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.

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