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Published on: December 14, 2011
Sex differences in the endocrine system in response to protein intake early in life
Ricardo Closa-Monasterolo1, Natàlia Ferré, Verónica Luque
1From Universitat Rovira i Virgili, Tarragona, Spain.
Insights
Infant sex influences how the body responds to high-protein formula, with girls showing a stronger insulin-like growth factor (IGF)-1 axis response than boys. This difference in endocrine response did not affect overall growth in either sex.
Area of Science:
- Pediatric Nutrition
- Endocrinology
- Child Development
Background:
- Early-life nutrition is critical for child development and can have sex-specific effects.
- Understanding how different protein intakes impact infant development is essential for optimal infant feeding practices.
Purpose of the Study:
- To determine if infant sex influences biochemical and growth responses to varying protein intakes in early life.
- To investigate the impact of higher protein (HP) versus lower protein (LP) formula on insulin-like growth factor (IGF)-1 axis parameters, leptin, C-peptide, and growth.
Main Methods:
- A randomized controlled trial involving formula-fed infants assigned to HP or LP formulas.
- Key outcome measures included IGF-1 axis parameters, weight, length, BMI, leptin, and C-peptide/creatinine ratio at 6 months.
- Dietary intake was monitored throughout the first 6 months of life.
Main Results:
- Sex modulated the IGF-1 axis response to HP formula; girls exhibited higher total and free IGF-1 and IGF binding protein 3 concentrations than boys.
- HP formula increased IGF-1 and decreased IGF binding protein 2 secretion compared to LP formula, with a trend for a stronger response in girls.
- Higher leptin concentrations were observed in girls and correlated with IGF-1 axis parameters; no sex-based differences in growth were noted.
Conclusions:
- The endocrine response to high-protein infant formula is influenced by infant sex.
- Female infants' IGF-1 axis shows a more pronounced response to HP formula compared to males, without affecting growth.
- Findings highlight sex-specific endocrine adaptations to early-life nutrition.
Background:
Nutritional factors during a sensitive period can influence child development in a sex-related manner.
Objective:
Our aim was to investigate whether sex modulates the responses of relevant biochemical parameters and growth to different protein intakes early in life.
Design:
In a randomized controlled trial, formula-fed infants were assigned to receive formula with higher protein (HP) or lower protein (LP) content. The main outcome measures were insulin-like growth factor (IGF)-1 axis parameters, weight, length, BMI, leptin, and C-peptide/creatinine ratio at 6 mo of age. Dietary intake during the first 6 mo of life was also assessed.
Results:
The IGF-1 axis response to HP feeding was modulated by sex. Total and free IGF-1 and IGF binding protein 3 concentrations were higher in girls than in boys. Compared with the LP diet, the HP diet was associated with higher IGF-1 and lower IGF binding protein 2 secretion. The response to this HP content formula tended to be stronger in girls than in boys. The HP diet was associated with a higher C-peptide/creatinine ratio. The leptin concentration was higher in girls than in boys and was correlated to the IGF-1 axis parameters. No interaction between sex and nutritional intervention was shown on growth.
Conclusions:
Our findings show that the endocrine response to a high protein diet early in life may be modulated by sex. The IGF-1 axis of female infants shows a stronger response to the nutritional intervention than does that of male infants, but there is no enhanced effect on growth. This trial was registered at clinicaltrials.gov as NCT00338689.
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