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The present study proposes to examine the effect of dietary levels of metabolizable energy, under a fixed nutrient:calorie ratio, on the production performance; body fat and protein deposition; and carcass characteristics of free-range broilers from 1 to 84 days of age. Nine hundred unsexed chicks were allocated to six treatments in a completely randomized design with six replicates of 25 birds each. Treatments consisted of diets with varying levels of metabolizable energy (2700, 2800, 2900, 3000, 3100 and 3200 Kcal ME/kg of diet) and a fixed proportion of nutrients relative to the energy level according to the nutritional requirements for each rearing phase. Body weight, weight gain, feed intake, feed conversion, production viability, metabolizable energy intake, protein intake, lysine intake, body fat deposition, body protein deposition and carcass characteristics were evaluated. Data were subjected to analysis of variance and, later, to regression analysis. Increasing levels of metabolizable energy, coupled with a fixed nutrient:calorie ratio, reduced feed intake, increased body weight and weight gain, improved feed conversion and did not affect carcass characteristics. In conclusion, adjusting the nutrient supply according to the dietary energy level improves production performance by improving feed conversion, ensuring adequate nutrient intake and preserving fat and protein deposition in the carcass when the metabolizable energy level is raised up to 3200 Kcal/kg in all rearing stages. O objetivo do presente estudo foi avaliar os níveis de energia metabolizável, sob uma relação nutriente:caloria fixa, no desempenho produtivo; deposição de gordura e proteína corporal e características de carcaça de frangos de corte tipo caipiras. Foram utilizados novecentos pintainhos não sexados, distribuidos em seis tratamentos em delineamento inteiramente casualizado com seis repetições de 25 aves cada. Os tratamentos consistiram em dietas com diferentes níveis de energia metabolizável (2700, 2800, 2900, 3000, 3100 e 3200 Kcal EM / kg de dieta) e uma proporção fixa de nutrientes em relação ao nível de energia de acordo com as necessidades nutricionais de cada fase de criação. Foram avaliados o peso corporal, ganho de peso, consumo de ração, conversão alimentar, viabilidade criatória, consumo de energia metabolizável, consumo de proteína, consumo de lisina, deposição de gordura corporal, deposição de proteína corporal e características de carcaça. Os dados foram submetidos à análise de variância e posteriormente à análise de regressão. O aumento dos níveis de energia metabolizável juntamente com a manutenção da relação nutriente:caloria reduziu o consumo de ração, aumentou o peso corporal e o ganho de peso, melhorou a conversão alimentar e não afetou as características da carcaça. Em conclusão, o ajuste da oferta de nutrientes de acordo com o nível de energia da dieta melhora o desempenho da produção, melhorando a conversão alimentar, garantindo a ingestão adequada de nutrientes e preservando a deposição de gordura e proteína na carcaça quando o nível de energia metabolizável é elevado até 3200 Kcal/kg em todas as fases de criação.

Inadequate nutrition leads to poor neurodevelopmental outcomes in very low-birth weight infants (VLBWIs). This study aimed to investigate the beneficial effects of early amino acid intake on the neurodevelopmental outcomes in VLBWIs at 20 months of correct age and school age. The information of VLBWIs that received amino acid intake were retrospectively analyzed in this study. The cases in early group (EAA) received amino acid within 24 h, but the cases in standard group (SAA) after 48 h post-natal. The body weight, height, and Bayley score of the infants at correct age of 20 months were compared between groups. And the cognitive outcomes at school age were evaluated using Wechsler Intelligence Scale and Das-Naglieri cognitive assessment system. There were no differences at baseline characteristics of the VLBWIs between EAA and SAA groups. Compared with the SAA group, the infants in EAA group had shorter time to regain birth weight (P

Background: Only few data on dietary management of adult phenylketonuria (PKU) patients are published. Objectives: This study aimed to assess living situation, dietary practices, and health conditions of early-treated adult PKU patients. Methods: A total of 183 early-treated PKU patients ≥18 years from 8 German metabolic centers received access to an online survey, containing 91 questions on sociodemographic data, dietary habits, and health conditions. Results: 144/183 patients (66% females) completed the questionnaire. Compared with German population, the proportion of single-person households was higher (22 vs. 47%), the rate of childbirth was lower (1.34 vs. 0.4%), but educational and professional status did not differ. 82% of the patients adhered to a low-protein diet, 45% consumed modified low-protein food almost daily, and 84% took amino acid mixtures regularly. 48% of the patients never interrupted diet, and 14% stopped diet permanently. 69% of the patients reported to feel better with diet, and 91% considered their quality of life at least as good. The prevalence of depressive symptoms was high (29%) and correlated significantly to phenylalanine blood concentrations (p = 0.046). However, depressive symptoms were only mild in the majority of patients. Conclusion: This group of early-treated adult German PKU patients is socially well integrated, reveals a surprisingly high adherence to diet and amino acid intake, and considers the restrictions of diet to their daily life as low.

