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An acute ileal amino acid digestibility assay is a valid procedure for use in human ileostomates.

An acute (24-h) feeding/digesta sampling procedure was evaluated in a preliminary study using growing pigs. The validated acute procedure was then applied using human ileostomates to determine apparent and true ileal amino acid digestibilities of 4 dietary protein sources. The acute method involved feeding ileostomized pigs a single meal containing the test protein as part of a purified diet, with no previous dietary adaptation, followed by an 8-h collection of digesta. Apparent ileal N digestibility did not differ between the acute and conventional (14-d study) procedures. Eight adult human ileostomates each received a single meal of protein-free biscuits and a drink containing sodium caseinate, whey protein concentrate, soy protein isolate, or soy protein concentrate; this meal was followed by a 9-h total digesta collection period. Acid insoluble ash was used as an indigestible marker. True ileal amino acid digestibilities (means +/- SE) ranged from 90.5 +/- 2.74% for cysteine in soy protein concentrate to 105.3 +/- 5.66% for cysteine in sodium caseinate and were markedly higher than their apparent counterparts. True ileal digestibilities for total nitrogen were 101.9 +/- 0.70, 98.3 +/- 0.80, 99.5 +/- 0.80, and 98.5 +/- 1.20% for sodium caseinate, whey protein concentrate, soy protein isolate, and soy protein concentrate, respectively. The 4 protein sources were virtually completely digested in humans by the end of the small intestine.

Amino Acids↗

Pullulans and gamma-cyclodextrin affect apparent digestibility and metabolism in healthy adult ileal cannulated dogs.

Pullulan and gamma-cyclodextrin are incompletely digestible, glucose-based, nonstructural carbohydrates synthesized by microorganisms. To determine their effect when incorporated into a complete liquid diet on ileal and total tract nutrient digestibility, ileal cannulated dogs (n = 8) were used in a repeated 4 x 4 Latin-square design. Twice daily, diets were offered containing 30% (DMB) maltodextrin, high-molecular-weight (MW) pullulan (MW 100,000), low-MW pullulan (MW 6300), or gamma-cyclodextrin. Fecal and ileal samples were collected for the last 4 d of each 10-d period. Dogs consuming high-MW pullulan had lower (P < 0.05) dry matter, organic matter, crude protein, fat, carbohydrate ileal and total tract digestibilities, and fecal DM, and higher (P < 0.05) fecal output and fecal scores (indicating looser stools). To evaluate glycemic and insulinemic responses to pullulans, food-deprived dogs consumed 25 g maltodextrin, high-MW pullulan, or low-MW pullulan in a repeated 3 x 3 Latin-square design. Glucose and insulin responses were determined for 180 min. Consumption of 25 g alpha-, beta-, and gamma-cyclodextrin resulted in regurgitation within 60 min. High-MW pullulan reduced (P < 0.05) blood glucose concentration at 15, 30, 45, and 60 min. Compared with maltodextrin, low-MW pullulan and gamma-cyclodextrin did not alter nutrient digestibilities or fecal characteristics to any extent, and low MW pullulan did not affect glycemic response. Although high MW pullulan decreased glycemic response, consumption of large amounts negatively affected nutrient digestibility and fecal characteristics.

Animals↗

Digestible lysine requirement of female turkeys during the starter period.

Three experiments were conducted to determine the digestible lysine requirement of female turkey poults during the starter period. Birds were fed a standard corn-soybean meal diet until the onset of each trial and were then randomly assigned to treatments that were fed for 2 wk. Dietary treatments included titrated levels of digestible lysine (1.18 to 1.72%) added to a basal corn-soybean meal diet with an intact crude protein content of either 21% (Experiment 1) or 18.4% (Experiments 2 and 3). All diets contained 3,100 to 3,200 kcal MEn/kg. True digestible lysine contents of the basal diets were 1.42% (Experiment 1) and 1.18% (Experiments 2 and 3), based on digestibility assays of corn and soybean meal with cecectomized turkeys. A positive control diet (28% CP, 3,175 kcal MEn/kg) was also included in the treatments for comparison. Other amino acids were maintained at levels in relation to lysine based on previous research and the Illinois Ideal Chick Protein. Broken-line analysis suggests that the digestible lysine requirement is 1.32% for optimum body weight gain and 1.34% for optimal feed:gain at the energy levels used in these studies.

