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Published on: September 7, 2015
Gas production by feces of infants
T Jiang1, F L Suarez, M D Levitt
1Fomon Infant Nutrition Unit, Department of Pediatrics, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA.
Insights
Infant diet significantly impacts gut gas production. Breast milk promotes hydrogen, while soy formula increases methane and toxic sulfur gases like hydrogen sulfide, potentially affecting infant gut health.
Area of Science:
- Microbiology
- Infant Nutrition
- Gastroenterology
Background:
- Infant abdominal discomfort is often attributed to intestinal gas.
- Limited understanding exists regarding the composition and quantity of gases produced by infant gut microflora.
- The influence of diet on infant gas formation remains largely unexplored.
Purpose of the Study:
- To investigate the types and amounts of gases produced by the colonic microflora of infants.
- To determine if infant diet (breast milk vs. formula) influences gas production.
- To assess the impact of age on gas production in infants.
Main Methods:
- Collected fresh stool specimens from breast-fed, soy formula-fed, and milk formula-fed infants at 1, 2, and 3 months of age.
- Incubated fecal samples anaerobically at 37°C for 4 hours.
- Quantified gases including hydrogen (H2), methane (CH4), carbon dioxide (CO2), hydrogen sulfide (H2S), methanethiol (CH3SH), and dimethyl sulfide (CH3SCH3) in the headspace.
Main Results:
- Breast-fed infants produced more hydrogen (H2) than formula-fed infants, likely due to oligosaccharide absorption.
- Soy formula-fed infants exhibited higher methane (CH4) production.
- Soy formula-fed infants showed increased hydrogen sulfide (H2S) production, while breast-fed infants had lower methanethiol (CH3SH) production.
- Gas production showed minimal age-related changes and no correlation with stool consistency, though malodor correlated with sulfur gas concentrations.
Conclusions:
- Infant diet profoundly influences the profile of gases produced by their gut microbiota.
- Significant differences in the production of toxic sulfur gases (H2S, CH3SH) were observed between feeding groups.
- These dietary-driven variations in gas production, particularly sulfur gases, warrant further investigation for their potential role in infant intestinal disorders.
Background:
Intestinal gas is thought to be the cause abdominal discomfort in infants. Little is known about the type and amount of gas produced by the infant's colonic microflora and whether diet influences gas formation.
Methods:
Fresh stool specimens were collected from 10 breast-fed infants, 5 infants fed a soy-based formula, and 3 infants fed a milk-based formula at approximately 1, 2, and 3 months of age. Feces were incubated anaerobically for 4 hours at 37 degrees C followed by quantitation of hydrogen (H2), methane (CH4), carbon dioxide (CO2), hydrogen sulfide (H2S), methanethiol (CH3SH), and dimethyl sulfide (CH3SCH3) in the head-space.
Results:
H2 was produced in greater amounts by breast-fed infants than by infants in either formula group, presumably the consequence of incomplete absorption of breast milk oligosaccharides. CH4 was produced in greater amounts by infants fed soy formula than by infants on other diets. CO2 was produced in similar amounts by infants in all feeding groups. Production of CH3SH was conspicuously low by feces of breast-fed infants and production of H2S was high by soy-formula-fed infants. CH3SCH3 was not detected. Only modest changes with age were observed and there was no relation between gas production and stool consistency, although stools were more likely to be malodorous when concentrations of H2S and/or CH3SH were high.
Conclusions:
Gas release by infant feces is strongly influenced by an infant's diet. Of particular interest are differences in production of the highly toxic sulfur gases, H2S and CH3SH, because of the role that these gases may play in certain intestinal disorders of infants.
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