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1.
Nutrients ; 13(9)2021 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-34578990

RESUMO

Specific partially hydrolysed whey-based infant formulas (pHF-W) have been shown to decrease the risk of atopic dermatitis (AD) in infants. Historically, AD has been associated primarily with milk allergy; however, defective skin barrier function can be a primary cause of AD. We aimed to ascertain whether oral supplementation with pHF-W can improve skin barrier function. The effect of pHF-W was assessed on transepidermal water loss (TEWL) and antibody productions in mice epicutaneously exposed to Aspergillus fumigatus. Human primary keratinocytes were stimulated in vitro, and the expression of genes related to skin barrier function was measured. Supplementation with pHF-W in neonatal mice led to a significant decrease in TEWL and total IgE, but not in allergen-specific antibody levels. The whey hydrolysate was sufficient to decrease both TEWL and total IgE. Aquaporin-3 gene expression, linked with skin hydration, was modulated in the skin of mice and human primary keratinocytes following protein hydrolysate exposure. Skin barrier improvement may be an additional mechanism by which pHF-W may potentially reduce the risk of AD development in infants. Further human studies are warranted to confirm the clinical efficacy of these observations.


Assuntos
Dermatite Atópica/prevenção & controle , Suplementos Nutricionais , Pele/efeitos dos fármacos , Proteínas do Soro do Leite/farmacologia , Soro do Leite/administração & dosagem , Animais , Animais Recém-Nascidos , Aquaporina 3/metabolismo , Humanos , Hidrólise , Imunoglobulina E/efeitos dos fármacos , Lactente , Fórmulas Infantis , Recém-Nascido , Queratinócitos/efeitos dos fármacos , Camundongos , Pele/metabolismo , Perda Insensível de Água/efeitos dos fármacos
2.
J Int Soc Sports Nutr ; 18(1): 4, 2021 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-33413462

RESUMO

BACKGROUND: The effects of ingesting varying essential amino acid (EAA)/protein-containing food formats on protein kinetics during energy deficit are undetermined. Therefore, recommendations for EAA/protein food formats necessary to optimize both whole-body protein balance and muscle protein synthesis (MPS) during energy deficit are unknown. We measured protein kinetics after consuming iso-nitrogenous amounts of free-form essential amino acid-enriched whey (EAA + W; 34.7 g protein, 24 g EAA sourced from whey and free-form EAA), whey (WHEY; 34.7 g protein, 18.7 g EAA), or a mixed-macronutrient meal (MEAL; 34.7 g protein, 11.4 g EAA) after exercise during short-term energy deficit. METHODS: Ten adults (mean ± SD; 21 ± 4 y; 25.7 ± 1.7 kg/m2) completed a randomized, double-blind crossover study consisting of three, 5 d energy-deficit periods (- 30 ± 3% of total energy requirements), separated by 14 d. Whole-body protein synthesis (PS), breakdown (PB), and net balance (NET) were determined at rest and in response to combination exercise consisting of load carriage treadmill walking, deadlifts, and box step-ups at the end of each energy deficit using L-[2H5]-phenylalanine and L-[2H2]-tyrosine infusions. Treatments were ingested immediately post-exercise. Mixed-muscle protein synthesis (mixed-MPS) was measured during exercise through recovery. RESULTS: Change (Δ postabsorptive + exercise to postprandial + recovery [mean treatment difference (95%CI)]) in whole-body (g/180 min) PS was 15.8 (9.8, 21.9; P = 0.001) and 19.4 (14.8, 24.0; P = 0.001) greater for EAA + W than WHEY and MEAL, respectively, with no difference between WHEY and MEAL. ΔPB was - 6.3 (- 11.5, - 1.18; P = 0.02) greater for EAA + W than WHEY and - 7.7 (- 11.9, - 3.6; P = 0.002) greater for MEAL than WHEY, with no difference between EAA + W and MEAL. ΔNET was 22.1 (20.5, 23.8; P = 0.001) and 18.0 (16.5, 19.5; P = 0.00) greater for EAA + W than WHEY and MEAL, respectively, while ΔNET was 4.2 (2.7, 5.6; P = 0.001) greater for MEAL than WHEY. Mixed-MPS did not differ between treatments. CONCLUSIONS: While mixed-MPS was similar across treatments, combining free-form EAA with whey promotes greater whole-body net protein balance during energy deficit compared to iso-nitrogenous amounts of whey or a mixed-macronutrient meal. TRIAL REGISTRATION: ClinicalTrials.gov, Identifier no. NCT04004715 . Retrospectively registered 28 June 2019, first enrollment 6 June 2019.


