Maternity Hospital, BirminghamIn the development of 'humanized' infant feeding formulae the quality of the protein component has been altered from the predominantly curd cow's milk type to the more balanced curd and whey combination of proteins. The effects of this on growth and general metabolism have recently been studied (Berger et al. 1979). However, the associated changes in the metabolism of amino acids as reflected in their plasma concentrations has not been reported.Fifty-five preterm or term light-fordates babies, birth weight I 750-2260 g, were studied. They were fed either a curd formula (based on SMA) or a curd and whey formula (based on Gold Cap SMA-2326; John Wyeth, Maidenhead, Berks.). Nitrogen balance studies were performed on a smaller group of these babies during the third week.Infants fed the curd and whey formula grew better over the period from day 7 to day 21. Plasma amino acid levels on day I I were generally higher in those babies fed the curd formula. From day I I to day 21 the levels fell so that by day 21 those differences which remained were only present in the preterm group. The plasma branched chain amino acid levels on day 2 1 correlated inversely with growth over the period of study, and also correlated inversely with nitrogen retention.It is probable that peripheral utilization of branched chain amino acids by muscle is an important determinant of their plasma levels. Those babies which grow faster utilize a greater proportion of available branched chain amino acid and therefore have lower plasma levels. Poorer growth and therefore poorer utilization results in loss of nitrogen as urinary urea. Indeed, urinary valine excretion correlated inversely with nitrogen retention. Lower levels of branched chain amino acids found in those infants who grew better may indicate some inadequacy of protein intake. The valine:glycine value is lower in the preterm curd and whey group on both days X I and 21, suggesting a poorer nutritional status.Plasma branched chain amino acid levels in low birth weight babies fed a curd whey protein formula are lower than in a similar group fed a predominantly curd protein formula. This is probably associated with their higher rate of growth and may indicate some dietary inadequacy of protein. . (1979). A r c h Dis.Childh. 54, 98.
Vol. 38Meeting of 19 September 1979 99A Cell size and cell number: a reconsideration of organ growth and catch-up potential.