In vitro fermentation of carbohydrate by breast fed and formula fed infants
Department
of Human Nutrition, Glasgow University, Glasgow
Correspondence to: Dr Christine Edwards, Department of Human Nutrition, Yorkhill Hospitals, Glasgow G3 8SJ.
Accepted 4 November 1996
Unabsorbed carbohydrates are fermented by colonic bacteria to
short chain fatty acids (SCFA) which are rapidly absorbed, salvaging energy and reducing stool output. There are marked differences between the faecal flora and SCFA of breast fed (BF) and formula fed (FF) infants which may be related to the higher incidence of
diarrhoea in FF infants. Part of this effect may be caused by a
difference in the ability of the microflora to ferment carbohydrate. To
test the hypothesis that BF and FF have different fermentation capacities for simple and complex carbohydrates, in vitro cultures of
faeces from healthy infants (2-10 weeks; 11 BF, 11 FF) containing glucose, lactose, raftilose (a fructo-oligosaccharide), or soybean polysaccharide were incubated anaerobically. Results were compared with
those of adult faecal cultures using the same carbohydrates. Cultures
of faeces from BF and FF infants produced comparable amounts of total
SCFA in all cultures. These cultures produced less SCFA than those from
adult faeces and produced very little SCFA from complex carbohydrate.
BF cultures produced more acetic acid than FF in all cultures, whereas
FF cultures produced more propionate with sugars and more butyrate with
raftilose. Both groups of infants produced less butyrate than adults in
all cultures. Thus it is unlikely that a lower ability to ferment
carbohydrate is a major cause of increased risk of diarrhoea in FF fed
infants but individual SCFA production may be important.
© 1997 by Archives of Disease in Childhood
This article has been cited by other articles:
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Wolin, M. J., Yerry, S., Miller, T. L., Zhang, Y., Bank, S.
(1998). Changes in Production of Ethanol, Acids and H2 from Glucose by the Fecal Flora of a 16- to 158-d-Old Breast-Fed Infant. J. Nutr.
128: 85-90
[Abstract] [Full Text]
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