Simple Summary Precision feeding considers the difference in amino acid requirements among pigs and over time by providing daily tailored diets. This practice allows improving environmental and economic performances. Future systems should focus on maximizing nutrient use efficiency to move towards “green” pig production. This study explored a new method of providing amino acids to maximize their use, mainly focusing on understanding variations in the protein metabolism response among individuals to minimize variation in growth response. This study showed that even pigs fed the same amino acid level might use these nutrients differently, especially in protein deposition. Logically, pigs with the greatest protein deposition are the ones that use amino acids the most efficiently, thus exhibiting the lowest nitrogen excretion. This study helped identify some of the factors affecting the efficiency of nitrogen use in pigs. By improving the understanding of pigs’ nutrient response, pig production can become more resource-efficient. Abstract This study aimed to measure protein deposition (PD) in pigs fed with daily tailored diets where either dietary lysine (Lys) or threonine (Thr) were provided at independent levels (ignoring an ideal ratio). A total of 95 growing pigs (35 kg body weight (BW)) with electronic ear tags granting them access to automatic feeders were randomly assigned to treatments. The setup was an unbalanced 2 × 5 factorial arrangement with Lys and Thr provided at five levels (i.e., 60%, 80%, 100%, 120%, and 140% of the estimated individual requirements of Lys and Thr), resulting in 25 treatments for 21 days. The observed PD variation to Lys and Thr provisions was large, with Lys and Thr intake explaining only 11% of the variation. Cluster analysis discriminated pigs with low (167 g/d, n = 16), medium (191 g/d, n = 38), and high (213 g/d, n = 37) PD, but with a similar amino acid intake. Differences in PD were associated with differences in nutrient efficiency of utilization. Providing Lys and Thr in a factorial mode, ignoring an ideal ratio, did not decrease the variability in PD. Future research efforts should focus on identifying and investigating the sources of interindividual variability—a necessary step before final recommendations can be made for AA in precision-fed pigs.

Simple Summary Achieving a close balance between amino acids provided by feeds and the estimated requirements of broilers is crucial to increase the economic and environmental efficiency in intensive poultry rearing. The utilization of factorial models to predict amino acid requirements requires previous knowledge of the efficiency with which such amino acids are utilized for growth. This study aimed to investigate broiler responses to lysine (Lys) and arginine (Arg) and, based on such responses, to estimate the efficiency with which birds utilize both amino acids for growth. Once estimated, the efficiency values were used to develop two factorial models to predict broiler intakes of Lys and Arg. Overall, the utilization efficiencies were calculated as 0.79 and 0.62 for digestible lysine and arginine intake, respectively. Based on such efficiencies, the male and female broiler requirements for digestible lysine and arginine to deposit 1 g of body protein were 94.9 and 92.9 mg, respectively. Abstract Six assays were conducted to investigate male and female broiler responses to standardized ileal digestible (SID) lysine (Lys) and arginine (Arg). Response data were modeled to estimate the efficiency of utilization (k) of both amino acids and adjust factorial models to predict bird intake for SID Lys and SID Arg. In each assay, 1280 Cobb 500® broilers (640 male and 640 female) were randomly assigned to one of sixteen dietary treatments with four replicates of 20 birds. Dietary treatments consisted of crescent levels of SID Lys or SID Arg based on the dilution technique. The values of k determined for each phase (1- to 14-, 15- to 28-, and 29- to 42-d-old) and sex were contrasted using linear regression with groups (sex and phase). The estimated efficiencies were 0.79 for Lys and 0.62 for Arg, which were unaffected by phase or sex. Factorial models based on body weight and weight gain (M1) and on body and feather protein weight and deposition (M2) were applied to estimate the SID Lys and Arg intake for growth. The amino acid intake based on M2 had a lower error of prediction. Broiler chickens require 94.9 and 92.9 mg/d of SID Lys and SID Arg to deposit 1 g of body protein.

