DK2498626T3 - Næringsmiddelsammensætning til fremme af tarmmikroflorabalance og sundhed - Google Patents

Næringsmiddelsammensætning til fremme af tarmmikroflorabalance og sundhed Download PDF

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DK2498626T3
DK2498626T3 DK10779417.4T DK10779417T DK2498626T3 DK 2498626 T3 DK2498626 T3 DK 2498626T3 DK 10779417 T DK10779417 T DK 10779417T DK 2498626 T3 DK2498626 T3 DK 2498626T3
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food composition
colon
fos
fiber
inulin
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Zamzam Fariba Roughead
Jalil Benyacoub
Claudia Roessle
Jennifer Rae Mager
Julie Ann Swanson
Norman Alan Greenberg
Douglas Richard Bolster
Rodenas Clara Lucia Garcia
Florence Rochat
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Nestec Sa
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    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L29/00Foods or foodstuffs containing additives; Preparation or treatment thereof
    • A23L29/20Foods or foodstuffs containing additives; Preparation or treatment thereof containing gelling or thickening agents
    • A23L29/206Foods or foodstuffs containing additives; Preparation or treatment thereof containing gelling or thickening agents of vegetable origin
    • A23L29/244Foods or foodstuffs containing additives; Preparation or treatment thereof containing gelling or thickening agents of vegetable origin from corms, tubers or roots, e.g. glucomannan
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L29/00Foods or foodstuffs containing additives; Preparation or treatment thereof
    • A23L29/20Foods or foodstuffs containing additives; Preparation or treatment thereof containing gelling or thickening agents
    • A23L29/206Foods or foodstuffs containing additives; Preparation or treatment thereof containing gelling or thickening agents of vegetable origin
    • A23L29/25Exudates, e.g. gum arabic, gum acacia, gum karaya or tragacanth
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/20Reducing nutritive value; Dietetic products with reduced nutritive value
    • A23L33/21Addition of substantially indigestible substances, e.g. dietary fibres
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/40Complete food formulations for specific consumer groups or specific purposes, e.g. infant formula
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/702Oligosaccharides, i.e. having three to five saccharide radicals attached to each other by glycosidic linkages
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/715Polysaccharides, i.e. having more than five saccharide radicals attached to each other by glycosidic linkages; Derivatives thereof, e.g. ethers, esters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/22Hormones
    • A61K38/28Insulins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
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    • A61P1/04Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
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    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
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    • A23VINDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
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Claims (23)

