Evidence map›Paper›PMID 34935190›Full record

ArticleNutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition2022

Monitor gastrointestinal tolerance in children who have switched to an "enteral formula with food-derived ingredients": A national, multicenter retrospective chart review (RICIMIX study).

Graeme O'Connor, Marie Watson, Martha Van Der Linde, Rita Shergill Bonner, Julia Hopkins, Sharan Saduera

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Nutrition Support Interventions for Children and Young People Treated for Osteosarcoma: A Scoping Review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
  4. Article
  5. Observational
  6. The impact of an enteral formula with food-derived ingredients on dietetic practice at a specialist children's hospital in the UK: Retrospective study.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Graeme O'ConnorDepartment of Dietetics, Great Ormond Street Hospital Foundation Trust, London, United Kingdom.ORCID https://orcid.org/0000-0001-8625-9264
Marie WatsonDepartment of Dietetics, Sheffield Children's NHS Foundation Trust, Sheffield, United Kingdom.
Martha Van Der LindeDepartment of Dietetics, Herefordshire and Worcestershire Health and Care NHS Trust, Worcester, United Kingdom.
Rita Shergill BonnerDepartment of Dietetics, Evelina London Children's Hospital, London, United Kingdom.
Julia HopkinsDepartment of Dietetics, Evelina London Children's Hospital, London, United Kingdom.
Sharan SadueraMedical Affairs, Nestlé Health Science, Gatwick, United Kingdom.
Evelina London Children's Healthcare · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GBNestlé (United Kingdom) · GBSheffield Children's NHS Foundation Trust · GBWorcestershire Health and Care NHS Trust · GB

Funding

Nestle Health Science
6 · The paper itself

Abstract

backgroundEnteral tube feeding intolerances, such as diarrhea, are commonly reported in children. In the pediatric population, interest is growing in the use of blended diets for the management of enteral feeding intolerances. Fiber within a blended diet stimulates the growth of beneficial gut bacteria, which in turn produce short-chain fatty acids, which are utilized as energy substrates for enterocytes. Enteral formula manufacturers have responded to this trend towards "real-food" blended diets and developed an enteral formula with food-derived ingredients. The aim of this study was to collect data relating to feed tolerance in children who had switched to an "enteral formula with food-derived ingredients."

methodsA national multicenter retrospective study.

resultsDietitians collected data from 43 medically unwell children between March 2021 and July 2021. Significant improvements were reported in children who had switched to an "enteral formula with food-derived ingredients" in retching 17 of 18 children (95%), flatulence 6 of 8 children (85%), loose stools 10 of 11 children (90%), and constipation 10 of 11 children (90%). These improvements in gastrointestinal symptoms were reflected in weight change during the one month period measurements were collected (baseline, 19.5 kg [SD, 9]; 1 month, 20.1 kg [SD, 9]; P = 0.002).

conclusionWe have observed beneficial outcomes in medically complex children who have switched to an "enteral formula with food-derived ingredients." Our data should motivate healthcare professionals to implement more research to better evaluate the clinical impact and mechanisms of action of blended diets and enteral formulas with food-derived ingredients.

Indexed as

Food, FormulatedFood IngredientsChildDiarrheaEnteral NutritionGastrointestinal TractHumansRetrospective StudiesFood Ingredientsblended dietchildrenenteral formula with food-derived ingredientsgastrointestinal intolerancemicrobiomes

Identifiers

PMID34935190
PMCPMC9544717
OpenAlexW4200051267

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.