Background and aims: This study aimed to expand the European Prospective Investigation into Cancer and Nutrition (EPIC) nutrient database (ENDB) by adding amino acid (AA) values, using the U.S. nutrient database (USNDB). Additionally, we aimed to evaluate these new protein and AA intake estimates from the EPIC dietary questionnaires (DQ) and 2 4h dietary recalls (24-HDR) using different matching procedures. Methods and results: Dietary energy, protein and AA intakes were assessed via DQ and 24-HDR by matching with the USNDB food composition table. Energy and protein intakes calculated using USNDB matching were compared with those calculated using ENDB, that uses country specific food composition tables. Pearson correlations, Cohen's weighted kappa statistic and Bland-Altman plots were used to compare data resulting from USNDB matching with our reference from ENDB matching. Very high correlations were found when comparing daily energy (r = 0.99) and dietary protein intakes (r = 0.97) assessed via USNDB with those obtained via ENDB (matching for DQ and 24-HDR). Significant positive correlations were also found with energy and protein intakes acquired via 24-HDRs in the EPIC calibration sample. Conclusion: Very high correlations between total energy and protein intake obtained via the USDA matching and those available in ENDB suggest accuracy in the food matching. Individual AA have been included in the extended EPIC Nutrient database that will allow important analyses on AA disease prospective associations in the EPIC study. 2021 The Author(s). Published by Elsevier B.V. on behalf of The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

There is limited information regarding the use of parenteral nutrition (PN) in term and late preterm infants. We conducted a survey to study the current clinical practices within Australia and New Zealand (ANZ). A fifteen-question online survey was distributed to 232 neonatologists and fifty-five paediatric intensivists across ANZ between September and November 2019. At least one neonatologist from twenty-seven out of thirty tertiary neonatal intensive care units responded (90 %). Responses were received from sixty-nine neonatologists (30 %) and seven paediatric intensivists (13 %). The overall response rate was 26 % (76/287). Thirty-three percent (25/76) commenced PN within 24 h of admission, 27 % (20/75) between 24 and 48 h, 24 % (18/75) between 48 and 72 h, 9 % (7/75) between 72 and 96 h and 4 % (3/75) between 96 h and 7 days. None of the respondents commenced PN after 7 d of admission. Sixty-one percent (46/75) aimed for 1·5–3 g/kg per d of parenteral amino acids, whereas 27 % (20/75) aimed for 2–3 g/kg per d. Renal failure (59 %; 38/64) and high plasma urea (44 %; 28/64) were the major indications for withholding/decreasing the amino acid intake. Eighty-three percent (63/76) aimed for a dose of 2·5g–3·5 g/kg per d of parenteral lipids; about 9 % (7/76) targeted a dose of 1–2·5 g/kg per d and 4 % (3/76) for > 3·5 g/kg per d. Thirty-two percent (24/74) reported that they would withhold/decrease the dose of parenteral lipids in infants with sepsis. The variations in clinicians’ practices with respect to the use of PN in term and late preterm infants highlight the need for high-quality research in this population.

The amino acid composition table (AACT) plays a pivotal role in examining the association between dietary amino acid intake and physical conditions. The updated version, AACT 2015, has been markedly expanded; however, most additions are not based on analytical values. The Food and Agriculture Organization (FAO) of the United Nations and the World Health Organization (WHO) recommend that protein contents be calculated as the sum of amino acid residues (PROTCAA). However, due to the lack of a validated AACT, protein content calculated as reference nitrogen multiplied by a nitrogen to protein conversion factor (PROTRN) is still commonly used. In this study, validity of the estimated dietary amino acid values via the AACT 2015 was examined by comparing differences between the estimated and analytical values, for 14 consecutive days' meals provided in an elder care facility. There were no major differences between the analytical and estimated values over the 14 d; however, noticeable daily differences sometimes emerged. These results indicate that the AACT 2015 may contain accidental errors, but allows the estimation of habitual amino acid intake. In the near future, PROTCAA will become the international standard. It will be necessary to convert PROTRN values to PROTCAA to refer to past reports and data; we have determined a correction factor (0.896) for this conversion.

The objective of this study is to elucidate the effect of a supplement enriched with l-leucine, l-arginine, and l-glutamine on body compositions/skin conditions. Healthy young women (n = 29) were allocated to a group (n = 14) receiving an amino-acid supplement (600 mg l-leucine, 250 mg l-arginine, and 300 mg l-glutamine) and a placebo group (n = 15) receiving a supplement not-containing the amino acids. The amino-acid supplement and placebo were given twice/day for 6 weeks. After a wash-out (2 months) from the 1st test, the amino-acid group received the placebo and the placebo group the amino-acid supplement. The body compositions/skin conditions were measured 4 times (day 1 and weeks 2, 4, and 6) in each test. Percentage-change of muscle mass in the amino-acid group increased up to 4 weeks (p = 0.05) and was higher than that in the placebo group (p = 0.09). Skin texture estimated by the image processing of neck skin replica tended to increase in the amino-acid group at 6 weeks compared with that at 0 week, though there was no significant intergroup difference. In conclusion, the young adult women having no fitness habit showed the significant increase of the muscle amount and improvement tendency of the skin texture by the continuous intake of the amino-acid supplement.

