Graham G G
Instituto de Investigación Nutricional, Lima, Perú.
J Pediatr Gastroenterol Nutr. 1993 Aug;17(2):139-44. doi: 10.1097/00005176-199308000-00003.
Few advances would contribute more to the growth and well-being of infants and children in the developing world than the making available of acceptable staple foods that are easy to grow and process, nutritionally complete enough to serve as the major weaning food, and safe without refrigeration. High-fat quality-protein maize (QPM), grown in Mexico, had > 10% of its energy as well-balanced protein and > 15% as fat. When it was fed to six recovering malnourished infants to provide 85-88% of dietary energy, all of 9.8% protein calories, and all of 13.5% fat calories, it was easily consumed and tolerated. In comparison with a fiber-free, casein-based diet, fecal wet and dry weights of children consuming two varieties of high-fat QPM were three to four times greater, and apparent digestibilities of energy were 86 +/- 3 and 86 +/- 4 versus 97 +/- 1%, of carbohydrate 88 +/- 3 and 89 +/- 5 versus 100%, and of nitrogen (N) 77 +/- 4 and 75 +/- 4 versus 89 +/- 2% of intake. High "biological values," 43 +/- 10 and 46 +/- 13 versus 43 +/- 10% of absorbed N, led to comparable apparent N retentions: 33 +/- 8 and 35 +/- 9 versus 38 +/- 9% of intake. Results were similar to those from earlier studies with Peruvian QPM with a typical fat content. Fat absorptions from QPMs were nearly complete, equal to those from separated vegetable oils in the casein diet. Breath H2s were suggestive of significant colonic salvage of incompletely digested maize carbohydrates.
对于发展中世界婴幼儿的成长和健康而言,很少有进展能比提供易于种植和加工、营养足够全面可作为主要断奶食品且无需冷藏就能安全保存的可接受主食做出更大贡献。在墨西哥种植的高脂肪优质蛋白玉米(QPM),其能量的10%以上为均衡蛋白质,15%以上为脂肪。将其喂给6名正在康复的营养不良婴儿,以提供85 - 88%的膳食能量、全部9.8%的蛋白质热量和全部13.5%的脂肪热量时,婴儿很容易接受且耐受性良好。与无纤维、以酪蛋白为基础的饮食相比,食用两种高脂肪QPM的儿童粪便湿重和干重是其三到四倍,能量的表观消化率分别为86±3%和86±4%,而酪蛋白饮食为97±1%;碳水化合物的表观消化率分别为88±3%和89±5%,而酪蛋白饮食为100%;氮(N)的表观消化率分别为77±4%和75±4%,而酪蛋白饮食为89±2%。较高的“生物价值”,即吸收氮的43±10%和46±13%(酪蛋白饮食为43±10%),导致类似的表观氮保留率:摄入量的33±8%和35±9%(酪蛋白饮食为38±9%)。结果与早期对典型脂肪含量的秘鲁QPM的研究相似。QPM中脂肪的吸收几乎是完全的,与酪蛋白饮食中分离植物油的脂肪吸收相当。呼出的H2表明结肠对未完全消化的玉米碳水化合物有显著的回收利用。