Assuntos
Aminoácidos Essenciais/metabolismo , Exercício Físico/fisiologia , Nutrientes/metabolismo , Período Pós-Prandial , Proteínas/metabolismo , Soro do Leite/metabolismo , Adulto , Aminoácidos Essenciais/administração & dosagem , Aminoácidos Essenciais/sangue , Índice de Massa Corporal , Estudos Cross-Over , Proteínas na Dieta/administração & dosagem , Proteínas na Dieta/metabolismo , Método Duplo-Cego , Ingestão de Energia , Feminino , Alimentos Fortificados , Humanos , Insulina/sangue , Masculino , Refeições , Proteínas Musculares/biossíntese , Nutrientes/administração & dosagem , Fenilalanina/administração & dosagem , Fatores de Tempo , Tirosina/administração & dosagem , Soro do Leite/administração & dosagem , Soro do Leite/química , Adulto Jovem
3.
Nutrients ; 12(10)2020 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-33036201

RESUMO

The aim of the current study was to investigate the effects of a partially hydrolyzed whey infant formula (PHF) on growth in healthy term infants as compared to a standard infant formula with intact protein (IPF). In a double-blind, non-inferiority, randomized controlled trial, a total of 163 healthy formula-fed infants, 55-80 days old, were recruited and randomly allocated to either the PHF (test) or the IPF (control) group. They were followed up for three months during which they were evaluated monthly on growth and development. In total, 21 infants discontinued the study, while 142 infants completed the study (test n = 72, control n = 70). The primary outcome was daily weight gain during the three months. Secondary outcomes included additional anthropometric indices at every timepoint over the intervention period. Daily weight gain during the three-month intervention period was similar in both groups with the lower bound of 95% confidence interval (CI) above the non-inferiority margin of -3 g/day [mean difference (95% CI) test vs. control: -0.474 (-2.460, 1.512) g/day]. Regarding secondary outcomes, i.e., infants' weight, length, head circumference, body mass index (BMI), and their Z-scores, no differences were observed between the two groups at any time point. The PHF resulted in similar infant growth outcomes as the standard IPF. Based on these results, it can be concluded that the partially hydrolyzed whey infant formula supports adequate growth in healthy term infants.


Assuntos
Desenvolvimento Infantil/fisiologia , Ingestão de Alimentos/fisiologia , Fórmulas Infantis , Fenômenos Fisiológicos da Nutrição do Lactente/fisiologia , Soro do Leite/administração & dosagem , Fatores Etários , Índice de Massa Corporal , Tamanho Corporal , Método Duplo-Cego , Feminino , Voluntários Saudáveis , Humanos , Hidrólise , Lactente , Masculino , Fatores de Tempo , Aumento de Peso
4.
J Int Soc Sports Nutr ; 17(1): 46, 2020 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-32894140