Most sows are fed a constant energy and amino acid supply throughout gestation, in line with the recommendations of most authorities and swine genetic companies. These recommendations for sow feeding have seen little change in decades, despite the many ways that sows have changed dramatically in reproductive performance. Beginning in about the year 2000, sow litter size has steadily increased as a result of genetic selection. With this increase in litter number has been a steady decline in birth weight, and the resulting negative effects of lower birthweight on subsequent piglet performance. Many experiments using so-called ‘bump’ feeding, or increased energy intake in late gestation, have been conducted in attempts to arrest this decline in birthweight and piglet performance. Generally, these experiments have shown little to no improvement in birthweight and often have negative effects on sow feed intake during gestation. These experiments have ignored the fact that the energy:amino acid ratios (lysine, threonine, isoleucine, tryptophan) in late gestation are different than during early and mid-gestation. In recent research in Australia we hypothesised that rapidly increasing essential amino acid levels in late gestation would increase birth weight and potentially improve subsequent reproductive performance. Three hundred and thirty-four multiparous PIC sows (average parity 3.6, average LW 261 kg) were housed in a dynamic gestation pen after mating and randomly assigned to one of two diet regimes. Two 13.5 MJ/kg DE gestation diets were formulated and created by blending in an ESF. The Control diet contained 0.48 g SID lysine per MJ DE and SID threonine, methionine+ cysteine, isoleucine and tryptophan at 68%, 65%, 58% and18% of SID lysine and offered at 2.2kg/day from d 28 to d 110. Sow were then moved to the farrowing house and placed on a lactation diet at 3.5kg/d. The Treatment diet contained 0.55 g SID lysine/MJ DE and SID threonine, methionine+cysteine, isoleucine and tryptophan at 78%, 65%, 60% and 20% of SID lysine and offered at 2.1kg/d from d 28 to d 85 and then increased to 2.4 kg/d to d 110 d. Increasing essential amino acid levels in late gestation increased gestational weight gain (5.6 kg, P=0.004), increased total litter birth weight (1.25 kg, P=0.003), and increased the birthweight of liveborn pigs from 1.286 to 1.329 kg, (P=0.04). There was no significant effect on the total number born or born alive. Piglet performance is not available because this commercial farm practices cross-fostering. Effects of continuation of this feeding regime in the same sows during subsequent parities is currently being evaluated.

Protein requirements for athletes are affected by various factors, including distribution and quality (i. e., amino acid composition) of protein ingestion throughout the day. However, little is known about the protein requirements of elite female athletes engaging in team sports. This study aimed to determine the nitrogen balance and distribution of protein and amino acid intake in elite female handball athletes during training camp. In observational study design, 11 female Japanese national handball players (age 26.9 ± 4.9 years) participated in a 5-days experiment. Nitrogen balance was calculated from the daily protein intake assessed by dietary records and urinary nitrogen excretion. Amino acid intake amounts were organized based on six eating occasions. The average and population-safe protein intake for zero nitrogen balance were estimated as 1.57 and 1.93 g/kg/day, respectively. The protein intake at breakfast, lunch, and dinner and the leucine intake in the three main meals and the morning snack were higher than is recommended by current guidelines for maximizing muscle protein synthesis. The population-safe protein intake in elite female handball athletes was within the range of the current recommendations for athletes (1.2–2.0 g/kg/day). Our results show that it may be possible to improve the distribution and quality of protein ingestion after exercise and before sleep.

It has been hypothesized that insufficiency of one-carbon metabolism may aggravate lipid metabolism disturbances. Lipid metabolism abnormalities and metabolic syndrome (MetS)—which is associated with abnormally high levels of triglycerides (TG) and low levels of high-density lipoproteins (HDL)—often occur in postmenopausal women. The purpose of this study was thus to determine the relationships between amino acid and B vitamin intake, MTHFR genotype, lipid profile, and atherogenic indices in postmenopausal women.131 postmenopausal women were enrolled for the study. The mean macronutrient, amino acid, and B vitamin intake was evaluated using dietary records. Lipid profile and concentrations of apolipoprotein A1 (ApoA1) and B (ApoB) in serum were measured using the colorimetric method. The total homocysteine (tHcy) and glutathione (GSH) level in plasma were measured using high-performance liquid chromatography. MTHFR genotype (rs1801133) was determined using a single tube TaqMan SNP Genotyping Assay. We calculated atherogenic indices, such as Castelli's risk index I and II (CRI-I and CRI-II), the atherogenic coefficient (AC), and the TG/HDL ratio.No association was found between MetS and tHcy or GSH concentrations. MTHFR genotype and folate intake also did not affect tHcy, GSH, lipid profile, or atherogenic indices. Subjects with tHcy levels over the median had lower total protein intake, lower animal protein/plant protein ratio, lower protein/carbohydrates ratio, and higher amino acid intake (methionine, lysine, arginine, glycine, and tryptophan) than did subjects with lower tHcy levels. Women who failed to meet their vitamin B12 intake needs had almost 40% higher levels of tHcy than women who did met those needs.MTHFR genotype, folate intake, and tHcy levels in plasma are not associated with lipid metabolism in postmenopausal women. tHcy levels may depend on the intake of vitamin B12, and of protein or particular amino acids.The project was financed by the National Science Centre, Poland (grant number 2015/17/N/NZ9/04133).

