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Published on: April 29, 2013
Higher protein intake increases cardiac function parameters in healthy children: metabolic programming by infant
Rosa Collell1, Ricardo Closa-Monasterolo2,3, Natalia Ferré3
1Hospital Universitari Sant Joan de Reus, Reus, Spain.
Insights
Higher protein formula intake in infants is linked to improved cardiac function by age two. This effect may be mediated by changes in insulin-like growth factor 1 (IGF-1).
Area of Science:
- Pediatric Nutrition
- Cardiovascular Health
- Infant Development
Background:
- Limited data exists on how protein intake affects cardiac structure and function in healthy infants.
- Previous research suggests protein may influence cardiac health in pathological states.
Purpose of the Study:
- To investigate the impact of higher versus lower protein formula on cardiac parameters in infants.
- To explore the role of the insulin-like growth factor 1 (IGF-1) axis in mediating these effects.
Main Methods:
- Secondary analysis of a randomized clinical trial comparing higher protein (HP) and lower protein (LP) formula-fed infants with breastfed (BF) infants.
- Assessment of growth, dietary intake, IGF-1 parameters (at 6 months), and cardiac mass/function (at 2 years via echocardiography).
Main Results:
- Infants receiving higher protein formula exhibited higher BMI z-scores at 2 years.
- Cardiac function parameters were elevated in the HP group compared to the LP group, correlating with early protein intake.
- Increased free IGF-1 levels were observed in the HP group at 6 months.
Conclusions:
- Moderate protein intake in the first year of life is associated with enhanced cardiac function by age two.
- Modifications in the IGF-1 axis appear to be a potential mechanism underlying these observed cardiac effects.
Background:
Protein intake may modulate cardiac structure and function in pathological conditions, but there is a lack of knowledge on potential effects in healthy infants.
Methods:
Secondary analysis of an ongoing randomized clinical trial comparing two groups of infants receiving a higher (HP) or lower (LP) protein content formula in the first year of life, and compared with an observational group of breastfed (BF) infants. Growth and dietary intake were assessed periodically from birth to 2 y. Insulin-like growth factor 1 (IGF-1) axis parameters were analyzed at 6 mo in a blood sample. At 2 y, cardiac mass and function were assessed by echocardiography.
Results:
HP infants (n = 50) showed a higher BMI z-score at 2 y compared with LP (n = 47) or BF (n = 44). Cardiac function parameters were increased in the HP group compared with the LP and were directly related to the protein intake during the first 6 mo of life. Moreover, there was an increase in free IGF-1 in the HP group at 6 mo.
Conclusion:
A moderate increase in protein supply during the first year of life is associated with higher cardiac function parameters at 2 y. IGF-1 axis modifications may, at least in part, underlie these effects.
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