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Acid steatocrit during infancy

A Van den Neucker1, P Forget, J A Veneberg

  • 1Department of Paediatrics and Chemistry, University Hospital of Maastricht, The Netherlands.

Acta Paediatrica (Oslo, Norway : 1992)
|October 1, 1996
PubMed
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The faecal acid steatocrit test helps evaluate infant fat absorption. High results before 6 months may be normal, but after 6 months, they suggest fat malabsorption.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Chemistry

Background:

  • Accurate assessment of fecal fat is crucial for infant health.
  • The faecal acid steatocrit is an improved method for fecal fat evaluation.

Purpose of the Study:

  • To establish reference values for faecal acid steatocrit in infants during their first year of life.
  • To differentiate physiological steatorrhea from fat malabsorption in infants.

Main Methods:

  • Faecal acid steatocrit values were measured in 58 healthy full-term and 16 healthy premature infants.
  • Infants were categorized by feeding type (human milk vs. formula) and age.

Main Results:

  • Premature and many formula-fed term infants showed high faecal acid steatocrit (>60%) in the first 6 months, decreasing significantly thereafter.

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  • Human milk-fed infants had significantly lower faecal acid steatocrit values than formula-fed infants between 40 and 120 days of age (p < 0.01).
  • Conclusions:

    • High faecal acid steatocrit values after 6 months of age indicate fat malabsorption.
    • Elevated values before 6 months can be attributed to physiological steatorrhea, suggesting the test's utility in assessing milk fat absorption.