Background The Japanese database of food amino acid composition was revised in 2010 after a 24-year interval. To examine the impact of the 2010 revision compared with that of the 1986 revision, we evaluated the validity and reliability of amino acid intakes assessed using a food frequency questionnaire (FFQ). Methods A FFQ including 138 food items was compared with 7-day dietary records, completed during each distinct season, to assess validity and administered twice at approximately a 1-year interval, to assess reliability. We calculated amino acid intakes using a database that compensated for missing food items via the substitution method. Subjects were a subsample of two cohorts of the Japan Public Health Center-based prospective study. A total of 102 men and 113 women in Cohort I and 174 men and 176 women in Cohort II provided complete dietary records and the FFQ, of whom 101 men and 108 women of Cohort I and 143 men and 146 women of Cohort II completed the FFQ twice. Results In the comparison of the FFQ with dietary records, the medians (ranges) of energy-adjusted correlation coefficients for validity were 0.35 (0.25–0.43) among men and 0.29 (0.19–0.40) among women in Cohort I, and 0.37 (0.21–0.52) and 0.38 (0.24–0.59), respectively, in Cohort II. Values for reliability were 0.47 (0.42–0.52) among men and 0.43 (0.38–0.50) among women in Cohort I, and 0.59 (0.52–0.70) and 0.54 (0.45–0.61), respectively, in Cohort II. Conclusions The FFQ used in our prospective cohort study is a suitable tool for estimating amino acid intakes., Highlights • The Japanese database for food amino acid compositions was revised in 2010. • We evaluated the validity and reliability of amino acid intakes assessed via a FFQ. • The estimation via a new database had better validity than via the former database. • The estimation using the new database indicated good reliability.

With the rapid growth in the aging population, there has been a subsequent increase in the rates of Alzheimer’s disease and related dementias (ADRD). To combat these increases in ADRD, scientists and clinicians have begun to place an increased emphasis on preventative methods to ameliorate disease rates, with a primary focus area on dietary intake. Protein/amino acid intake is a burgeoning area of research as it relates to the prevention of ADRD, and consumption is directly related to a number of disease-related risk factors as such low-muscle mass, sleep, stress, depression, and anxiety. As a result, the role that protein/amino acid intake plays in affecting modifiable risk factors for cognitive decline has provided a robust area for scientific exploration; however, this research is still speculative and specific mechanisms have to be proven. The purpose of this review is to describe the current understanding of protein and amino acids and the preventative roles they play with regard to ADRD, while providing future recommendations for this body of research. Additionally, we will discuss the current recommendations for protein intake and how much protein older adults should consume in order to properly manage their long-term risk for cognitive decline.

Made available in DSpace on 2019-10-06T17:07:33Z (GMT). No. of bitstreams: 0 Previous issue date: 2019-06-01 Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Studies on Japanese quails have been conducted using the dose response method over the years and, to date, there have been few studies on the response of quails to the amino acid intake, such as lysine. Thus, the objectives of this study were to: (1) determine an optimal adaptation period for Lys requirement studies with quails, (2) estimate the maintenance requirements for Lys, (3) determine the efficiency of Lys utilization, and (4) determine the requirements for egg output of quails. The studies were conducted in a complete random design, with 7 concentrations of Lysine (Lys) (2.6 to 13.0 g/kg) and 7 replicates with 7 quails per cage. The eighth concentration was included to confirm that Lys was actually the first limiting amino acid in the dietary protein. The experiment began at 14 weeks of age, quail with peak egg production, and finished after 10 weeks of data collection. The variables analyzed were feed intake (FI), Lys intake, body weight (BW), egg production (EP), egg weight (EW), weight gain, and egg output (EO, g/g). The results showed that 3 weeks of adaptation and 4 weeks of data collection period were enough for the quail to adapt and stabilize their responses to experimental diets. The responses of quails to Lys intake were evaluated using broken line analysis, and Lys requirements for maintenance and EO were estimated using monomolecular function The Lys requirements for maintenance and egg output were estimated to be 156 mg/BWkg 0.75 per day and 21 mg/g of egg, respectively. These results were used to develop the following approach factorial: Lys = 21EO + 156BW0.75. The current study provides procedures (determine an optimal adaptation period for amino acid studies with quails) and methods (utilization of dilution technique to determine Lys maintenance requirements and utilization efficiency) designed for quails as well as a simple and flexible model that can be quickly adopted by researchers. Future studies should improve the coefficients (mg of Lys required for EO and BW) proposed in this research, especially to maintenance requirements. Department of Animal Science Universidade Estadual Paulista (UNESP) Department of Animal Science Universidade Estadual Paulista (UNESP) FAPESP: 2008/50557-3