Animal Feed↗

Requirement of the laying hen for apparent fecal digestible lysine.

A study was conducted to determine the requirement for lysine of a White Leghorn strain of hens with a body weight of approximately 1,600 g. Before starting the experiment, apparent fecal digestibility of amino acids of the basal diet was determined in an in vivo digestibility trial with six individually housed hens. The basal diet used was based on corn and soybean meal and contained 0.65% total and 0.49% apparent fecal digestible lysine. To the basal diet, seven graded dose levels (0.04, 0.08, 0.12, 0.16, 0.20, 0.24, and 0.28%) of lysine as L-Lysine x HCl were added. The experimental diets were fed for 12 wk, covering the early stage of laying from 24 to 36 wk of age. Each experimental diet was fed to 60 individually caged housed birds. The dietary lysine requirement was found to be higher for maximizing efficiency of feed utilization than for obtaining maximum egg mass yield. Based on the feed conversion efficiency and at an egg mass yield of 57 g/hen-d, the requirement for total lysine was estimated to be about 900 mg/hen-d. From the results of the digestibility trial, it was calculated that the estimated requirement for total lysine was equivalent to 720 mg apparent fecal digestible lysine per hen-day.

Animals↗

In vitro evaluation of nonstarch polysaccharide digestibility of feed ingredients by enzymes.

Some of the commonly used feed ingredients for poultry (corn, sorghum, finger millet, deoiled ricebran, soybean meal, peanut meal, sunflower meal, and rapeseed meal) were screened for pentosans, cellulose, pectin, and total nonstarch polysaccharides. The ingredient in vitro digestibilities by enzymes were evaluated. Cereal samples screened contained mainly pentosans. Pectin content was rich in oilseed meals. Sunflower meal, soybean meal, deoiled rice bran, and a broiler starter diet were subjected to a two-stage in vitro digestion assay with three different enzyme mixtures viz., Enzyme-I (xylanase + cellulase from Trichoderma viridae), Enzyme-II (xylanase + cellulase + beta-glucanase from Huminicola insolens), and Enzyme-III (xylanase + cellulase + pectinase + beta-glucanase from Aspergillus aculeatus) by incubating 0.1 g of the sample with 3 mL of a pepsin-HCl mixture (2,000 U pepsin/mL of 0.1N HCl) for 45 min to simulate the peptic phase of bird digestion. A pancreatin-NaHCO3 mixture (2 mg pancreatin/mL of 1 M NaHCO3) was used for 2 h at 40 C to simulate the pancreatic phase. Digestibility was assessed by measuring the relative viscosity of the digesta supernatent and the total sugars released. Enzyme-I produced the least relative viscosity and highest total sugars in sunflower meal, deoiled rice bran, and broiler starter diet, whereas Enzyme-III was very effective in soybean meal subjected to in vitro digestion. The assay was a convenient and rapid method of screening for effective and stable enzymes.

Animal Feed↗

The influence of dietary sodium chloride, arginine:lysine ratio, and methionine source on apparent ileal digestibility of arginine and lysine in acutely heat-stressed broilers.

The present study was carried out to determine the ileal digestibility of Arg and Lys in acutely heat-stressed broilers using diets varying in Arg:Lys ratio, NaCl concentration, and Met Source. Male broilers were maintained at 22 degrees C from 21 to 33 d of age and then at 32 degrees C from 33 to 38 d of age. From 28 to 38 d of age, birds were fed a diet with an Arg:Lys ratio of 1.05 and 3 g of supplemental NaCl/kg of diet with or without L-arg free base to increase the Arg:Lys to 1.35, and with or without 3 g/kg of additional NaCl. Methionine was supplied as equimolar amounts of DL-Met or 2-hydroxy-4-(methylthio)-butanoic acid in a 2 x 2 x 2 design. At 38 d of age, digesta were collected from the terminal ileum, and amino acid analyses were conducted on feed and digesta samples and compared with acid-insoluble ash (dietary celite) to calculate the apparent ileal digestibilities of Lys and Arg. Increasing the NaCl concentration and the presence of HMB significantly decreased the digestibility of both Arg and Lys, whereas increasing the Arg:Lys ratio increased the digestibility of only Arg but did increase BW gain (P = 0.08). An interaction between dietary NaCl and Arg:Lys ratio as well as the 3-way interaction suggested that dietary NaCl could affect the apparent ileal digestibility of Arg and Lys at certain Arg:Lys ratios and the response may be influenced by the Met source.

