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Published on: January 26, 2019
Choline-related metabolites influenced by feeding patterns in preterm and term infants
Hiromichi Shoji1, Hikari Taka2, Naoko Kaga2
1Department of Pediatrics and Adolescent Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Insights
Infant feeding type significantly impacts choline metabolism. Breastfed term infants show higher choline metabolite excretion than formula-fed infants, highlighting the need to optimize infant formulas.
Area of Science:
- Biochemistry
- Pediatrics
- Metabolomics
Background:
- Choline is essential for infant development, particularly brain and liver function.
- Understanding choline metabolism in term and preterm infants is crucial for optimizing nutrition.
- Urinary metabolome analysis offers a non-invasive method to assess nutrient status.
Purpose of the Study:
- To investigate choline status in term and preterm infants based on feeding type.
- To compare urinary choline metabolite excretion between breastfed and formula-fed infants.
- To evaluate the utility of metabolomics in assessing infant nutrition.
Main Methods:
- Collected urine samples from term and preterm infants (n=39) across four feeding groups.
- Utilized capillary electrophoresis-time-of-flight mass spectrometry (CE-TOF/MS) for urinary metabolome analysis.
- Analyzed infant formulas for choline metabolite content.
Main Results:
- Term breastfed infants exhibited higher urinary choline metabolite excretion than term formula-fed infants.
- Preterm infants fed mixed formula showed higher choline and N,N-dimethylglycine excretion than preterm breastfed infants.
- Preterm formulas contained higher choline and betaine levels compared to term formulas.
Conclusions:
- Early infant feeding practices significantly influence choline metabolism.
- Metabolome analysis is a valuable tool for assessing choline status and guiding infant formula modification.
- Optimizing infant formula composition, especially for preterm infants, is essential for adequate choline supply.
Abstract:
Objective: This study was performed to examine the choline status on term and preterm infants using urinary metabolome analysis.Material and methods: Samples were collected from 19 term and 20 preterm infants between 15 days and 1 month, respectively. The infants were separated into four groups: the term-breast group (TB, n = 13), the term-formula group (TF, n = 6), the preterm-breast (PB, n = 11), and the preterm-mixed group (PM, n = 9). Urinary metabolome analysis was performed using capillary electrophoresis-time-of-flight mass spectrometry (CE-TOF/MS). We also performed metabolome analysis of the infant formulas.Results: Urinary excretion of choline metabolites (choline, N,N-dimethylglycine, sarcosine, and betaine) was significantly higher in TB than TF infants (p < .05). Choline, betaine, and sarcosine excretion was not significantly different between the PB and TB infants. Choline and N,N-dimethylglycine excretion was significantly higher in PM than PB infants. Choline metabolites excretion was also significantly higher in PM than TF infants. Choline and betaine levels were significantly higher in the preterm than term formula used in this study.Conclusions: The type of feeding in early infancy affects choline metabolism. Metabolome analysis is useful for assessing choline metabolism to modify the contents of infant formulas also in preterm infants.
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