RESUMO

BACKGROUND: Protein supplementation has been suggested to augment endurance training adaptations by increasing mixed muscle and myofibrillar protein synthesis and lean body mass. However, a potential beneficial effect on mitochondrial adaptations is yet to be clarified. The aim of the present study was to investigate the effect of consuming whey protein hydrolysate before and whey protein hydrolysate plus carbohydrate (PRO-CHO) after each exercise session during a six-week training period compared to similarly timed intake of isocaloric CHO supplements on biomarkers of mitochondrial biogenesis, VO2max and performance in trained runners. METHODS: Twenty-four trained runners (VO2max 60.7 ± 3.7 ml O2 kg- 1 min1) completed a six-week block randomized controlled intervention period, consisting of progressive running training. Subjects were randomly assigned to either PRO-CHO or CHO and matched in pairs for gender, age, VO2max, training and performance status. The PRO-CHO group ingested a protein beverage (0.3 g kg- 1) before and protein-carbohydrate beverage (0.3 g protein kg- 1 and 1 g carbohydrate kg- 1) after each exercise session. The CHO group ingested an energy matched carbohydrate beverage. Resting muscle biopsies obtained pre and post intervention were analyzed for mitochondrial specific enzyme activity and mitochondrial protein content. Subjects completed a 6 K time trial (6 K TT) and a VO2max test pre, midway (only 6 K TT) and post intervention. RESULTS: Following six weeks of endurance training Cytochrome C (Cyt C) protein content was significantly higher in the PRO-CHO group compared to the CHO group (p < 0.05), with several other mitochondrial proteins (Succinate dehydrogenase (SDHA), Cytochrome C oxidase (COX-IV), Voltage-dependent anion channel (VDAC), Heat shock protein 60 (HSP60), and Prohibitin (PHB1)) following a similar, but non-significant pattern (p = 0.07-0.14). ß-hydroxyacyl-CoA dehydrogenase (HAD) activity was significantly lower after training in the CHO group (p < 0.01), but not in the PRO-CHO group (p = 0.24). VO2max and 6 K TT was significantly improved after training with no significant difference between groups. CONCLUSION: Intake of whey PRO hydrolysate before and whey PRO hydrolysate plus CHO after each exercise session during a six-week endurance training period may augment training effects on specific mitochondrial proteins compared to intake of iso-caloric CHO but does not alter VO2max or 6 K TT performance. TRIAL REGISTRATION: clinicaltrials.gov , NCT03561337 . Registered 6 June 2018 - Retrospectively registered.


Assuntos
Adaptação Fisiológica , Carboidratos da Dieta/administração & dosagem , Suplementos Nutricionais , Mitocôndrias Musculares/fisiologia , Hidrolisados de Proteína/administração & dosagem , Corrida/fisiologia , Soro do Leite/administração & dosagem , Adolescente , Adulto , Bebidas , Composição Corporal , Feminino , Frequência Cardíaca , Humanos , Masculino , Pessoa de Meia-Idade , Mitocôndrias Musculares/metabolismo , Proteínas Mitocondriais/metabolismo , Biogênese de Organelas , Consumo de Oxigênio , Condicionamento Físico Humano/métodos , Resistência Física/fisiologia , Proibitinas , Adulto Jovem
5.
Respir Res ; 21(1): 216, 2020 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-32807165

RESUMO

BACKGROUND: The development of effective nutritional supports for patients with chronic obstructive pulmonary diseases (COPD) is still challenging. This study was conducted to investigate the efficacy of daily consumption of fortified whey on inflammation, muscle mass, functionality, and quality of life in patients with moderate-to-severe COPD. METHODS: A single-blind, randomized trial study was performed on patients with COPD (n = 46). Participants in the intervention group (n = 23) daily received 250 ml of whey beverage fortified with magnesium and vitamin C for 8 weeks. Any changes in inflammatory cytokines (including interleukin- 6 (IL-6) and tumor necrosis factor (TNFα)) were the primary outcomes and the secondary outcomes were fat-free mass, handgrip strength, malnutrition, glutathione and malondialdehyde serum concentrations, and health-related quality of life (HRQoL). Body composition and muscle strength were measured by Bioelectrical Impedance Analysis (BIA) and hydraulic hand dynamometer, respectively. Fat-free mass index (FFMI) was also calculated. RESULTS: At the end of the study, 44 patients were analyzed. There were significant decreases in IL-6 concentrations in the intervention group compared to the control group. Also, FFMI, body protein, and handgrip strength increased significantly in the intervention group with significant changes between two groups. Moreover, improvement in health-related quality of life was observed in the intervention group compared to the control group. There were no significant changes in other study variables. CONCLUSIONS: This novel nutritional intervention decreased inflammatory cytokines levels, improved indices of skeletal muscle mass and muscle strength, and ultimately, increased HRQoL in patients with moderate-to-severe COPD. Thus, it is suggested to do further studies to assess the effects of nutrition intervention on COPD progression. TRIAL REGISTRATION: IR.SUMS.REC.1396.85 ( https://www.irct.ir/ ).