Amino Acids↗

The three-week-old piglet as a model animal for studying protein digestion in human infants.

The piglet was evaluated as a model animal for studying the digestion of high-quality proteins in human infants. Three-week-old male piglets (n = 6) and 3-month-old male human infants (n = 6) were fed a bovine-milk-based formula over a 17-day experimental period comprising 7 days' adaptation followed by a 10-day fecal collection period. The piglets and infants were given 345-g liquid formula/kg body weight/day and 170-g liquid formula/kg body weight/day, respectively, which equated to similar dry matter intakes per unit stomach volume (0.923 g dry matter/cm3/day). Both the piglets and infants were individually bottle-fed the reconstituted milk formula (12.2% dry matter) at similar meal frequencies. Small but statistically significant differences (p < 0.01) were found for the apparent fecal digestibility (mean +/- overall SE) of dietary dry matter (98.8 versus 97.4% +/- 0.13%), organic matter (99.0 versus 97.7% +/- 0.12%), and total nitrogen (97.5 versus 94.5% +/- 0.36%) between the piglets and infants. The fecal digestibilities for most of the amino acids were not significantly different (p > 0.05) between the species. The digestion of protein appeared to be similar in the two species. The study provides support for using the piglet as a model animal for studying protein digestion in human infants.

Amino Acids↗

Social position of adolescents with chronic digestive disorders.

OBJECTIVE: To investigate the consequences of having a chronic digestive disorder on the social position of adolescents. METHODS: Five diagnostic groups, including inflammatory bowel disease (IBD), chronic liver diseases, congenital digestive disorders, coeliac disease and food allergy (total n = 758, ages 12-25 years), were each compared with a population-based control group in a multicentre study using a cross-sectional design. Social position was assessed by a mailed questionnaire measuring 24 aspects, categorized as education, leisure activities, friendship, labour participation, financial situation, partnership and sexuality. RESULTS: Eight aspects of social position were found to be affected negatively by one or more chronic digestive diseases: absence from school due to illness, going out, having a paid job, needing re-education in order to get a job, getting benefits as main income source, encountering bottlenecks in establishing financial commitments, having self-confidence in making a pass at someone, and restrictions in making love. Adolescents with chronic liver disease and IBD were found to experience more restrictions in social position. Adolescents with food allergy and congenital digestive disorders appear to experience some restrictions, but to a lesser degree, and adolescents with coeliac disease do not appear to have any problems regarding social position compared with controls. CONCLUSION: The social position of adolescents is affected negatively by having a chronic digestive disease, in particular chronic liver disease and IBD. Negative consequences occur in education, leisure activities, labour participation, financial situation, partnership and sexuality.

Adolescent↗

Requirement of true ileal digestible threonine of growing and finishing pigs.

Ninety-six crossbred barrows and gilts were used to investigate the optimum supply of true ileal digestible threonine for growing (approximately 35-65 kg body weight) and finishing (approximately 65-110 kg body weight) pigs. For this purpose, according to a bifactorial arrangement in the grower as well as in the finisher phase four dietary threonine levels were combined with two dietary levels of lysine. Measurement criteria were body weight gain, feed intake, feed conversion rate and carcass characteristics. In the grower stage at the lower lysine level daily gain increased numerically (p < 0.1) and the feed to gain ratio decreased significantly with an increasing dietary true ileal digestible threonine concentration. Increasing the true ileal digestible lysine concentration of the diet from 7.8 to 9.2 g/kg increased average daily gain in the grower stage significantly from 815 to 855 g and decreased the feed to gain ratio significantly. In finishing pigs, daily gain and feed to gain ratio were significantly improved by an increasing dietary true ileal digestible threonine concentration from 821 to 902 g and from 3.14 to 2.94 kg/kg, respectively, but not by the differing lysine supply. As in the grower stage, barrows consumed more feed than gilts at similar growth rates and this resulted in a significantly reduced feed to gain ratio in gilts compared with barrows. The requirements of true ileal digestible threonine for optimize both, daily gain and feed to gain ratio, as derived by the broken-line model were 10.3 g/animal and day for growing and 10.7 g/animal and day for finishing pigs respectively.

