Hypoallergenic powdered milk formula for babies and very young children has low dose of artificial sweetener(s) to cover bitter taste

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2829036A1 (en) * 1978-07-01 1980-01-10 Fresenius Chem Pharm Ind Liq. feed mixt. contg. protein and carbohydrate components - sterilised separately to avoid formation of colour and off flavour
US4497800A (en) * 1982-07-06 1985-02-05 Mead Johnson & Company Stable liquid diet composition
EP0246747A1 (en) * 1986-04-21 1987-11-25 Novo Nordisk A/S Enteral diet product, agent and methods for its production
EP0302807A2 (en) * 1987-05-29 1989-02-08 Puleva Union Industrial Y Agro-Ganadera, S.A. Food products enriched with nucleosides and/or nucleotides and preparation thereof
US4833128A (en) * 1984-12-28 1989-05-23 Neil Solomon Dietary supplement

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2829036A1 (en) * 1978-07-01 1980-01-10 Fresenius Chem Pharm Ind Liq. feed mixt. contg. protein and carbohydrate components - sterilised separately to avoid formation of colour and off flavour
US4497800A (en) * 1982-07-06 1985-02-05 Mead Johnson & Company Stable liquid diet composition
US4833128A (en) * 1984-12-28 1989-05-23 Neil Solomon Dietary supplement
EP0246747A1 (en) * 1986-04-21 1987-11-25 Novo Nordisk A/S Enteral diet product, agent and methods for its production
EP0302807A2 (en) * 1987-05-29 1989-02-08 Puleva Union Industrial Y Agro-Ganadera, S.A. Food products enriched with nucleosides and/or nucleotides and preparation thereof

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0486425A2 (en) 1990-11-01 1992-05-20 Sandoz Nutrition Ltd. High acid system nutritional formulations
EP0486425A3 (en) * 1990-11-01 1992-05-27 Sandoz Nutrition Ltd. High acid system nutritional formulations
US5520948A (en) * 1990-11-01 1996-05-28 Sandoz Ltd. High acid system nutritional formulations
US5464619A (en) * 1994-06-03 1995-11-07 The Procter & Gamble Company Beverage compositions containing green tea solids, electrolytes and carbohydrates to provide improved cellular hydration and drinkability
US5681569A (en) * 1994-06-03 1997-10-28 The Procter & Gamble Company Beverage compositions containing green tea solids, electrolytes and carbohydrates to provide improved cellular hydration and drinkability
WO2000000043A1 (en) * 1998-06-30 2000-01-06 Abbott Laboratories Soy-based nutritional product
US6150399A (en) * 1998-06-30 2000-11-21 Abbott Laboratories Soy-based nutritional products
US6372782B1 (en) 1998-06-30 2002-04-16 Abbott Laboratories Soy-based nutritional products
DE19930221A1 (en) * 1999-06-30 2001-01-11 Peter Marcinowski Food supplement based mainly on plant sources also contains a fruit-derived hydroxycarboxylic acid such as citric acid to eliminate fat products
WO2001050889A1 (en) * 2000-01-12 2001-07-19 Semper Foods Ab Nutritional drink
FR2865900A1 (en) * 2004-02-06 2005-08-12 United Pharmaceuticals Sa Hypoallergenic powdered milk formula for babies and very young children has low dose of artificial sweetener(s) to cover bitter taste

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Publication number Publication date
DK657789D0 (en) 1989-12-22
AU7045091A (en) 1991-07-24

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