Assuntos
Bebidas , Alimentos Fortificados , Força da Mão/fisiologia , Força Muscular/fisiologia , Doença Pulmonar Obstrutiva Crônica/dietoterapia , Soro do Leite/administração & dosagem , Idoso , Ácido Ascórbico/administração & dosagem , Feminino , Humanos , Magnésio/administração & dosagem , Masculino , Pessoa de Meia-Idade , Força Muscular/efeitos dos fármacos , Músculo Esquelético/fisiologia , Doença Pulmonar Obstrutiva Crônica/diagnóstico , Doença Pulmonar Obstrutiva Crônica/fisiopatologia , Método Simples-Cego
6.
J Dairy Sci ; 103(8): 7055-7067, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32534927

RESUMO

Our previously published paper demonstrated that fermented ammoniated condensed whey (FACW) supplementation improved feed efficiency and metabolic profile in postpartum dairy cows. The objective of this study was to further explore the effects of FACW supplementation on liver triglyceride content, hepatic gene expression and protein abundance, and plasma biomarkers related to liver function, inflammation, and damage. Individually fed multiparous Holstein cows were blocked by calving date and randomly assigned to postpartum (1 to 45 d in milk, DIM) isonitrogenous treatments: control diet (n = 20) or diet supplemented with FACW (2.9% dry matter of diet as GlucoBoost; Fermented Nutrition, Luxemburg, WI, replacing soybean meal; n = 19). Liver biopsies were performed at 14 and 28 DIM for analysis of mRNA expression, protein abundance, and liver triglyceride content. There was marginal evidence for a reduction in liver triglyceride content at 14 DIM in FACW-supplemented cows compared with the control group. Cows supplemented with FACW had greater mRNA expression of glucose-6-phosphatase at 14 DIM relative to control. Supplementation with FACW increased mRNA expression of pyruvate carboxylase (PC), but did not alter cytosolic phosphoenolpyruvate carboxykinase (PCK1), resulting in a 2.4-fold greater PC:PCK1 ratio for FACW-supplemented cows compared with control. There was no evidence for a FACW effect on mRNA expression of propionyl-CoA carboxylase nor on mRNA expression or protein abundance of lactate dehydrogenase A or B. Cows supplemented with FACW had lower plasma urea nitrogen compared with control. Plasma l-lactate was greater for FACW-supplemented cows compared with control at 2 h before feeding time at 21 DIM. There was no evidence for altered expression of IL1B or IL10, or blood biomarkers related to liver function and damage. Greater glucose-6-phosphatase and PC gene expression, together with greater blood glucose and similar milk lactose output, suggests that FACW increased the supply of glucose precursors, resulting in greater gluconeogenesis between 3 and 14 DIM. Greater hepatic PC:PCK1 ratio, together with previously reported decreased plasma ß-hydroxybutyrate and the marginal evidence for lower liver triglyceride content at 14 DIM, suggests greater hepatic capacity for complete oxidation of fatty acids in FACW-supplemented cows compared with control. Overall, improvements in metabolite profile and feed efficiency observed with postpartum supplementation of FACW may be attributed to increased gluconeogenic and anaplerotic precursors, most likely propionate, due to modulated rumen fermentation.