Analysis of Variance↗

Digestibility rates of major and trace elements in pancreatic duct-ligated pigs.

Ligation of pancreatic duct in pigs leads to a severe maldigestion of calcium and magnesium. Substitution of missing enzymes results in a 'normalization' of the digestibility rates of these elements. In comparison to controls the pre-caecal phosphorus digestibility decreased, but the total digestibility rates increased, after ligation of the pancreatic duct. Furthermore, the total amount of absorbed phosphorus was significantly higher in pancreatic duct ligated pigs. Further studies have to be carried out to investigate, whether phosphorus in exocrine pancreatic insufficiency is excreted with urine, as in this study the observed Ca:P-ratio in blood was in a physiological range. Without a forced renal excretion of phosphorus, consequences and risks (e.g. secondary hyperparathyroidism) of the regulation have to be considered. Regarding the elements sodium, potassium and chloride, an increased faecal excretion could be observed in pancreatic duct ligated pigs. As a substitution with enzyme products led to digestibility rates similar to those in controls, no losses of electrolytes have to be feared. Even though pancreatic juice seems to have influences on the digestibility of investigated trace elements (copper, zinc, iron and manganese), it did not lead to severe imbalances in the corresponding mineral metabolism.

Animals↗

Dietary structured lipids for post-weaning piglets: fat digestibility, nitrogen retention and fatty acid profiles of tissues.

In four groups of post-weaning piglets the effects of triacylglycerol structure and fatty acid profiles of four dietary fats on apparent faecal nutrient digestibility, nitrogen retention and fatty acid profiles of platelet and erythrocyte membranes, liver, adipose tissue and skeletal muscle were examined. Dietary fats included as 10% (w/w) of the diets were two structured fats of rapeseed oil interesterified with tridecanoin (R1) or coconut oil (R2), respectively, one mixture of rapeseed oil and coconut oil (R3) and rapeseed oil as control (R4). Faeces and urine from piglets weaned at 28 days of age were collected quantitatively during three periods each of 5 days, in which the piglets were kept in metabolism cages for measurement of apparent faecal nutrient and energy digestibility and nitrogen retention. Apparent faecal fat digestibilities were significantly improved in groups fed interesterified fats or the physical mixtures (R1, R2 and R3) compared with rapeseed oil (R4). Apparent faecal nitrogen digestibility and retention were similar in all four groups in the three periods, but increased with time. Apparent faecal fat digestibilities were significantly improved from the first to the third week in the groups R1 and R2. Fatty acid profiles in platelet and erythrocyte membranes and in tissues reflected the fatty acid profile of the dietary fat, except for medium-chain fatty acids, which were only found in low proportions, indicating that 10:0 was mainly used as an energy source.

Animal Feed↗

Digestion studies in captive Hippopotamidae: a group of large ungulates with an unusually low metabolic rate.

We performed intake and digestibility studies in four common (Hippopotamus amphibius) and four pygmy (Hexaprotodon liberiensis) hippos from two zoological institutions, using acid detergent lignin as an internal marker for the quantification of faecal output. In the case of one pygmy hippo, where total faecal collection was also possible, there was no distinct difference between the two methods of faecal output quantification. Two animals from each species were tested on a conventional zoo diet of hay and concentrates (diet HC) and on hay only (diet H). The other two animals received fresh grass at two different levels of intake (diets G1 and G2). Dry matter (DM) intake was higher on HC than on H or G diets, and averaged 37 +/- 11 for common and 35 +/- 14 g/kg(0.75) for pygmy hippos. There were no species differences in the average digestibility (aD) coefficients. Non-dietary faecal nitrogen averaged 65 +/- 4% of total faecal nitrogen, aD of crude protein (CP) averaged 67 +/- 9% and true protein digestibility 89 +/- 3%. Average digestibility of DM and crude fibre averaged 54 +/- 11% and 45 +/- 17%, respectively. In comparison with ruminants, hippos generally achieve lower aD for DM, organic matter and fibre parameters, but equal or higher aD CP coefficients. This is most likely due to the absence of significant fermentative activity in the hindgut and the corresponding low metabolic faecal nitrogen losses. Digestible energy intake was higher on HC than on H or G diets and averaged 0.30 +/- 0.11 MJ/kg(0.75) metabolic body mass. This value is extremely low for ungulates, supporting earlier suspicions that hippos have particularly low metabolic rates, and explains the proneness of this species to obesity in captivity when fed energy-dense pelleted feeds.

