Trophic EP - Ideal for patients with cachexia or cancer.

Trophic EP

Indication

Patients with high caloric and protein need and/or

hydric restriction and intolerance to high volumes.

Characteristics

§ Nutritionally balanced (complete)

§ Hyper caloric– 1.5 cal/ml

§ 18% PTN 52% CH 30% LIP

§ Saccharose, lactose and gluten free

§ Vanilla flavor

§ Tetra Pak 1000 ml

There’s a caloric deficit in hospitals

Hyper caloric

Aranjues, 2008; McClave, 1999; Nozaki, 2009; O’Meara, 2008; Teixeira, 2006.

Hyper caloric

Aranjues, 2008; McClave, 1999; Nozaki, 2009; O’Meara, 2008; Teixeira, 2006.

Hospitalar malnutrition

Respiratory sustem

Cicatrization

Immune system

Hyper caloric

1.5 cal/ml

Hyper caloric

Minimize/avoid consequences due to

malnutrition from inadequate nutrition or

caloric decifit

Hyper protein

PROTEIN MIX

• Whey protein isolate

• Soy isolate protein

• Calcium caseinate

Better gastric emptying

Fried et al. Pediatrics, 120(4),1992

Time (min)% R

esid

ue o

f gas

tric

radi

oact

ivity

0

20

40

60

80

100

60 120

Predominância de caseína (80%)

Soro do leite (100%)

Whey protein isolate

Casein predominant (80%)

Milk serum (100%)

Better gastric emptying

Fried et al. Pediatrics, 120(4),1992

BENEFITS• Gastrointestinal confort

• Less nausea and vomiting

• Less gastroparesis

• No risk of abdominal distention

Soy isolate protein

Higher nitrogenous retention

Tome, D. Proceedings of the 3rd International Whey Conference, Munich, 2001

Time (min)

Nitr

ogen

(mm

oles

)

0

20

40

60

80

100

120

0 40 80 140 180

Proteína do soro do leiteCaseína

Soy isolate protein

CaseinWhey protein

Higher nitrogenous retention

Tome, D. Proceedings of the 3rd International Whey Conference, Munich, 2001

BENEFITS• Better digestion

• Better absorption

• Higher levels of moving amino acids(observed after 40 min of ingestion)

• Higher nitrogenous retention

Soy isolate protein

Hermansen et al. Diabetes Care 24, 2001

Control Soy isolate protein Soy protein x Control

Significant difference (%)

Initial After 6 weeks

Initial After 6 weeks

p≠ (%) p§

Cholesterol total

5,59±0,81 5,45±0,88 5,68±0,84 5,11±0,78 0,0041 - 8±15 0,0826

LDL 3,64±0,80 3,33±0,72 3,63±0,78 3,01±0,68 0,0044 - 10±16 0,0483

HDL 1,28±0,29 1,33±0,34 1,31±0,22 1,38±0,35 0,2024 0±20 0,8517

TG (mmol/l) 1,70±1,49 1,79±1,17 1,70±1,17 1,63±0,97 0,3632 - 22±43 0,0400

ApoB100(g/l) 0,95±0,26 0,98±0,25 1,09±0,21 0,86±0,19 0,0249 - 30±38 0,0027

Lp(a)(U/l) 32,3±37,5 32,4±39,8 29,5±29,9 33,9±37,7 0,3488 - 8±34 0,1769

LDL/HDL rate 2,95±1,02 2,52±0,62 2,82±0,75 2,20±0,61 0,0007 - 12±18 0,0120

Dyslipidemia

Soy isolate protein

Whey protein isolateGastrointestinal confort, high levels of moving amino acids, better nitrogenous retention

Soy isolate proteinControl over lipids

Calcium caseinateComplements Aas. Profile and agregates great tasting

Quality Protein Mix and High Biological Value

Amino acid profile

Amino acid

supplying is

determinant in the

quality of the

response to

infection and injury

Hyper protein

18%

PTN

49% Calcium caseinate

27% Soy isolate protein

24% Whey protein isolate

Hyper protein

Supply protein needs, reverts

Nitrogenous Balance, enhances

generally pacient’s situation, reduces

hospital stay and clinical complication,

reverting in economy and bed turnover.

18% of PTN

Hyper protein

PTN : 18%CH : 52%LIP : 30%Vitamins and mineral levels to children above 10 years old.

Loss replacement

Balance

+ More tolerance & flexability

100% MaltodextrinLactose and saccharose free

Energy

Trophic EP

www.prodietnutrition.com

Contact:+55 (41) 3616 6477

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