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http://dx.doi.org/10.14373/JKDA.2016.22.4.292

Change in Dietary Intake and Nutritional Status Using Mealworms as Hospital Meal in Postoperative Patie  

Kim, Seong Hyeon (Dept. of Nutrition and Dietetics, Gangnam Severance Hospital)
Shon, Jin Young (Dept. of Nutrition and Dietetics, Gangnam Severance Hospital)
Park, Jun Sung (Dept. of Surgical, Yonsei University College of Medicine)
Kim, Jong Won (Dept. of Surgical, Yonsei University College of Medicine)
Kang, Jung Hyun (Dept. of Surgical, Yonsei University College of Medicine)
Yun, Eun Young (Dept. of Integrated Bioindustry, Sejong University)
Hwang, Jae Sam (Dept. of Agricultural Biology, National Institute of Agricultural Science, Rural Development Administration)
Kim, Hyung Mi (Dept. of Nutrition and Dietetics, Gangnam Severance Hospital)
Publication Information
Journal of the Korean Dietetic Association / v.22, no.4, 2016 , pp. 292-309 More about this Journal
Abstract
The purpose of this study was to verify the validity of Mealworms as a hospital meal with increased nutrition density. We provided a meal for postoperative patients and conducted analysis of dietary intake and nutritional status of patients and assessment of acceptability of the meal. This study was carried out as a randomized control trial. Patients were supplied either a hospital meal using Mealworms (Experimental group) or a regular hospital meal (Control group). We investigated the administration amounts of parenteral nutrition (PN) and food intake of patients after surgery and measured anthropometry, body composition, and blood tests before surgery and at hospital discharge. We included 34 postoperative patients who were admitted to Gangnam Severance Hospital from March to September. In the groups of patients not supplied with PN, the experimental group ($964.68{\pm}284.6kcal$, $38.82{\pm}12.9g$) had significantly higher dietary calorie and protein intake than the control group ($666.62{\pm}153.7kcal$, $24.47{\pm}4.9g$)(P<0.05). Additionally in the group of patients not supplied with PN, the experimental group (1.37%) showed a significantly higher increase in fat free mass index than the control group (-3.46%)(P<0.05). In all subjects, calorie density and protein density were significantly higher in the experimental group (P<0.001), and acceptability of calorie (P=0.036) and protein (P=0.001) was also significantly higher in the experimental group. Therefore, the results of this study support the validity of the introduction of hospital meals using Mealworms.
Keywords
Mealworm; postoperative nutrition; protein; fat free mass; soft lean mass;
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1 Van Vledder MG, Levolger S, Ayez N, Verhoef C, Tran TC, Ijzermans JN (2012): Body composition and outcome in patients undergoing resection of colorectal liver metastases. Br J Surg 99(4):550-557   DOI
2 Weed HG, Ferguson ML, Gaff RL, Hustead DS, Nelson JL, Voss AC (2011): Lean body mass gain in patients with head and neck squamous cell cancer treated perioperatively with a protein-and energy-dense nutritional supplement containing eicosapentaenoic acid. Head Neck 33(7):1027-1033   DOI
3 Weimann A, Braga M, Harsanyi L, Laviano A, Ljungqvist O, Soeters P; DGEM (German Society for Nutritional Medicine), Jauch KW, Kemen M, Hiesmayr JM, Horbach T, Kuse ER, Vestweber KH; ESPEN (European Society for Parenteral and Enteral Nutrition) (2006): ESPEN guidelines on enteral nutrition: surgery including organ transplantation. Clin Nutr 25(2):224-244   DOI
4 Yoo JM, Hwang JS, Goo TW, Yun EY (2013): Comparative analysis of nutritional and harmful components in Korean and Chinese mealworms (Tenebrio molitor). J Korean Soc Food Sci Nutr 42(2):249-254   DOI