Animal Feed↗

Digestive disease resources on the Internet.

The aim of this study is to help digestive disease professionals fully utilize the resources available on the Internet for patient care, education, and research. The following search resources were employed to locate websites: general search engines--Lycos, Metacrawler, Webcrawler, and Yahoo!; medical search engines--HealthWeb, MedMatrix, MedWeb, and MedWebPlus; website links; and publications. The inclusion of web sites was based on their content. Each site was evaluated with respect to its authorship, attribution, currency, and disclosure. All digestive disease professional organizations and academic centers that met the above criteria were included. Only nutrition sites with relevance to digestive diseases were included. A variety of very useful web sites related to digestive diseases exist on the Internet, and their numbers are growing. Many of these sites have valuable information that can be used to improve patient care, promote medical education, and facilitate research. Digestive disease professionals should adopt the Internet and address the many issues raised by this technology.

Digestive System Diseases↗

Cholesterol crystal embolization to the digestive system: characterization of a common, yet overlooked presentation of atheroembolism.

In the 1359 published patients with multiorgan cholesterol crystal embolism (CCE), the digestive system seems to be the third most frequently affected system. Yet, this system received hitherto only little attention in the medical literature. Therefore, the aim of the present study was to clinically characterize the subset of patients with CCE involving the digestive system, based on our institutional experience and a review of the literature. Cases with CCE in a 7-yr period (1995-2001) were sought in the computerized records of our medical center. Of the CCE patients, those with digestive system involvement that could be related to CCE were included in this study. The clinical features of CCE were determined and compared with those found in published series. Fourteen cases with CCE were identified, giving an annual incidence of 0.8 per 10(5). Digestive system involvement was found in five (36%) of the 14 patients. All five patients had established atherosclerosis. Precipitating factors were vascular manipulations or anticoagulation treatment in four of these five patients. Two patterns of disease appeared: acute catastrophic multiorgan disorder with poor prognosis and chronic and more indolent GI disease. Abdominal pain, GI bleeding, fever, and diarrhea were the most common manifestations, resulting from bowel infarction, mucosal ulcerations, hepatocellular liver disorder, and/or pancreatitis. CCE is a systemic disorder with a frequent involvement of the digestive system and protean clinical manifestations. It should, therefore, be considered in any gastroenterological patient with atherosclerosis and recent vascular manipulations or systemic anticoagulation.

Aged↗

Digestion stability as a criterion for protein allergenicity assessment.

Assessing the allergenic potential of transgenic proteins introduced into genetically engineered food remains a critical part of the overall safety assessment of these foods. Stability to digestion has been proposed as one of the steps in the decision tree approach to assess the allergenic potential of transgenic proteins. The validity of digestion stability as a criterion for protein allergenicity assessment, however, has encountered some criticism in recent years. This chapter gives an overview of the rationale behind the use of digestion stability as a criterion for protein allergenicity assessment and reviews the available data that may or may not support its use. The application of in vitro digestion assays for the assessment of allergenic potential of novel proteins and the factors that affect the assay results are also discussed. There is a need to establish standardized assay conditions so that direct comparison of results from different laboratories can be made. Consensus also needs to be reached on relating the measured digestibility to the allergenic potential of proteins.

Allergens↗

A comparison between chromium-mordanted hay and acid-insoluble ash to determine apparent digestibility of a chaffed, molassed hay/straw mixture.

