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Blended diets for gastrostomy fed children and young people: a scoping review
Anne Breaks1, Christina Smith1, Steven Bloch1
1Department of Language and Cognition, University College London, London, UK.
Insights
This review highlights the limited evidence on blended diets for gastrostomy-fed children. More research is needed on their health impacts and nutritional benefits for children and their carers.
Area of Science:
- Pediatric Nutrition
- Gastroenterology
- Disability Studies
Background:
- Blended diets are used for children and young people up to age 25 with special educational needs or disabilities requiring gastrostomy feeding.
- Existing literature on blended diets in this population is broad but lacks depth in specific areas.
Purpose of the Study:
- To review current knowledge on blended diets for gastrostomy-fed children and young people.
- To identify research gaps to guide future studies and policy development.
Main Methods:
- A comprehensive scoping review methodology was employed.
- Searches were conducted across major databases including PUBMED, PsychINFO, CINAHL, SCOPUS, AMED, and EMBASE.
- All study designs were included to capture the breadth of research on blenderised diets.
Main Results:
- Forty-three studies were analyzed, covering nutrition, equipment, and perspectives of patients, carers, and professionals.
- A significant lack of evidence regarding the pros and cons of blended diets was identified.
- The quality, range, and nature of research activity were evaluated.
Conclusions:
- Evidence gaps exist concerning the health and well-being impacts of blended diets on children and their carers.
- The nutritional impact of blended diets requires further investigation.
- Professional knowledge and views on blended diets are varied and need further exploration.
Background:
The present review aimed to identify what is known about the use of blended diets in gastrostomy fed children and young people (i.e. children and young people refers to those who are aged up to 25 years with special educational needs or a disability in accordance with Part 3 of the Children and Family Act 2014; within the review, the word children is used for simplicity but encompasses young people too) and to identify gaps in the literature on this topic to inform future research and policy.
Methods:
A scoping review methodology was used searching the online databases PUBMED, PsychINFO, CINAHL, SCOPUS and AMED, EMBASE for articles that addressed issues pertaining to blended diets. The review identified a broad range of literature, regardless of study design, and described and evaluated the quality, range and nature of research activity related to the use of blenderised diets.
Results:
Forty-three studies were included in the review. The studies focused on nutrition, equipment, the views of carers and patients, and the views of professionals. Several studies described the lack of evidence regarding pros and cons of blended diets and highlighted the need for further research into the field.
Conclusions:
There were gaps in the evidence base regarding the impact of blended diets on the health and well-being of the children who receive them and upon the carers who feed the children. The nutritional impact of blended diets is not fully understood and the knowledge and views of professionals involved in the care of those receiving blended diets varies.
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