Antener I, Verwilghen A M, van Geert C, Mauron J
Int J Vitam Nutr Res. 1977;47(2):167-99.
Results of a balance study of nitrogen, fat, electrolytes and trace-elements (Fe, Cu, Zn, Mn) with 3 1/i to 9 years old malnourished children in the Kwilu region (Zaïre) are given. The main components of the diets were fish, lactose free milk, caseinate, partial hydrolasate of albumin, fermented corn and soya (Soy-Ogi), medium-chain triglycerides, rice and the local foods manioc, peanuts and caterpillars. The lactose free milk and the Soy-Ogi were well tolerated since we found only a small quantity of non absorbed sugar in the faeces. Our results show that in children who have secondary intestinal malabsorption the use of a partial hydrolysate of lactalbumin and the medium-chain triglycerides is recommended and the substitution of the manioc by rice also. Caseinate gave satisfactory results in adult-malnutrition. We found a good retention of nitrogen, fat and phosphorus. For the latter an addition was necessary. The potassium balance was also positive, a content of 5 meq/kg body weight in the food gave a sufficient retention time. The sodium chloride content of the diet must be moderate because of the oedemas (2 meq/kg body weight). The determination of the vitamin content in the diet and their urinary excretion gave some indication of the balance of these nutrients. Children who had intestinal troubles showed only a slight positive or negative balance of calcium, magnesium, zinc, copper and manganese, since we found a high faecel excretion for these elements. These rather unsatisfactory results emphasis the necessity of first curing any intestinal aliments.
给出了对扎伊尔奎卢地区3.5至9岁营养不良儿童进行的氮、脂肪、电解质和微量元素（铁、铜、锌、锰）平衡研究的结果。饮食的主要成分包括鱼、无乳糖牛奶、酪蛋白酸盐、白蛋白部分水解物、发酵玉米和大豆（Soy - Ogi）、中链甘油三酯、大米以及当地食物木薯、花生和毛虫。无乳糖牛奶和Soy - Ogi耐受性良好，因为我们在粪便中仅发现少量未吸收的糖。我们的结果表明，对于继发性肠道吸收不良的儿童，建议使用乳白蛋白部分水解物和中链甘油三酯，并用大米替代木薯。酪蛋白酸盐在成人营养不良中取得了令人满意的结果。我们发现氮、脂肪和磷的保留情况良好。对于后者，有必要进行补充。钾平衡也是正的，食物中5 meq/kg体重的含量能提供足够的保留时间。由于水肿，饮食中的氯化钠含量必须适中（2 meq/kg体重）。饮食中维生素含量及其尿排泄的测定给出了这些营养素平衡的一些指标。有肠道问题的儿童在钙、镁、锌、铜和锰方面仅表现出轻微的正平衡或负平衡，因为我们发现这些元素的粪便排泄量很高。这些相当不理想的结果强调了首先治愈任何肠道疾病的必要性。
