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Measurement of starch digestion of naturally 13C-enriched weaning foods, before and after partial digestion with amylase-rich flour, using a 13C breath test

Published online by Cambridge University Press:  09 March 2007

L. T. Weaver
Affiliation:
MRC Dunn Nutrition Unit, Milton Road, Cambridge CB4 1XJ and Keneba, West Kiang, The Gambia
B. Dibba
Affiliation:
MRC Dunn Nutrition Unit, Milton Road, Cambridge CB4 1XJ and Keneba, West Kiang, The Gambia
B. Sonko
Affiliation:
MRC Dunn Nutrition Unit, Milton Road, Cambridge CB4 1XJ and Keneba, West Kiang, The Gambia
T. D. Bohane
Affiliation:
MRC Dunn Nutrition Unit, Milton Road, Cambridge CB4 1XJ and Keneba, West Kiang, The Gambia
S. Hoare
Affiliation:
MRC Dunn Nutrition Unit, Milton Road, Cambridge CB4 1XJ and Keneba, West Kiang, The Gambia
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Abstract

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Malnutrition in infancy is a global problem which leads to retardation of childhood growth and development. There is a pressing need to improve weaning strategies for infants of the developing world. Traditional Gambian weaning foods are watery and of low energy density, but addition of energy in the form of fat and carbohydrate leads to thick, viscous gruels which are difficult to ingest. Partial digestion with amylase (EC3·2·1·1)-rich flour reduces their viscosity while retaining their energy density. The aim of the present study was to measure the digestibility of a maize-based weaning food, before and after amylase digestion, in malnourished children using a 13C breath test. Ten children (aged 7–16 months; mean weight-for-age Z score −0·8) received isovolumetric and isoenergetic quantities of a maize-based weaning food naturally abundant with 13C. Breath samples were collected at intervals of 30 min for 5 h thereafter and 13CO2 enrichment was measured by isotope-ratio mass spectrometry. Percentage dose of 13C recovered increased from a mean 13·7 (SD 3·7)% before, to 18·3 (SD 5·6)% after ingestion of amylase-treated weaning foods (P < 0·1). There was a significant inverse relation between age and weight, and percentage dose of 13C recovered in children receiving amylase-treated feeds. There were no differences in concentrations of amylase in saliva of infants or breast milk of their mothers. Partial digestion of supplementary foods may improve the nutrition of undernourished weaning children, not only by reducing their viscosity, thereby increasing ingestion, but also by improving their digestion and thereby their absorption.

Type
Digestion of amylase-rich weaning foods
Copyright
Copyright © The Nutrition Society 1995

References

REFERENCES

Anon. (1991) Solving the weanling's dilemma: power flour to fuel the gruel. Editorial, Lancet 338, 604605.CrossRefGoogle Scholar
Blackburn, W. R. & Vinijchaikul, K. (1969) The pancreas in kwashiorkor. An electron microscopic study. Laboratory Investigation 20, 305318.Google ScholarPubMed
Dewit, O., Dibba, B. & Prentice, A. (1990 a) Breast-milk amylase activity in English and Gambian mothers: effects of prolonged lactation, maternal parity and individual variations. Pediatric Research 28, 502506.CrossRefGoogle ScholarPubMed
Dewit, O., Murgatroyd, P. R., Prentice, A. & Coward, W. A. (1990 b) Background variations in breath carbon-13 enrichment in free-living infants and toddlers. Proceedings of the Nutrition Society 49, 5A.Google Scholar
Dewit, O., Prentice, A., Coward, W. A. & Weaver, L. T. (1992) Starch digestion in young children with cystic fibrosis measured using a 13C breath test. Pediatric Research 32, 4549.CrossRefGoogle ScholarPubMed
Hammill, P. V. V., Drizd, T. A., Johnson, C. L., Reed, R. B., Rouche, A. F. & Moore, W. M. (1979) Physical growth: National Centre for Health Statistics percentiles. American Journal of Clinical Nutrition 32, 607696.CrossRefGoogle Scholar
Harding, M., Coward, W. A., Weaver, L. T., Sweet, J. B. & Thomas, J. E. (1994) Labelling wheat flour with 13C. Isotopenpraxis 30, 18.Google Scholar
Hellstrom, A., Hermansson, A.-M., Karlsson, A., Lungqvist, B., Mellander, O. & Svanberg, U. (1981) Dietary bulk as a limiting factor in nutrient intake - with special reference to the feeding of pre-school children. II. Consistency as related to dietary bulk-a model study. Journal of Tropical Pediatrics 27, 127135.CrossRefGoogle Scholar
Hudson, G. J., John, P. M. V. & Paul, A. A. (1980) Variation in the composition of Gambian foods: the importance of water in relation to protein and energy content. Ecology of Food and Nutrition 10, 917.CrossRefGoogle Scholar
McClean, P. & Weaver, L. T. (1993) Ontogeny of pancreatic exocrine function. Archives of Disease in Childhood 68, 6265.CrossRefGoogle ScholarPubMed
Nout, M. J. R. (1993) Processed weaning foods for tropical climates. International Journal of Food Sciences and Nutrition 43, 213221.CrossRefGoogle Scholar
Rowland, M. G. M. (1980) The weanling's dilemma - are we making progress? Acta Pediatrica Scandinavica 232, 3342.Google Scholar
Rowland, M. G. M., Barrell, R. A. E. & Whitehead, R. G. (1978) Bacterial contamination in traditional Gambian weaning foods. Lancet i, 136138.CrossRefGoogle Scholar
Sauniere, J. P. & Sarles, H. (1988) Exocrine pancreatic function and protein-calorie malnutrition in Dakar and Abidgan (West Africa): silent pancreatic insufficiency. American Journal of Clinical Nutrition 44, 12331238.CrossRefGoogle Scholar
Sauniere, J. F., Sarles, H., Attia, Y., Lombardo, A., Yoman, T. N., Langier, R., Manlan, K. & Sahel, J. (1986) Exocrine pancreatic function of children from the Ivory Coast compared with French children: effect of kwashiorkor. Digestive Diseases and Sciences 31, 481486.CrossRefGoogle ScholarPubMed
Weaver, L. T. (1994) Feeding the weanling in the developing world: problems and solutions. International Journal of Food Sciences and Nutrition 45, 127134.CrossRefGoogle Scholar
Weaver, L. T., Thomas, J. E., McClean, P., Harding, M. & Coward, W. A. (1993) Stable isotope breath tests: their use in paediatric practice. In Progress in Understanding and Management of Gastrointestinal Motility Disorders, pp. 155168 [Janssens, J., editor], Leuven: Department of Medicine.Google Scholar