Assuntos
Bovinos/fisiologia , Suplementos Nutricionais/análise , Leite/metabolismo , Soro do Leite/administração & dosagem , Ácido 3-Hidroxibutírico/sangue , Compostos de Amônio/química , Animais , Dieta/veterinária , Feminino , Fermentação , Gluconeogênese/efeitos dos fármacos , Glucose/metabolismo , Glucose-6-Fosfatase/genética , Lactação/efeitos dos fármacos , Fígado/efeitos dos fármacos , Fígado/metabolismo , Nutrientes/metabolismo , Período Pós-Parto/efeitos dos fármacos , Piruvato Carboxilase/genética , Distribuição Aleatória , Rúmen/metabolismo
7.
J Dairy Sci ; 103(6): 5495-5500, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32307155

RESUMO

A major goal in treatment of calves with diarrhea is to restore hydration and to correct metabolic acidosis. This can be achieved by the administration of oral electrolyte solutions (OES). However, the composition of OES products and the administration protocols in practice vary widely, which can potentially compromise the efficacy and safety of these treatments. In particular, administration of OES in milk replacer (MR) and the absence of water supply in young calves are not unusual and these conditions could compromise calf health. In this light, the objective of this study was to evaluate the efficacy and safety of OES administered in MR and in water without access to water. Forty-five male Holstein calves (16.6 ± 1.6 d of age and 45.4 ± 2.2 kg at arrival) were purchased from a collection center located in the Netherlands. After arrival, calves went through an adaptation period of 4 d. Calves that developed diarrhea within 6 d after the end of the adaptation period were enrolled in the study, and the remaining calves were sold after being weaned. Upon morning detection of abnormal fecal scores (d 1 starting point), calves were blocked based on initial BW. Within each block, calves were randomly assigned to 1 of 2 treatments, including a control consisting of a small dose of whey (CON; n = 12) and an OES treatment (OES; n = 14). Treatments were blinded to the farm staff by randomly assigning a letter to each treatment. Treatments were simultaneously administered for 4 d in MR (2.5 L at 0800 and 1730 h) and in water (3 L at 1300 and 2200 h). Calves had no supplemental access to plain water. Blood samples were taken at 0600 h for 4 d, and fecal scores (0 = normal; 1 = watery feces) were assessed daily at 0900 h for 15 consecutive days. Additionally, skin turgor and degree of enophthalmos were assessed at 1000 h from d 1 to 4 using a 3-level scoring system. Calves fed OES had a higher prevalence of diarrhea on d 3, 4, and 5 as well as higher prevalence of delayed skin turgor and increased degree of enophthalmos over the 4 monitoring days. Diarrhea duration was longer in calves receiving OES than in calves receiving CON (4.2 d vs. 2.1 d, respectively). The OES treatment resulted in hypernatremia (serum Na+ >145 mmol/L) within 48 h after the first OES administration. Hypernatremia was linked with higher serum Cl- and urea concentrations and thus higher serum osmolarity in OES calves compared with CON calves. Administered under these conditions, OES resulted in various degrees of hypernatremia and a delayed recovery from diarrhea, thus defeating the purpose of OES administration.


Assuntos
Doenças dos Bovinos/induzido quimicamente , Diarreia/veterinária , Eletrólitos/efeitos adversos , Hipernatremia/veterinária , Substitutos do Leite/química , Administração Oral , Animais , Peso Corporal , Bovinos , Doenças dos Bovinos/tratamento farmacológico , Diarreia/complicações , Diarreia/tratamento farmacológico , Eletrólitos/administração & dosagem , Fezes/química , Hipernatremia/induzido quimicamente , Hipernatremia/complicações , Masculino , Países Baixos , Distribuição Aleatória , Água/química , Desmame , Soro do Leite/administração & dosagem
8.
Nutrients ; 12(2)2020 Jan 22.
Artigo em Inglês | MEDLINE | ID: mdl-31979025

