Question

Enteral nutrition formulas supplemented with fiber are often used in the older adult to prevent constipation. Which of the following considerations is most important if this type of formula is chosen?

1: Addition of a prokinetic agent
2: Avoidance of lactose
3: Lowering feeding rate to prevent bloating
4: Provision of adequate water

Answer 1

The most important consideration when using fiber-supplemented enteral formulas in older adults is ensuring adequate water intake to facilitate fiber movement and prevent gastrointestinal issues.

Step-by-step explanation:

When choosing enteral nutrition formulas supplemented with fiber for older adults to prevent constipation, the most important consideration is the provision of adequate water. Fiber supplements, particularly viscous and fermentable fibers like inulin, can improve gastrointestinal health by thickening the fecal mass and feeding the microbiota in the large intestine.

These activities, in turn, produce short-chain fatty acids with anti-inflammatory effects, promoting regularity. However, to facilitate the passage of fiber through the gastrointestinal tract and to prevent blockages or bloating, a sufficient water intake is crucial for the effective use of fiber supplements. This is because dietary fibers can absorb water and increase the bulk of stools, aiding in easier defecation.