SUMMARY Studies have shown that direct-fed microbials (DFMs) based on spore-forming bacteria supplemented in poultry feed are able to improve broiler performance. In the present study, the interaction of feed supplemented with Bacillus subtilis and different metabolizable energy (ME) levels in feed on Cobb broiler performance were evaluated. Broilers were fed diets containing an average ME of 3,117 (100% ME), 3,054 (98% ME), 2,991 (96% ME), or 2,930 (94% ME) kcal/kg either with or without B. subtilis (8 × 105 cfu/g feed) in a 4 × 2 factorial design. Birds were fed equal amounts of starter and grower feed to approximate for equal amino acid intake and finisher feed ad libitum. Birds fed diets supplemented with B. subtilis were able to achieve higher final BWs and lower FCRs than their respective controls, irrespective of the level of the energy reduction. When birds were fed B. subtilis and diets containing 3,054 kcal/kg ME (98% ME), they were able to achieve equivalent performance to control birds fed non-Bacillus– supplemented rations containing 3,117 kcal/kg (100% ME). Regression analysis indicated B. subtilis had a ME contribution of +62 kcal/kg feed. This improved the performance of birds fed B. subtilis, and a 2% reduced ME (98% ME) diet resulted in a significantly lower feed cost per kilogram weight gain ($0.399/kg weight gain) compared to control birds fed a standard 100% ME diet ($0.417/kg weight gain) and a potential cost saving of $0.018/kg weight gain. In addition, overall mortality was 2.51% lower in B. subtilis–supplemented groups. Consequently, in addition to confirming the performance benefits associated with B. subtilis, it is suggested that supplementation of B. subtilis in feed confers economic savings as well.