1. Næringsmiddelsammensætning til administration til et individ, omfattende: en opløselig fiber omfattende et fructo-oligosaccharid (FOS) i en mængde fra 35 til 44 vægtprocent; et polysaccharid, hvor polysaccharidet er gummi arabicum ("AG") og er ikke delvist hydrolyseret guargummi (PHGG) og er til stede i en mængde fra 38% til ca. 50 vægtprocent; og inulin i en mængde fra 12 til 24 vægtprocent; hvor FOS og polysaccharid er til stede i et vægtforhold fra 62:38 til 38:62; of FOS og inulin er til stede i et vægtforhold fra 82:18 til 58:42.
2. Næringsmiddelsammensætning ifølge krav 1, hvor FOS og polysaccharid er til stede i et vægtforhold fra 55:45 til 45:55, eller hvor FOS og inulin er til stede i et vægtforhold fra 76:24 til 64:36.
3. Næringsmiddelsammensætning ifølge krav 1, hvor polysaccharidet er arabinogalactan og FOS er til stede i en mængde mellem 1,5-5,5 g/L, arabinogalactan er til stede i en mængde på 2,5-5,5 g/L og inulin er til stede i en mængde på 5-2,5 g/L.
4. Næringsmiddelsammensætning ifølge krav 3, yderligere omfattende op til 10 g/L PFIGG.
5. Næringsmiddelsammensætning ifølge krav 1, yderligere omfattende mindst en uopløselig fiber i en mængde der er effektiv til at forbedre fordøjelsesfunktion hos individet, hvor den mindst ene uopløselig fiber er en sojafiber, en ærtebælgfiber eller en kombination deraf.
6. Næringsmiddelsammensætning ifølge krav 5, hvor den opløselige fiber og uopløselige fiber er til stede i et forhold på mellem 1,5:1 og 1:1,5, og FOS og AG er til stede i en total mængde på mellem 2,5-3,5 g/L, inulinet er til stede i en mængde fra mellem 1,25-1,75 g/L, og sojafiberen og ærtebælgfiberen hver er til stede i en mængde fra mellem 3.25-4.25 g/L.
7. Næringsmiddelsammensætning ifølge krav 6, hvor den opløselige fiber og uopløselige fiber er til stede i et forhold på henholdsvis 1,25:1 til 1:1,25.
8. Næringsmiddelsammensætning ifølge krav 1 yderligere omfattende mindst én af: antioxidanter, fiskeolier, DHA, EPA, vitaminer, mineraler, plantenæringsstoffer, protein, fedt, probiotika, og kombinationer deraf.
9. Næringsmiddelsammensætning ifølge et hvilket som helst af kravene 1 til 8 til anvendelse til fremmelse af tarmmikroflorabalance og -sundhed.
10. Næringsmiddelsammensætning ifølge krav 9, hvor fremmeisen af tarmmikroflorabalancen og -sundheden er forbedret patienttolerance til forskellige medicinske behandlinger der fører til fordøjelseskanallidelser, sådanne behandlinger omfatte stråleterapi, kemoterapi, fordøjelseskanalkirurgi, anæstesi, administrationen af antibiotika, analgetika, lægemidler, eller behandlinger for diarré.
11. Næringsmiddelsammensætning ifølge krav 9, hvor fremmeisen af tarmmikroflorabalancen og -sundheden er at fremkalde systemiske nyttevirkninger, såsom bedre vækstindhentning hos børn.
12. Næringsmiddelsammensætning ifølge krav 9, hvor fremmeisen af tarmmikroflorabalancen og -sundheden er nedsættelse af hospitalsindlæggelsestid for patienter mens det gør det muligt for sådanne patienter at opnå acceptable ernæringsniveauer og fødeindtagelsesmål med større tolerance for sådanne formuleringer til sådan forøget compliance med fødeindtagelseskrav, og reducerede komplikationer.
13. Næringsmiddelsammensætning ifølge krav 12, hvor de reducerede komplikationer er valgt fra gruppen bestående af diarré, forstoppelse, gastroøsofageal reflux, regurgitation, opkastning, og kombinationer deraf.
14. Næringsmiddelsammensætning ifølge krav 9, hvor fremmeisen af tarmmikroflorabalancen og -sundheden er stimulering af et individs immunsystem.
15. Næringsmiddelsammensætning ifølge krav 14, hvor det stimulerede immunsystem omfatter: i) forbedret GALT-funktion eller ii) forøgede slgA-niveauer og tilvejebringelse af afbalanceret Thl/Th2.
16. Næringsmiddelsammensætning ifølge krav 9, hvor fremmeisen af tarmmikroflorabalancen og -sundheden er forbedret organtransplantationstolerance, eller næringsmiddelsammensætningen bibringer specifikke koloniseringer der tilvejebringer unik opregulering.
17. Næringsmiddelsammensætning ifølge krav 16, hvor opreguleringen fører til: i) reduceret inflammatorisk cytokin der fører til reduceret fedtfri kropsmasse eller, ii) reduceret insulinfrigivelse gennem GLP-1 og GLP-2 eller, iii) reduceret Thl/Th2-uligevægt.
