Tryptophan Requirement of the Enterally Fed Term Infant in the First Month of Life

Journal of Pediatric Gastroenterology and Nutrition - Tập 59 Số 3 - Trang 374-379 - 2014
Lisha Huang1, Jacomine E. Hogewind‐Schoonenboom1, Li Zhu2, Juliette V. Kraaijenga1, Nicky P.C. van Haren3, Gardi Voortman4, Henk Schierbeek1, Jos W. R. Twisk5, Ying Huang6, Chao Chen2, Johannes B. van Goudoever1
1Department of Pediatrics Academic Medical Centre Emma Children's Hospital‐AMC The Netherlands
2Department of Pediatrics, Division of Neonatology, Children's Hospital of Fudan University, Shanghai, P.R. China
3UMC St. Radboud, Nijmegen.,  
4Department of Pediatrics, Division of Neonatology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands
5Department of Methodology and Applied Biostatistics, VU University Medical Centre, Amsterdam, The Netherlands
6Department of Pediatrics, Division of Gastroenterology, Children's Hospital of Fudan University, Shanghai, P.R. China.

Tóm tắt

ABSTRACTObjectives:Tryptophan not only is an amino acid essential to protein synthesis but also serves as a precursor in 2 important metabolic pathways: the serotonin and the kynurenine pathways. Tryptophan is related to sleeping patterns. The objective of the present study was to determine the tryptophan requirement of term infants using the indicator amino acid oxidation (IAAO) method with L‐[1‐13C]phenylalanine as the indicator.Methods:Enterally fed infants were randomly assigned to tryptophan intakes ranging from 0.5 to 73 mg · kg−1 · day−1 as part of an elemental diet. After 1‐day adaptation to the test diet, [13C]bicarbonate and L‐[1‐13C]phenylalanine tracers were given enterally. Breath samples were collected at baseline and during isotopic plateaus. The mean tryptophan requirement was determined by using the biphasic linear regression crossover analysis on the fraction of 13CO2 recovery from L‐[1‐13C]phenylalanine oxidation (F13CO2). Data are presented as mean ± standard deviation.Results:A total of 30 term neonates (gestational age 39 ± 1 weeks) were studied at 9 ± 4 days. F13CO2 decreased until a tryptophan intake of 15 mg · kg−1 · day−1; additional increases in tryptophan intake did not affect F13CO2. Mean requirement was determined to be 15 mg · kg−1 · day−1.Conclusions:The mean tryptophan requirement for elemental formula‐fed term infants is 15 mg · kg−1 · day−1. This requirement is lower than the present recommended intake of 29 mg · kg−1 · day−1, which is based on the average intake of a breastfed infant.

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Journal of Pediatric Gastroenterology and Nutrition

Tập 59 Số 3

374-379

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