5 Bae JM., Park JW, Yang HK, Kim JP (1998): Nutritional status of gastric cancer patients after total gastrectomy. World J Surg 22(3):254-260; discussion 260-261   DOI
6 Biasato I, De Marco M, Rotolo L, Renna M, Lussiana C, Dabbou S, Capucchio MT, Biasibetti E, Costa P, Gai F, Pozzo L, Dezzutto D, Bergagna S, Martinez S, Tarantola M, Gasco L, Schiavone A (2016): Effects of dietary Tenebrio molitor meal inclusion in free-range chickens. J Anim Physiol Anim Nutr (Berl) doi: 10.1111/jpn.12487. [in press]   DOI
7 You JW, Lee SJ, Kim YE, Cho YJ, Jeong YY, Kim HC, Lee JD, Kim JR, Hwang YS (2013): Association between weight change and clinical outcomes in critically ill patients. J Crit Care 28(6):923-927   DOI
8 Youn K, Yun EY, Lee J, Kim JY, Hwang JS, Jeong WS, Jun M (2014): Oleic acid and linoleic acid from Tenebrio molitor larvae inhibit BACE1 activity in vitro: molecular docking studies. J Med Food 17(2):284-289   DOI
9 Yu W, Chung HY (2001): Nutritional status after curative surgery in patients with gastric cancer: comparison of total versus subtotal gastrectomy. J Korean Surg Soc 60(3):297-301
10 Baek MH, Yoon YI, Kim MA, Hwang JS, Goo TW, Yun EY (2016): Physical and sensory evaluation of Tenebrio molitor Larvae cooked by various cooking methods. Korean J Food Cook Sci 31(5):534-543   DOI
11 Bozzetti F, Braga M, Gianotti L, Gavazzi C, Mariani L (2001): Postoperative enteral versus parenteral nutrition in malnourished patients with gastrointestinal cancer: a randomised multicentre trial. Lancet 358(9292):1487-1492   DOI
12 Bozzetti F, Gianotti L, Braga M, Di Carlo V, Mariani L (2007): Postoperative complications in gastrointestinal cancer patients: the joint role of the nutritional status and the nutritional support. Clin Nutr 26(6):698-709   DOI
13 Braga M, Sandrucci S (2016): Perioperative nutrition in cancer patients. European J Surg Oncol (EJSO) 42(6):751-753   DOI
14 Correia MI, Waitzberg DL (2003): The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr 22(3):235-239   DOI
15 Dagan SS, Tovim TB, Keidar A, Raziel A, Shibolet O, Zelber-Sagi S (2016): Inadequate protein intake after laparoscopic sleeve gastrectomy surgery is associated with a greater fat free mass loss. Surg Obes Relat doi: 10.1016/j.soard.2016.05.026. [in press]   DOI
16 Faria SL, Faria OP, Buffington C, de Almeida Cardeal M, Ito MK (2011): Dietary protein intake and bariatric surgery patients: a review. Obes Surg 21(11):1798-1805   DOI
17 Yun EY, Hwang JS, Kim MA, Baei MH, Kang PD, Kim SH, Choi SG, Kim AN, Hwang IK, Shon YJ (2015a): Edible insects cooking class for children. Rural Development Administration. Jeonju. pp.1-87
18 Yun EY, Hwang JS, Kim MA, Baei MH, Kang PD, Kim SH, Choi SG, Kim AN, Hwang IK, Shon YJ (2015b): Korean food with edible insects. Rural Development Administration. Jeonju. pp.1-51
19 Yun EY, Hwang JS, Kim MA, Baei MH, Kang PD, Kim SH, Choi SG, Kim AN, Hwang IK, Shon YJ (2016): Edible insects cuisine for commercialization. Rural Development Administration. Jeonju. pp.1-88
20 Evans WJ (1999): Nutrition: exercise and healthy aging. In: Korean Nutrition Society. Program 8th Asian congress of nutrition: good nutrition for all, new era for nutrition rights. Korean Nutrition Society. Seoul. pp.100-108
21 Frankenfield DC, Cooney RN, Smith JS, Rowe WA (1999): Bioelectrical impedance plethysmographic analysis of body composition in critically injured and healthy subjects. Am J Clin Nutr 69(3):426-431   DOI
22 Gasco L, Henry M, Piccolo G, Marono S, Gai F, Renna M., Lussiana C, Antonopoulou E, Mola P, Chatzifotis S (2016): Tenebrio molitor meal in diets for European sea bass (Dicentrarchus labrax L.) juveniles: growth performance, whole body composition and in vivo apparent digestibility. Anim Feed Sci Technol 220:34-45   DOI
