Szotowa W, Kowalczyk Z, Symonowicz H
Probl Med Wieku Rozwoj. 1979;8:47-55.
Fat excretion and absorption in 38 healthy S-f-D born infants fed on 4 kinds of diet, differentiated with regard to fat quantity and quality as well as protein quality, were examined by means of three 24 hour fat balances. Higher fat intake, higher fat excretion in feces and lower index of its absorption, typical of these infants, were observed. Differences in relation to the infants born with normal body-weight were particularly distinct in the first six months of life. It was noted that the quantity of fat excretion in feces was influenced by the degree of fetal malnutrition. An advantageous influence of fat modification, which consisted in partial replacement of cow-milk fat with vegetable oil (soya oil) on fat excretion and absorption, was shown. Feeding higher fat formulas--3 g/100 ml and modified protein were also considered advantageous. It was noted that S-f-D infants, even in cases of feeding with modified fat formulas, at the end of the first year of life did not reach such values of the absorption index as infants born with normal body-weight. The conception that the triglyceride structure differing from that in the breast milk is the factor deteriorating cow-milk fat absorption in the infants was suggested and discussed.
对38名出生时小于胎龄(S-f-D)的健康婴儿进行了研究,通过三次24小时脂肪平衡试验,检测了他们在4种不同饮食下的脂肪排泄和吸收情况。这4种饮食在脂肪数量和质量以及蛋白质质量方面存在差异。结果观察到,这些婴儿具有高脂肪摄入量、高粪便脂肪排泄量和低脂肪吸收指数的特点。与出生时体重正常的婴儿相比,这种差异在出生后的前六个月尤为明显。研究发现,粪便中的脂肪排泄量受胎儿营养不良程度的影响。研究还表明,用植物油(大豆油)部分替代牛乳脂肪对脂肪排泄和吸收具有有利影响。喂食高脂肪配方奶(3g/100ml)和改良蛋白质也被认为是有益的。值得注意的是,即使喂食改良脂肪配方奶,小于胎龄婴儿在一岁末时的吸收指数仍未达到出生时体重正常婴儿的水平。文中提出并讨论了这样一种观点,即与母乳中不同的甘油三酯结构是导致婴儿牛乳脂肪吸收变差的因素。