Document Detail

Higher urinary excretion of essential amino acids in preterm infants fed protein hydrolysates.
MedLine Citation:
PMID:  15858965     Owner:  NLM     Status:  MEDLINE    
AIM: Protein hydrolysates have been introduced in preterm formulae, but it is not clear whether they are needed for the feeding of preterm infants. We designed a randomized, controlled trial to test the effects of a preterm formula with hydrolysed cow's milk proteins on short-term growth and urinary and plasma amino acids levels. METHODS: Infants with a birthweight < or = 1750 g and gestational age < or = 34 wk fed a conventional preterm infant formula (formula B) or a hydrolysed formula (formula A). Weight was measured daily; length, head circumference, mid-arm circumference and total skinfold thickness were measured weekly. Blood and urine were analysed for amino acid concentrations at start, 14 and 28 d. RESULTS: Twenty-one infants met the criteria for randomization. The daily feeding volumes were: formula A 172.8 +/- 5.6 vs formula B 170.1 +/- 2.8 ml/kg/d. Infants fed with formula A showed slower weight gain (17.4 +/- 3.4 vs 20.5 +/- 3.3 g/kg/d; p = 0.045) and lower mean change in Z-scores for weight (-0.18 +/- 0.16 vs 0.00 +/- 0.09; p = 0.009) and for head circumference (-0.06 +/- 0.13 vs 0.06 +/- 0.13; p = 0.049). After 14 d, infants receiving formula A had statistically significant higher urinary levels of essential amino acids compared to infants receiving formula B. CONCLUSION: Our results support the hypothesis of less nutritional value of hydrolysed versus conventional preterm formulae. Higher renal excretion of essential amino acids may be one of the mechanisms involved. These findings must be confirmed by further studies with larger sample sizes and protein hydrolysates with different degrees of hydrolysis.
L Maggio; A A Zuppa; G Sawatzki; R Valsasina; W Schubert; G Tortorolo
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  94     ISSN:  0803-5253     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-04-29     Completed Date:  2005-06-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  75-84     Citation Subset:  IM    
Division of Neonatology, Department of Paediatrics, Catholic University of the Sacred Heart, Rome, Italy.
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MeSH Terms
Amino Acids, Essential / blood,  urine
Child Development / drug effects
Infant Formula / administration & dosage,  chemistry
Infant, Low Birth Weight / growth & development*,  metabolism*
Infant, Newborn
Infant, Premature / growth & development*,  metabolism*
Milk Proteins / administration & dosage*,  chemistry
Protein Hydrolysates / administration & dosage*
Weight Gain / drug effects
Reg. No./Substance:
0/Amino Acids, Essential; 0/Milk Proteins; 0/Protein Hydrolysates

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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