23 Ghorabi S, Ardehali H, Amiri Z, Vahdat Shariatpanahi Z (2016): Association of the adductor pollicis muscle thickness with clinical outcomes in intensive care unit patients. Nutr Clin Pract 31(4):523-526   DOI
24 Giles KH, Kubrak C, Baracos VE, Olson K, Mazurak VC (2016): Recommended european society of parenteral and enteral nutrition protein and energy intakes and weight loss in patients with head and neck cancer. Head Neck 38(8): 1248-1257   DOI
25 Grant JP, Custer PB, Thurlow J (1981): Current techniques of nutritional assessment. Ann J Clin Nutr 61(3):437-463
26 Han MS (2012): Artificial nutrition in surgical patients. 54th the Korean Surgical Society autumn symposium. The Korean Surgical Society. pp.295-296
27 Heo JY, Baik HW, Kim HJ, Lee JM, Choi YS, Won JH, Kim HM, Park WI, Kim CY (2015): The efficacy and safety of Cordyceps militaris in Korean adults who have mild liver dysfunction. J Clin Nutr 7(3):81-86   DOI
28 Han SR, Lee BS, Jung KJ, Yu HJ, Yun EY, Hwang JS, Moon KS (2016): Safety assessment of freeze-dried powdered Tenebrio molitor larvae (yellow mealworm) as novel food source: evaluation of 90-day toxicity in Sprague-Dawley rats. Regul Toxicol Pharmacol 77:206-212   DOI
29 Han SR, Yun EY, Kim JY, Hwang JS, Jeong EJ, Moon KS (2014): Evaluation of genotoxicity and 28-day oral dose toxicity on freeze-dried powder of tenebrio molitor larvae (Yellow Mealworm). Toxicol Res 30(2):121-130   DOI
30 Hara T, Kubo A (2015): The perioperative changes in physical function and physique of patients with gastrointestinal cancer. J Phys Ther Sci 27(3):693-695   DOI
31 Hwang SY, Bae KK, Choi SK (2015): Preferences and purchase intention of tenebrio molitor (Mealworm) according to cooking method. Korean J Culin Res 21(1):100-115
32 Jeon YH, Son YJ, Kim SH, Yun EY, Kang HJ, Hwang IK (2016): Physicochemical properties and oxidative stabilities of mealworm (Tenebrio molitor) oils under different roasting conditions. Food Sci Biotechnol 25(1):105-110   DOI
33 Kazemi-Bajestani SM, Mazurak VC, Baracos V (2016): Computed tomography-defined muscle and fat wasting are associated with cancer clinical outcomes. Semin Cell Dev Bio 54:2-10   DOI
34 Kim HM, Kim JN, Kim JS, Jeong MY, Yun EY, Hwang JS, Kim AJ (2015): Quality characteristics of patty prepared with mealworm powder. Korean J Food Nutr 28(5):813-820   DOI
35 Kim TH, Yook JH, Lee YJ, Hong SK (2012): Evaluation of the usefulness of nutrition indicator after gastric and pancreatic duodenal resection surgery. KSPEN 2-4:95
36 Kim HS, Jung CE (2013): Nutritional characteristics of edible insects as potential food materials. Korean J Apiculture 28:1-8
37 Kim JY, Park MS, Lee YH, Jo SJ, Yang HK (2001): A study of dietary intakes and nutritional status after total gastrectomy of early gastric cancer patients. J Korean Diet Assoc 7(1):72-79
38 Kim SH, Kim KB, Noh JS, Yun EY, Choi SK (2014): Quality characteristics of pasta with addition of mealworm(Tenebrio molitor). Foodserv Ind J 10(3):55-64
39 Lee H, Shim H, Jang JY, Jung AR, Kim SH, Kim H, Kim KS, Lee JG (2013): Development of a new nutrition screening tool for use in an acute care hospital. J Korean Soc Parenter Enter Nutr 5(2):82-88
40 Lassen K, Coolsen MM, Slim K, Carli F, de Aguilar-Nascimento JE, Schafer M, Parks RW, Fearon KC, Lobo DN, Demartines N, Braga, M, Ljungqvist O, Dejong CH (2012): Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS$^{(R)}$) Society recommendations. Clin Nutr 31(6):817-830   DOI
41 Lopez-Hellin J, Baena-Fustegueras JA, Schwartz-Riera S, Garcia-Arumi E (2002): Usefulness of short-lived proteins as nutritional indicators surgical patients. Clin Nutr 21(2):119-125   DOI
42 Lee HS, Shin KH, Rha SY, Chung MJ, Song SY, Song SE, Ham HJ, Kim HM (2014): Changes in nutrient intake in patients at nutritional risk. J Korean Diet Assoc 20(4):285-295   DOI