RESUMO

Food-health claims are an important method of translating nutrition research to consumers. Whey and colostrum are thought to exert health benefits to adults, but it is unclear what measurable, objective health benefits they impart. This review aimed to identify the objective health benefits of bovine whey or colostrum-based beverages to healthy adults aged ≥35 years to substantiate a food-health claim. Seven databases were systematically searched. Eligible articles were RCTs that involved healthy adults aged ≥35 years, consuming whey or colostrum in beverage form and measuring objective health markers. Quality assessment and data extraction was conducted in duplicate. The searches identified 9943 papers and 16 were included in this review; 13 studies, reported across 15 papers, related to whey, one study to colostrum. The outcomes identified were body composition, bone mineral density, biochemical markers, such as blood glucose and lipids, and muscle strength and synthesis. Heterogeneous outcomes, high risk of bias and inconsistent findings resulted in inconclusive evidence to substantiate a food-health claim. Clearer reporting and consensus on a minimum set of objective measures would allow for more robust recommendations regarding food-health claims. Protecting consumers from misleading health claims will require collaboration between regulators, researchers, and the food industry.


Assuntos
Colostro , Dieta Saudável/métodos , Suplementos Nutricionais , Soro do Leite/administração & dosagem , Adulto , Animais , Glicemia/efeitos dos fármacos , Composição Corporal/efeitos dos fármacos , Densidade Óssea/efeitos dos fármacos , Bovinos , Feminino , Humanos , Masculino , Força Muscular/efeitos dos fármacos
9.
Rev. bras. ciênc. vet ; 26(4): 158-164, out./dez. 2019. tab
Artigo em Português | LILACS, VETINDEX | ID: biblio-1491652

RESUMO

In the present study, nonfat yoghurt made with whey protein isolate (WPI) or pasteurized egg white powder (albumin) was added with syrup containing jaboticaba pulp and lyophilized jaboticaba peel flour and six experimental groups were made: control yoghurt (CY); WPI yoghurt (WY); albumin yoghurt (AY), syrup yoghurt and WPI (WSY); syrup and albumin yoghurt (ASY) and syrup yoghurt (SY). This study aimed to verify the influence of the addition of fruit syrup on the phenolics compounds and on the instrumental color parameters of yoghurts made with proteins on the 1st and 28th day of storage. There was a significant decrease in total phenolics content in yoghurt containing WPI and syrup (from 1408.14mg GAE.L-1 to 686.73mg GAE.L-1), as well as total anthocyanin content. However, yoghurt containing syrup and albumin showed an increase in total flavonoid content on day 28 of storage (from 28.30mg QE.100g-1 to 38.29mg QE.100g-1). Regarding color, there was an increase in L* and b* values in yoghurt containing syrup and WPI and in yoghurt containing syrup and albumin. For a* values, a decrease was observed at the end of the storage period in samples containing protein (WPI or albumin) and syrup. The data showed that the addition of jaboticaba syrup to yoghurts containing different proteins provided different phenolics compounds contents at the end of the storage period, and different color parameters to the final product.


No presente estudo, iogurtes desnatados feitos com proteína isolada do soro do leite (PIS) ou albumina isolada da clara do ovo pasteurizada em pó (albumina) foram adicionados de xarope contendo a polpa da jabuticaba e a farinha liofilizada da casca da jabuticaba, obtendo-se seis grupos experimentais: iogurte controle (CY); iogurte PIS (WY); iogurte albumina (AY); iogurte xarope e PIS (WSY); iogurte xarope e albumina (ASY) e iogurte com xarope (SY). Neste estudo objetivou-se verificar a influência da adição do xarope da fruta nos compostos fenólicos e nos parâmetros instrumentais de cor dos iogurtes elaborados com proteínas no 1º e 28º dia de armazenamento. Houve uma diminuição significativa no teor de fenólicos totais no iogurte contendo PIS e xarope (de 1408.14mg GAE.L-1 para 686.73mg GAE.L-1), bem como no teor de antocianinas (de 158.45mg cyanidin-3-glucoside.L-1 para 56.45mg cyanidin-3-glucoside.L-1). No entanto, os iogurtes contendo xarope e albumina apresentaram um aumento no teor de flavonóides totais no 28º dia de armazenamento (de 28.30mg QE.100g-1 para 38.29mg QE.100g-1). Em relação a cor houve um aumento dos valores de L* e no valor de b* no iogurte contendo xarope e PIS e no iogurte contendo xarope e albumina. Já para os valores de a* foi observado uma diminuição ao final do período de armazenamento nas amostras contendo proteína (PIS ou albumina) e xarope. Os dados demonstraram que a adição do xarope de jabuticaba a iogurtes contendo diferentes proteínas proporcionaram diferentes conteúdos de compostos fenólicos ao final do período de estocagem, e diferentes parâmetros de cor ao produto final.


