Nutritive value of elemental formula with reduced osmolality
1979
Graham, George G. | Klein, Gordon L. | Cordano, Angel
The osmolality of an elemental formula was reduced by replacing dextrose with corn syrup solids, reducing the content of casein hydrolysate, and replacing a portion of the medium-chain triglycerides with corn oil. In three malnourished infants, the protein quality of the formula was found to be as high as that of a casein-sucrose-vegetable oil formula. Nitrogen retention was higher in all three infants than during a preceding casein period, and in one infant it was also higher than during a subsequent casein period. The levels of postprandial plasma amino acids suggested that threonine might be the first-limiting amino acid. Four severely malnourished infants received the formula as their only food during initial rehabilitation; the formula was well tolerated and supported satisfactory weight gain, linear growth, and serum protein regeneration.
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