43 Lee JE, Lee AJ, Jo DE, Cho JH, Youn KJ, Yun EY, Hwang JS, Jun MR, Kang BH (2015): Cytotoxic effects of Tenebrio molitor larval extracts against hepatocellular carcinoma. J Korean Soc Food Sci Nutr 44(2):200-207   DOI
44 Lipkin EW, Bell S (1993): Assessment of nutritional status. The clinician's perspective. Clin Lab Med 13(2):329-352
45 Mariette C, De Botton ML, Piessen G (2012): Surgery in esophageal and gastric cancer patients: what is the role for nutrition support in your daily practice? Ann Surg Oncol 19(7):2128-2134   DOI
46 McClave SA, Taylor BE, Martindale RG, Warren MM, Johnson DR, Braunschweig C, McCarthy MS, Davanos E, Rice TW, Cresci GA, Gervasio JM, Sacks GS, Roberts PR, Compher C; Society of Critical Care Medicine; American Society for Parenteral and Enteral Nutrition (2016): Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN). JPEN J Parenter Enteral Nutr 40(2):159-211   DOI
47 Mir O, Coriat R, Blanchet B, Durand JP, Boudou-Rouquette P, Michels J, Ropert S, Vidal M, Pol S, Chaussade S, Goldwasser F (2012): Sarcopenia predicts early dose-limiting toxicities and pharmacokinetics of sorafenib in patients with hepatocellular carcinoma. PLoS One 7(5):e37563   DOI
48 Miglietta PP, De Leo F, Ruberti M, Massari S (2015): Mealworms for food: a water footprint perspective. Water 7(11):6190-6203   DOI
49 Ministry of Food and Drug Safety. Ministry of Food and Drug Safety notice 2016-18. Available from: http://www.mfds.go.kr/index.do?searchkey=title:contents&division=&y=0&searchword=%BD%C4%C7%B0%C0%C7&x=0&mid=686&pageNo=10&seq=10532&cmd=v. Accessed March 7, 2016
50 Minuto F, Barreca A, Adami GF, Fortini P, Del Monte P, Cella F, Scopinaro N, Giordano G (1989): Insulin-like growth factor-I in human malnutrition: relationship with some body composition and nutritional parameters. JPEN J Parenter Enteral Nutr 13(4):392-396   DOI
51 Moya P, Soriano-Irigaray L, Ramirez JM, Garcea A, Blasco O, Blanco FJ, Brugiotti C, Miranda E, Arroyo A (2016): Perioperative standard oral nutrition supplements versus immunonutrition in patients undergoing colorectal resection in an enhanced recovery (ERAS) protocol: a multicenter randomized clinical trial (SONVI study). Medicine (Baltimore) 95(21):e3704   DOI
52 Niitsu M, Ichinose D, Hirooka T, Mitsutomi K, Morimoto Y, Sarukawa J, Nishikino S, Yamauchi K, Yamazaki K (2016): Effects of combination of whey protein intake and rehabilitation on muscle strength and daily movements in patients with hip fracture in the early postoperative period. Clin Nutr 35(4):943-949   DOI
53 Park YO, Yoon SY, Kang SS, Han SM, Kang EH (2012): Nutritional status and dietary change after gastrectomy of gastric cancer patients. Korean J Community Nutr 17(1): 101-108   DOI
54 Reisinger KW, Derikx JP, van Vugt JL, Von Meyenfeldt MF, Hulsewe KW, Olde Damink SW, Stoot JH, Poeze M (2016): Sarcopenia is associated with an increased inflammatory response to surgery in colorectal cancer. Clin Nutr 35(4):924-927   DOI
55 Peng P, Hyder O, Firoozmand A, Kneuertz P, Schulick RD, Huang D, Makary M, Hirose K, Edil B, Choti MA, Herman J, Cameron JL, Wolfgang CL, Pawlik TM (2012): Impact of sarcopenia on outcomes following resection of pancreatic adenomacarcinoma. J Gastrointest Surg 16(8):1478-1486   DOI
56 Peng PD, van Vledder MG, Tsai S, de Jong MC, Makary M, Ng J, Edil BH, Wolfgang CL, Schulick RD, Choti MA, Kamel I, Pawlik TM (2011): Sarcopenia negatively impacts short-term outcomes in patients undergoing hepatic resection for colorectal liver metastasis. HPB (Oxford) 13(7):439-446   DOI
57 Ramos-Elorduy J (2009): Anthropo-entomophagy: cultures, evolution and sustainability. Entomol Res 39(5):271-288   DOI