18. Næringsmiddelsammensætning ifølge krav 9 hvor fremmeisen af tarmmi kroflorabalancen og -sundheden er: i) forbedret knoglevækst eller forebyggelse af knoglenedbrydning i en patient med behov derfor, til at forbedre knoglemobilitet og -funktion til at forbedre knoglevækst eller forebygge knoglenedbrydning, eller ii) er forøgelse af absorption af vitaminer, mineraler, næringsstoffer og kombinationer deraf, i et individs tynd- og tyktarm, eller iii) modulere hormoner produceret af fordøjelseskanalen eller reguleret af fordøjelseskanalen, hvor moduleringshormoner er mindst én af: inflammatoriske hormoner er reduceret hos individet; følelse af velbehag af individet er forøget; serotonin er forøget som fører til forbedret søvnmønster hos individet; forbedret søvnkvalitet hos individet; normalisering af appetit; reduktion af depression; forbedret kognition, reduceret Thl/Th2-uligevægt som fører til en reduceret hyppighed af astma; en reduktion i ørebetændelsesmedier, eller iv) forøget butyrat-produktion i en patients tyktarm, idet fremgangsmåden omfatter administration af en effektiv mængde næringsmiddelsammensætning ifølge et hvilket som helst af kravene 1 til 8 til patienten til forøgelse af butyrat-produktion sammenlignet med formuleringerne der ikke indeholder AG til at frembringelse af celleproliferation i tyktarmen og til nedre tyktarms pH til at inhibere væksten af patogene bakterier, eller v) et vedvarende skift over tid i mikrobiota-balancen der begunstiger gavnlige bakterier såsom bifidobakterier, lactobaciller eller bifidobakterier og lactobaciller, eller vi) vedvarende fermentering, lille kæde-fedtsyreproduktion, et skift i saccharolytisk fermentering fra opadgående tyktarm til nedadgående tyktarm der fører til vedvarende carbohydrat-fermentering i den nedadgående tyktarm og nedsat proteinfermentering eller kombinationer deraf, gennem tyktarmen.
19. Næringsmiddelsammensætning ifølge krav 18, hvor forøget absorption af vitaminer, mineraler, næringsstoffer understøtter muskelvækst eller forhindrer muskelmassereduktion eller forbedrer muskelmassegenerhvervelse efter sygdom eller kvæstelse.
20. Næringsmiddelsammensætning ifølge krav 18, hvor butyrat-produktionen fører til mindst én af: anti-inflammatoriske nyttevirkninger der hjælper med at beskytte patientens tarmbarriere; bedre mineralabsorption, normalisering af fordøjelseskanalgennemgangstiden, aftagen i diarré.
21. Næringsmiddelsammensætning ifølge krav 18, hvor et vedvarende skift over tid i mikrobiota-balancen reducerer patogener, især Clostridia.
22. Næringsmiddelsammensætning ifølge krav 21, hvor Clostridia er reduceret i den distale tyktarm.
23. Næringsmiddelsammensætning ifølge krav 18, hvor ved vedvarende fermentering, lille kæde-fedtsyreproduktion, et skift i saccharolytisk fermentering fra opadgående tyktarm til nedadgående tyktarm: i) der er forbedret næringsmiddel-reabsorption, vand-reabsorption, eller elektrolyt-reabsorption, eller kombinationer deraf, eller ii) der er forbedret tarmregularitet, forbedret forstoppelse, forbedret diarré, forbedret irritabelt udtømningssyndrom, forbedret Crohn's sygdom, forbedret ulcerativ colitis eller kombinationer deraf, eller iii) produktion af vigtige kort kæde fedtsyrer, butyrat, proprionat, eller kombinationer deraf, eller iv) der er reduceret pH, et foretrukket substrat for kolonocytter, bedre næringsmiddel-præsentation for kolonocytterne, gennem hele længden af tyktarmen.
DK10779417.4T 2009-11-12 2010-11-11 Næringsmiddelsammensætning til fremme af tarmmikroflorabalance og sundhed DK2498626T3 (da)

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US26049509P 2009-11-12 2009-11-12
US26443009P 2009-11-25 2009-11-25
US39480510P 2010-10-20 2010-10-20
PCT/US2010/056321 WO2011060123A1 (en) 2009-11-12 2010-11-11 Nutritional composition for promoting gut microbiota balance and health

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US (2) US9192179B2 (da)
EP (1) EP2498626B1 (da)
JP (2) JP6006117B2 (da)
CN (2) CN104206946A (da)
AU (1) AU2010319490B2 (da)
BR (1) BR112012011294B1 (da)
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