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Protein Quality Assessment of Follow-up Formula for Young Children and Ready-to-Use Therapeutic Foods: Recommendations by the FAO Expert Working Group in 2017.
Shivakumar, Nirupama; Jackson, Alan Anthony; Courtney-Martin, Glenda; Elango, Rajavel; Ghosh, Shibani; Hodgkinson, Suzanne; Xipsiti, Maria; Lee, Warren T K; Kurpad, Anura V; Tomé, Daniel.
Afiliación
  • Shivakumar N; Department of Physiology, St. John's Medical College, St. John's National Academy of Health Sciences, Bangalore, India.
  • Jackson AA; University Hospitals Southampton, University of Southampton, Southampton, United Kingdom.
  • Courtney-Martin G; Research Institute, Hospital for Sick Children, Toronto, Ontario, Canada.
  • Elango R; Department of Nutritional Sciences, University of Toronto, Toronto, Ontario, Canada.
  • Ghosh S; BC Children's Hospital Research Institute, BC Children's Hospital, Vancouver, British Columbia, Canada.
  • Hodgkinson S; Department of Pediatrics, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
  • Xipsiti M; Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.
  • Lee WTK; Riddet Institute, Massey University, Palmerston North, New Zealand.
  • Kurpad AV; Nutrition and Food Systems Division, Food and Agriculture Organization of the United Nations, Rome, Italy.
  • Tomé D; Regional Office for Asia and the Pacific, Food and Agriculture Organization of the United Nations, Bangkok, Thailand.
J Nutr ; 150(2): 195-201, 2020 02 01.
Article en En | MEDLINE | ID: mdl-31724705
The FAO of the UN convened an Expert Working Group meeting to provide recommendations related to protein quality evaluation of Follow-up Formula for Young Children (FUF-YC) and Ready-to-Use Therapeutic Foods (RUTFs). The protein and amino acid (AA) scoring patterns for the target age groups were defined and recommendations provided on the use of currently available protein and indispensable AA digestibility data. For FUF-YC, an age category of 1-2.9 y was identified, and a matching protein requirement of 0.86 g · kg-1 · d-1 with corresponding AA requirements were recommended. For RUTF, the protein requirement recommended was 2.82 g · kg-1 · d-1, to achieve a catch-up weight gain of 10 g · kg-1 · d-1 in children recovering from severe acute malnutrition. The AA requirements were factorially derived based on the adult protein requirement for maintenance and tissue AA composition. A flowchart was proposed for the best available methods to estimate digestibility coefficients (of either protein or AAs), in the following order: human, growing pig, and rat true ileal AA digestibility values. Where this is not possible, fecal protein digestibility values should be used. The Expert Working Group recommends the use of the Protein Digestibility Corrected Amino Acid Score (PDCAAS), with existing protein digestibility values, or the Digestible Indispensable Amino Acid Score provided that individual AA digestibility values are available for protein quality evaluation using the latter score. The Group also recommends the use of ileal digestibility of protein or of AAs for plant-based protein sources, recognizing the possible effects of antinutritional factors and impaired gut function. A PDCAAS score of ≥90% can be considered adequate for these formulations, whereas with a score <90%, the quantity of protein should be increased to meet the requirements. Regardless of the protein quality score, the ability of formulations to support growth in the target population should be evaluated. Future research recommendations are also proposed based on the knowledge gaps identified.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Proteínas en la Dieta / Fórmulas Infantiles / Alimentos Funcionales Tipo de estudio: Guideline / Prognostic_studies Límite: Animals / Child, preschool / Humans / Infant Idioma: En Revista: J Nutr Año: 2020 Tipo del documento: Article País de afiliación: India Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Proteínas en la Dieta / Fórmulas Infantiles / Alimentos Funcionales Tipo de estudio: Guideline / Prognostic_studies Límite: Animals / Child, preschool / Humans / Infant Idioma: En Revista: J Nutr Año: 2020 Tipo del documento: Article País de afiliación: India Pais de publicación: Estados Unidos