58 Rural Development Administration (2014): Standard guideline for rearing edible insects. Rural Development Administration. Jeonju. pp.46-63
59 Reisinger KW, van Vugt JL, Tegels JJ, Snijders C, Hulsewe KW, Hoofwijk AG, Stoot JH, Von Meyenfeldt MF, Beets GL, Derikx JP, Poeze M (2015): Functional compromise reflected by sarcopenia, frailty, and nutritional depletion predicts adverse postoperative outcome after colorectal cancer surgery. Ann Surg 261(2):345-352   DOI
60 Robinson TN, Wu DS, Stiegmann GV, Moss M (2011): Frailty predicts increased hospital and six-month healthcare cost following colorectal surgery in older adults. Am J Surg 202(5):511-514   DOI
61 Rural Development Administration (2015): Standard guideline for edible insects. Rural Development Administration. Jeonju. pp.54-69
62 Sharma P, Zargar-Shoshtari K, Caracciolo JT, Fishman M, Poch MA, Pow-Sang J, Sexton WJ, Spiess PE (2015): Sarcopenia as a predictor of overall survival after cytoreductive nephrectomy for metastatic renal cell carcinoma. Urol Oncol 33(8):339. e17-e23
63 Ryan AM, Reynolds JV, Healy L, Byrne M, Moore J, Brannelly N, McHugh A, McCormack D, Flood P (2009): Enteral nutrition enriched with eicosapentaenoic acid (EPA) preserves lean body mass following esophageal cancer surgery: results of a double-blinded randomized controlled trial. Ann Surg 249(3):355-363   DOI
64 Sasaki M, Okamoto H, Johtatsu T, Kurihara M, Iwakawa H, Tanaka T, Shiomi H, Naka S, Kurumi Y, Tani T (2011): Resting energy expenditure in patients undergoing pylorus preserving pancreatoduodenectomies for bile duct cancer or pancreatic tumors. J Clin Biochem Nutr 48(3):183-186   DOI
65 Shachar SS, Williams GR, Muss HB, Nishijima TF (2016): Prognostic value of sarcopenia in adults with solid tumours: a meta-analysis and systematic review. Eur J Cancer 57:58-67   DOI
66 Steen B (1988): Body composition and aging. Nutr Rev 46(2): 45-51   DOI
67 Shin D (2014): Perioperative nutritional therapy for surgical patients. J Korean Med Assoc 57(6):500-507   DOI
68 Simon E, Baranyai E, Braun M, Fabian I, Tothmeresz B (2013): Elemental concentration in mealworm beetle (Tenebrio molitor L.) during metamorphosis. Biol Trace Elem Res 154(1): 81-87   DOI
69 Souba WW, Austgen TR (1990): Interorgan glutamine flow following surgery and infection. JPEN J Parenter Enteral Nutr 14(4 Suppl):90S-93S   DOI
70 Tan KY, Kawamura YJ, Tokomitsu A, Tang T (2012): Assessment for frailty is useful for predicting morbidity in elderly patients undergoing colorectal cancer resection whose comorbidities are already optimized. Am J Surg 204(2): 139-143   DOI
71 Van Huris A, Van Itterbeeck J, Klunder H, Mertens E, Halloran A, Muir G, Vantomme P (2013): Edible insects: future prospects for food and feed security. Food and Agriculture Organization of the United Nations. Rome. pp.1-201
72 Tegels JJ, van Vugt JL, Reisinger KW, Hulsewe KW, Hoofwijk AG, Derikx JP, Stoot JH (2015): Sarcopenia is highly prevalent in patients undergoing surgery for gastric cancer but not associated with worse outcomes. J Surg Oncol 112(4):403-407   DOI
73 Thissen JP, Ketelslegers JM, Underwood LE (1994): Nutritional regulation of the insulin-like growth factors. Endocr Rev 15(1):80-101   DOI
74 Unterman TG, Vazquez RM, Sla AJ, Martyn PA, Phillips LS (1985): Nutrition and somatomedin. XII. Usefulness of somatomedin-C in nutritional assessment. Am J Med 78(2): 228-234   DOI
75 Ann SH (2014): Protein metabolism in stress condition. The 13rd KSPEN regular general meeting symposium. The Korean Society for Parenteral and Enteral Nutrition. pp.3-4
76 Agarwal E, Ferguson M, Banks M, Bauer J, Capra S, Isenring E (2012): Nutritional status and dietary intake of acute care patients: results from the nutrition care day survey 2010. Clin Nutr 31(1):41-47   DOI