Dietary intake from complementary feeding is associated with intestinal barrier function and environmental enteropathy in Brazilian children from the MAL-ED cohort study

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dc.contributor.authorMaciel, Bruna Leal Lima
dc.contributor.authorCosta, Priscila Nunes
dc.contributor.authorSoares, Alberto Melo
dc.contributor.authorSilva Filho, José Quirino da
dc.contributor.authorSousa Júnior, Francisco
dc.contributor.authorAmbikapathi, Ramya
dc.contributor.authorMcQuade, Elizabeth T. Rogawski
dc.contributor.authorGuerrant, Richard L.
dc.contributor.authorCaulfield, Laura E.
dc.contributor.authorLima, Aldo Ângelo Moreira
dc.date.accessioned2024-02-01T14:49:31Z
dc.date.available2024-02-01T14:49:31Z
dc.date.issued2020-05
dc.description.resumoA child’s diet contains nutrients and other substances that influence intestinal health. The present study aimed to evaluate the relations between complementary feeding, intestinal barrier function and environmental enteropathy (EE) in infants. Data from 233 children were obtained from the Brazilian site of the Etiology, Risk Factors, and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development Project cohort study. Habitual dietary intake from complementary feeding was estimated using seven 24-h dietary recalls, from 9 to 15 months of age. Intestinal barrier function was assessed using the lactulose–mannitol test (L–M), and EE was determined as a composite measure using faecal biomarkers concentrations – α-1-antitrypsin, myeloperoxidase (MPO) and neopterin (NEO) at 15 months of age. The nutrient adequacies explored the associations between dietary intake and the intestinal biomarkers. Children showed adequate nutrient intakes (with the exception of fibre), impaired intestinal barrier function and intestinal inflammation. There was a negative correlation between energy adequacy and L–M (ρ = −0·19, P < 0·05) and between folate adequacy and NEO concentrations (ρ = −0·21, P < 0·01). In addition, there was a positive correlation between thiamine adequacy and MPO concentration (ρ = 0·22, P < 0·01) and between Ca adequacy and NEO concentration (ρ = 0·23; P < 0·01). Multiple linear regression models showed that energy intakes were inversely associated with intestinal barrier function (β = −0·19, P = 0·02), and fibre intake was inversely associated with the EE scores (β = −0·20, P = 0·04). Findings suggest that dietary intake from complementary feeding is associated with decreased intestinal barrier function and EE in childrenpt_BR
dc.identifier.citationCOSTA, Priscila Nunes; SOARES, Alberto Melo; SILVA FILHO, José Quirino da; S. JÚNIOR, Francisco; AMBIKAPATHI, Ramya; MCQUADE, Elizabeth T. Rogawski; GUERRANT, Richard L.; CAULFIELD, Laura E.; LIMA, Aldo Ângelo Moreira; MACIEL, Bruna Leal Lima. Dietary intake from complementary feeding is associated with intestinal barrier function and environmental enteropathy in Brazilian children from the MAL-ED cohort study. British Journal of Nutrition, [S.l.], v. 123, n. 9, p. 1003-1012, 14 mai. 2020. DOI: 10.1017/S0007114520000215. Disponível em: https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/dietary-intake-from-complementary-feeding-is-associated-with-intestinal-barrier-function-and-environmental-enteropathy-in-brazilian-children-from-the-maled-cohort-study/AEA7FB4B6EF6F7A7838E97FA356FBCDA. Acesso em: 26 jan. 2024.pt_BR
dc.identifier.doihttp://dx.doi.org/10.1017/S0007114520000215
dc.identifier.urihttps://repositorio.ufrn.br/handle/123456789/57467
dc.languageenpt_BR
dc.publisherBritish Journal of Nutritionpt_BR
dc.rightsAttribution 3.0 Brazil*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/br/*
dc.subjectInfantspt_BR
dc.subjectNutrient intakept_BR
dc.subjectIntestinal permeabilitypt_BR
dc.subjectBiomarkerspt_BR
dc.subjectIntestinal infectionspt_BR
dc.titleDietary intake from complementary feeding is associated with intestinal barrier function and environmental enteropathy in Brazilian children from the MAL-ED cohort studypt_BR
dc.typearticlept_BR

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