L. Davidsson et al., DIETARY FIBER IN WEANING CEREALS - A STUDY OF THE EFFECT ON STOOL CHARACTERISTICS AND ABSORPTION OF ENERGY, NITROGEN, AND MINERALS IN HEALTHY INFANTS, Journal of pediatric gastroenterology and nutrition, 22(2), 1996, pp. 167-179
We evaluated the effect of increased dietary fiber (DF) content in wea
ning cereals based on wheat/soy (8.0 and 1.8% DF) and wheat/milk (5.3
and 2.0% DF) in healthy, formula-fed infants 7-17 weeks old. The study
had a cross-over design, each infant acting as his or her own control
. Stool characteristics and anthropometry were monitored over 4-week p
eriods in groups of 34 (wheat/soy) and 23 (wheat/milk) infants. Absorp
tion of zinc (Zn) and calcium (Ca) was studied by measuring the feed e
xcretion of stable isotopes during 72 h (Zn-70 and Ca-42) in a subgrou
p of the infants consuming wheat/soy cereals. Iron (Fe) bioavailabilit
y was evaluated by analysis of the incorporation of Fe-58 into erythro
cytes 14 days after administration. Fractional absorption (X +/- SD: 8
.0 versus 1.8% DF) was 45.3 +/- 27.5 versus 41.2 +/- 19.4% of Zn-70 an
d 63.4 +/- 15.8 versus 64.4 +/- 10.6% of Ca-42. Bioavailability of Fe-
58 varied between 1.0% and 5.4% (8.0% DF) and from < 0.9% to 9.1% (1.8
% DF). No significant difference in energy (95.3 +/- 2.0% versus 95.7
+/- 1.2%) or nitrogen (92.6 +/- 2.3% versus 93.0 +/- 1.6%) apparent ab
sorption from the total diet was found during consumption of cereal wi
th 8.0 and 1.8% DF. The intake of cereal decreased with higher DF cont
ent in the wheat/soy product: 34 +/- 23 g/d (8.0% DF) versus 42 +/- 23
g/d (1.8% DF), p < 0.01. While consuming the 8.0% DF product, 11 infa
nts were reported to have ''gritty stools''; no other differences were
observed between different groups in stool characteristics or anthrop
ometry. These results demonstrate no negative effect on the absorption
of energy and nutrients with higher dietery fiber intake in primarily
formula-fed infants. The impact of increased dietary fiber revels rem
ains unknown in less well-nourished infants.