The apparent digestibility of a molassed, chaffed grass hay/straw mixture was determined using four mature horses (mean weight 606 kg). Animals were stalled individually and kept on rubber mats. A preliminary feeding period of 18 days was followed by a 10 day collection period. Chromium-mordanted hay was given before the first feed at 08.00 h and subsequent meals were at 12.00, 16.00 and 20.00 h. On Days 3 and 10 of the collection, all faeces were sampled over a 24 h period. In addition, throughout the 10 day collection, faecal material was sampled at 10.00 and 16.00 h. The mean (+/- se) chromium recovery was 96.5 per cent +/- 0.76 and the hay/straw mixture contained 7 MJDE/kg dry matter and 15.1 g DCP/kg dry matter. There was no significant difference between the methods used to estimate apparent digestibility although chromium measurements consistently underestimated whilst acid-insoluble ash consistently overestimated digestibility values. There was a large variation in faecal chromium concentration for each horse over a 24 h period compared to acid-insoluble ash concentrations and, consequently, indirect estimates of apparent digestibility of nutrients in the equine are prone to large errors if chromium is used as a marker. If total faecal collection is impractical, acid-insoluble ash is the preferred indirect marker for the estimation of apparent digestibility coefficients for nutrients in horses.

Animal Feed↗

Intake, digestion and gastrointestinal transit time in resting donkeys and ponies and exercised donkeys given ad libitum hay and straw diets.

Four donkeys and four ponies maintained in climate rooms, were provided with meadow hay or barley straw supplemented with minerals and vitamins ad libitum. Both diets were given to all animals for periods of 21 days. Measurements were made during the last seven days following single doses of two non-absorbable markers (Cr-fibre and Co-EDTA). After six weeks the donkeys repeated the trial, walking 14 km and ascending 260 m five days per week. At rest ponies ate more than donkeys, however the donkeys showed a higher digestibility of dry matter (DM), organic matter (OM) and acid detergent fibre (ADF) than the ponies. Both species lost weight, ate less and had a lower digestibility of DM, OM and energy on the straw than on the hay ration. Fibre digestibility (neutral detergent fibre [NDF] and ADF) was higher on the straw than the hay diet. Gastrointestinal transit time was slower in the donkeys than in the ponies on both diets. Both species showed a higher mean retention time of digesta on straw than on hay. Exercise had no significant effect on food intake and liveweight changes in the donkeys. Although digestibility coefficients were higher in exercised animals, the effect was not significant. We conclude that, although it is generally considered that donkeys can thrive better on poor feeds than ponies, when the animals are allowed ad libitum access to hay and straw better intakes by ponies may compensate for any differences in digestibility seen in donkeys. Intake of barley straw by both species was not sufficient to meet maintenance requirements.

Animal Feed↗

The rate of protein digestion affects protein gain differently during aging in humans.

In young men ingesting protein meals, slowly digested proteins (caseins: CAS) induce a higher protein gain than those that are rapidly digested (whey proteins: WP). Our aim was to assess whether or not this is true in elderly men receiving mixed meals. The effects of meals containing either CAS or two different amounts of WP (WP-iN: isonitrogenous with CAS, or WP-iL: providing the same amount of leucine as CAS) on protein metabolism (assessed by combining oral and intravenous leucine tracers) were compared in nine healthy, elderly (mean +/- S.E.M. age 72 +/- 1 years) and six young men (24 +/- 1 years). In both age groups, WP-iL and WP-iN were digested faster than CAS (P < 0.001, ANOVA). Proteolysis was inhibited similarly whatever the meal and age groups (P = NS). Protein synthesis was higher with WP-iN than with CAS or WP-iL (P < 0.01), irrespective of age (P = NS). An age-related effect (P < 0.05) was found with postprandial leucine balance. Leucine balance was higher with CAS than with WP-iL (P < 0.01) in young men, but not in elderly subjects (P = NS). In isonitrogenous conditions, leucine balance was higher with WP-iN than with CAS (P < 0.001) in both age groups, but the magnitude of the differences was higher in the elderly men (P = 0.05). In conclusion, during aging, protein gain was greater with WP (rapidly digested protein), and lower with CAS (slowly digested protein). This suggests that a 'fast' protein might be more beneficial than a 'slow' one to limit protein losses during aging.

Adult↗