Tarim O, Chasalow F I, Murphy J, Rising R, Carrillo A, Lifshitz F
Department of Pediatrics, Maimonides Medical Center, Brooklyn, New York, USA.
J Am Coll Nutr. 1997 Apr;16(2):159-65. doi: 10.1080/07315724.1997.10718667.
Suboptimal nutrition leads to growth delay, frequently without over clinical or biochemical signs. We hypothesize that changes in serum IFG-1 and erythrocyte sodium-potassium ATPase activity (ENKA) may be indices of suboptimal nutrition.
Male Sprague-Dawley rats were pair-fed for 4 weeks with balanced diets of different carbohydrate (CHO) to fat (FAT) ratios (3:1, 2:1, and 1:1) and three levels of energy intake (ad-libitum, 80%, and 60%), corrected for actual body weight). Daily weight gain and weekly tail growth were monitored while ENKA, serum total protein, T3, insulin and IGF-1 were measured after four weeks. Refeeding experiments were also performed with the 3:1 and 1:1 CHO:FAT diets, including 4 weeks of dietary restriction and one week of ad-libitum feeding.
Weight gain, tail growth, and IGF-1 decreased (p < 0.05) in all groups after 1 week of dietary restriction. A decrease in ENKA (p < 0.05) was found in rats that consumed 60% of ad-libitum energy intake only after 4 weeks. At the end of dietary treatment, weight gain was higher (p < 0.05) in rats fed the 3:1 CHO:FAT diet. In contrast, when energy was restricted to 80% or 60% of ad-libitum intake, rats fed the 1:1 CHO:FAT diet gained more weight (p < 0.05) compared to the 3:1 and 2:1 CHO:FAT diets. After 1 week of refeeding body weight, tail growth and ENKA returned to control values while serum IGF-1 levels remained depressed.
Acute nutritional changes are clearly detected by a reduction of serum IGF-1 while ENKA may be a useful index for assessing chronic suboptimal nutrition.
营养状况欠佳会导致生长发育迟缓,且常常没有明显的临床或生化体征。我们推测血清胰岛素样生长因子-1(IGF-1)和红细胞钠钾ATP酶活性(ENKA)的变化可能是营养状况欠佳的指标。
将雄性斯普拉格-道利大鼠按体重配对饲养4周,给予不同碳水化合物(CHO)与脂肪(FAT)比例(3:1、2:1和1:1)以及三种能量摄入水平(自由采食、自由采食量的80%和60%,根据实际体重进行校正)的均衡饮食。监测每日体重增加量和每周尾巴生长情况,4周后测量ENKA、血清总蛋白、T3、胰岛素和IGF-1。还对3:1和1:1的CHO:FAT饮食进行了再喂养实验,包括4周的饮食限制和1周的自由采食。
饮食限制1周后,所有组的体重增加量、尾巴生长和IGF-1均下降(p<0.05)。仅在4周后,自由采食能量摄入量60%的大鼠中发现ENKA下降(p<0.05)。饮食处理结束时,喂食3:1 CHO:FAT饮食的大鼠体重增加量更高(p<0.05)。相比之下,当能量限制为自由采食摄入量的80%或60%时,喂食1:1 CHO:FAT饮食的大鼠比3:1和2:1 CHO:FAT饮食的大鼠体重增加更多(p<0.05)。再喂养1周后,体重、尾巴生长和ENKA恢复到对照值,而血清IGF-1水平仍处于较低水平。
血清IGF-1降低可明确检测到急性营养变化,而ENKA可能是评估慢性营养状况欠佳的有用指标。