BACKGROUND: Sick newborn and preterm infants frequently are not able to be fed enterally, necessitating parenteral fluid and nutrition. Potential benefits of higher parenteral amino acid (AA) intake for improved nitrogen balance, growth, and infant health may be outweighed by the infant's ability to utilise high intake of parenteral AA, especially in the days after birth. OBJECTIVES: The primary objective is to determine whether higher versus lower intake of parenteral AA is associated with improved growth and disability‐free survival in newborn infants receiving parenteral nutrition. Secondary objectives include determining whether: • higher versus lower starting or initial intake of amino acids is associated with improved growth and disability‐free survival without side effects; • higher versus lower intake of amino acids at maximal intake is associated with improved growth and disability‐free survival without side effects; and • increased amino acid intake should replace non‐protein energy intake (glucose and lipid), should be added to non‐protein energy intake, or should be provided simultaneously with non‐protein energy intake. We conducted subgroup analyses to look for any differences in the effects of higher versus lower intake of amino acids according to gestational age, birth weight, age at commencement, and condition of the infant, or concomitant increases in fluid intake. SEARCH METHODS: We used the standard search strategy of the Cochrane Neonatal Review Group to search the Cochrane Central Register of Controlled Trials (2 June 2017), MEDLINE (1966 to 2 June 2017), Embase (1980 to 2 June 2017), and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) (1982 to 2 June 2017). We also searched clinical trials databases, conference proceedings, and citations of articles. SELECTION CRITERIA: Randomised controlled trials of higher versus lower intake of AAs as parenteral nutrition in newborn infants. Comparisons of higher intake at commencement, at maximal intake, and at both commencement and maximal intake were performed. DATA COLLECTION AND ANALYSIS: Two review authors independently selected trials, assessed trial quality, and extracted data from included studies. We performed fixed‐effect analyses and expressed treatment effects as mean difference (MD), risk ratio (RR), and risk difference (RD) with 95% confidence intervals (CIs) and assessed the quality of evidence using the GRADE approach. MAIN RESULTS: Thirty‐two studies were eligible for inclusion. Six were short‐term biochemical tolerance studies, one was in infants at > 35 weeks' gestation, one in term surgical newborns, and three yielding no usable data. The 21 remaining studies reported clinical outcomes in very preterm or low birth weight infants for inclusion in meta‐analysis for this review. Higher AA intake had no effect on mortality before hospital discharge (typical RR 0.90, 95% CI 0.69 to 1.17; participants = 1407; studies = 14; I(2) = 0%; quality of evidence: low). Evidence was insufficient to show an effect on neurodevelopment and suggest no reported benefit (quality of evidence: very low). Higher AA intake was associated with a reduction in postnatal growth failure (< 10th centile) at discharge (typical RR 0.74, 95% CI 0.56 to 0.97; participants = 203; studies = 3; I(2) = 22%; typical RD ‐0.15, 95% CI ‐0.27 to ‐0.02; number needed to treat for an additional beneficial outcome (NNTB) 7, 95% CI 4 to 50; quality of evidence: very low). Subgroup analyses found reduced postnatal growth failure in infants that commenced on high amino acid intake (> 2 to ≤ 3 g/kg/day); that occurred with increased amino acid and non‐protein caloric intake; that commenced on intake at < 24 hours' age; and that occurred with early lipid infusion. Higher AA intake was associated with a reduction in days needed to regain birth weight (MD ‐1.14, 95% CI ‐1.73 to ‐0.56; participants = 950; studies = 13; I(2) = 77%). Data show varying effects on growth parameters and no consistent effects on anthropometric z‐scores at any time point, as well as increased growth in head circumference at discharge (MD 0.09 cm/week, 95% CI 0.06 to 0.13; participants = 315; studies = 4; I(2) = 90%; quality of evidence: very low). Higher AA intake was not associated with effects on days to full enteral feeds, late‐onset sepsis, necrotising enterocolitis, chronic lung disease, any or severe intraventricular haemorrhage, or periventricular leukomalacia. Data show a reduction in retinopathy of prematurity (typical RR 0.44, 95% CI 0.21 to 0.93; participants = 269; studies = 4; I(2) = 31%; quality of evidence: very low) but no difference in severe retinopathy of prematurity. Higher AA intake was associated with an increase in positive protein balance and nitrogen balance. Potential biochemical intolerances were reported, including risk of abnormal blood urea nitrogen (typical RR 2.77, 95% CI 2.13 to 3.61; participants = 688; studies = 7; I(2) = 6%; typical RD 0.26, 95% CI 0.20 to 0.32; number needed to treat for an additional harmful outcome (NNTH) 4; 95% CI 3 to 5; quality of evidence: high). Higher amino acid intake in parenteral nutrition was associated with a reduction in hyperglycaemia (> 8.3 mmol/L) (typical RR 0.69, 95% CI 0.49 to 0.96; participants = 505; studies = 5; I(2) = 68%), although the incidence of hyperglycaemia treated with insulin was not different. AUTHORS' CONCLUSIONS: Low‐quality evidence suggests that higher AA intake in parenteral nutrition does not affect mortality. Very low‐quality evidence suggests that higher AA intake reduces the incidence of postnatal growth failure. Evidence was insufficient to show an effect on neurodevelopment. Very low‐quality evidence suggests that higher AA intake reduces retinopathy of prematurity but not severe retinopathy of prematurity. Higher AA intake was associated with potentially adverse biochemical effects resulting from excess amino acid load, including azotaemia. Adequately powered trials in very preterm infants are required to determine the optimal intake of AA and effects of caloric balance in parenteral nutrition on the brain and on neurodevelopment.

Objective To assess the incidence of extrauterine growth restriction (EUGR) in very low‐birth‐weight infants (VLBWIs) and evaluate the nutrition factors in VLBWIs associated with inadequate nutrient intakes during hospitalization. Methods A total of 128 VLBWIs were divided into an EUGR group (n = 87) and a non‐EUGR group (n = 41). Growth and parenteral nutrition (PN) and enteral nutrition (EN) practices were analyzed. Actual energy and protein intakes were subtracted from recommended energy (120 kcal/kg/d) and protein (3.75 g/kg/d) intakes, and nutrition deficits were calculated. Results Growth restriction was 21.9% at birth and 68.0% at discharge. Compared with established guidelines, PN was started late, and the maximum amino acid intake was low in both groups. EN interruption rate was higher in the EUGR group. The average energy intake in the first day after PN termination was lower in the EUGR group. There were significant differences in actual energy and protein intakes in the 2 groups for several weeks during hospitalization. The cumulative energy and protein deficits were significantly higher in the first 8 weeks and during the third to seventh weeks in the EUGR group, respectively. Step regression analysis showed that there was a significant negative correlation between the cumulative deficit of energy and changes of weight z‐scores (r = −0.001, P < .05): as the energy deficit loss increased by 100 kcal, the weight z‐scores dropped by 0.1 SD. Conclusion Inadequate nutrition intake aggravated the occurrence of EUGR in VLBWIs, especially the energy intake.

This study aimed to determine the optimal intake of lysine and threonine for broiler breeder hens. Two experiments were conducted to evaluate the responses of birds to digestible lysine (Lys) and threonine (Thr). Eight treatments were assessed in both experiments, with six replicates of eight birds in the Lys experiment and ten birds in the Thr experiment. The dietary levels of Lys and Thr were obtained by a dilution technique. The experimental period was ten weeks for each amino acid studied, which included six weeks of adaptation and four weeks of data collection. The amino acid intake, egg mass and body weight were adjusted using a Reading model. Based on the model coefficients, the cost of the synthetic amino acids sources and the price of fertile eggs determined the intake of each amino acid to maximize. The minimum intake of Lys and Thr reduced egg production by 40 and 30%, respectively, the weight of the eggs decreased by 12 and 9% with the same intake of Lys and Thr, respectively. The models generated by predicting Lys and Thr intake were as follows: Lys=11×E+31×W and Thr=9.5×E+32×W, where E=egg mass, g/bird per day, and W=body weight, kg/bird. Based on the models, 3 kg birds with an egg mass production of 50 g/day require 643 mg/bird per day of Lys and 569 mg/bird per day of Thr. The optimum economic intake was calculated at 954 and 834 mg/bird per day for Lys and Thr, respectively, reflecting a dietary concentration of 0.636% Lys and 0.556% Thr for a feed intake of 150 g/bird per day.

Sumatra and Kalimantan are the region with the area and the highest rubber production in Indonesia, including Lampung province that is also abundant production of rubber seed every year. Rubber seed contains a protein that is high enough. With the high crude protein, it can be used to make rubber seed chips and snacks potential to be used as a source of protein for pregnant ibi amino acids to help meet the mother during pregnancy. Sufficient amino acid intake during pregnancy associated with a body length of birth. This research was observational analytic with cross sectional design. Sampling method used in this study is consecutive sampling. The study was conducted in East Lampung in 2016. The subjects were all pregnant women including rubber farmers in East Lampung region and met the inclusion criteria of the study. The samples obtained were 124 pregnant women and their babies. Data were analysed descriptively. The results obtained indicate that rubber seed chips can help meet amino acid intake during pregnancy and affects the baby’s body length at birth. From the sample of the research note that 89.5% of the infants had a body length of> 48 cm (normal) and 10.5% of infants had a body length of 48 cm (normal) and 10.5% of infants had a body length of 48 cm (normal) and 10.5% of infants had a body length of

Decreasing dietary crude protein (CP) concentration and increasing crystalline amino acid (CAA) supplementation, in order to maintain constant daily intakes of Lys and other key amino acids (AA), improves dietary AA balance. The effect of improved dietary AA balance on lactation performance, nitrogen (N) and AA utilization efficiency, and AA fates must be determined for precise lactating sow diet formulation and to meet specific production objectives. Performance, N balance, mammary biopsy, and isotope tracer studies were conducted to determine the effects of improving dietary AA balance on sow and litter lactation performance, N and Lys utilization efficiencies for milk production, mRNA abundance of mammary AA (Lys) transporters, and the partitioning of dietary AA between maternal and milk protein pools. Litter growth rates and milk protein production increased with improved AA balance, at the expense of maternal N retention, particularly in peak lactation. At identical Lys intakes, there was minimal improvement in Lys utilization efficiency for milk production with improved dietary AA balance, and there were no corresponding changes in the expression of mRNA for several Lys transporters within the mammary gland. Whole-body protein turnover and tissue-specific fractional rates of protein synthesis were not influenced by dietary AA balance. Feeding lactating sows reduced CP diets with increased inclusion of CAA, to improve AA balance and to meet the requirements of limiting AA, is a feasible way to improve the utilization of N and AA for milk protein production and decrease N losses to the environment, without negatively impacting sow and litter lactation performance. Amino acid and N requirements differ from those estimated by the NRC (2012) model and among genotypes and parity of sows. The utilization efficiencies of N and AA may change across a lactation period. All of these factors should be considered when planning future research and formulating lactating sow diets. National Pork Board (Des Moines, IA), Michigan Animal Agriculture Initiative, Ontario Pork (Guelph, ON, Canada), Royal De Heus (Ede, The Netherlands), Heartland Lys Inc./Ajinomoto (Fort Lee, NJ), the Ontario Ministry of Agriculture Food and Rural Affairs (Guelph, ON, Canada), and the Natural Sciences and Engineering Research Council of Canada.