Assuntos
Albuminas , Frutas , Iogurte , Myrtaceae , Polifenóis/análise , Soro do Leite/administração & dosagem , Produtos Fermentados do Leite
10.
J Comp Eff Res ; 8(15): 1317-1326, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31526139

RESUMO

Aim: To assess the comparative effectiveness of two hypoallergenic formulae in managing cow's milk allergic infants. Materials & methods: This study retrospectively analyzed the case records of 940 formula-fed cow's milk allergic infants in the UK extracted from The Health Improvement Network database. Results: At 24 months after starting a formula, 77% of infants fed an extensively hydrolyzed casein formula supplemented with Lactobacillus rhamnosus GG (eHCF LGG; n = 470) were estimated to have been successfully managed compared with 63% of matched infants who were fed an extensively hydrolyzed whey formula (eHWF; n = 470; p < 0.001). Additionally, significantly more eHWF-fed infants were estimated to be experiencing gastrointestinal symptoms, eczema and asthma (7.1 vs 3.1%; p < 0.02) at 24 months. Conclusion: First-line management of newly diagnosed cow's milk allergic infants with eHCF LGG may slow down the allergic march seen in cow's milk allergic children.


Assuntos
Caseínas/química , Fórmulas Infantis/química , Lacticaseibacillus rhamnosus/química , Hipersensibilidade a Leite/epidemiologia , Soro do Leite/química , Animais , Asma , Caseínas/administração & dosagem , Caseínas/efeitos adversos , Bovinos , Feminino , Humanos , Lactente , Fórmulas Infantis/efeitos adversos , Probióticos , Estudos Retrospectivos , Soro do Leite/administração & dosagem , Soro do Leite/efeitos adversos
11.
J Nutr ; 149(2): 198-209, 2019 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-30698725

RESUMO

BACKGROUND: Whey and micellar casein are high-quality dairy proteins that can stimulate postprandial muscle protein synthesis rates. How whey and casein compare with milk protein in their capacity to stimulate postprandial myofibrillar (MyoPS) and mitochondrial (MitoPS) protein synthesis rates during postexercise recovery is currently unknown. OBJECTIVE: The objective of this study was to compare postprandial MyoPS and MitoPS rates after protein-carbohydrate co-ingestion with milk protein, whey, or micellar casein during recovery from a single bout of concurrent resistance- and endurance-type exercise in young healthy men. METHODS: In a randomized, double-blind, parallel-group design, 48 healthy, young, recreationally active men (mean ± SEM age: 23 ± 0.3 y) received a primed continuous infusion of L-[ring-13C6]-phenylalanine and L-[ring-3,5-2H2]-tyrosine and ingested 45 g carbohydrate with 0 g protein (CHO), 20 g milk protein (MILK), 20 g whey protein (WHEY), or 20 g micellar casein protein (CASEIN) after a sequential bout of resistance- and endurance-type exercise (i.e., concurrent exercise). Blood and muscle biopsies were collected over 360 min during recovery from exercise to assess MyoPS and MitoPS rates and signaling through mammalian target of rapamycin complex 1 (mTORC1). RESULTS: Despite temporal differences in postprandial plasma leucine concentrations between treatments (P < 0.001), MyoPS rates over 360 min of recovery did not differ between treatments (CHO: 0.049% ± 0.003%/h; MILK: 0.059% ± 0.003%/h; WHEY: 0.054% ± 0.002%/h; CASEIN: 0.059% ± 0.005%/h; P = 0.11). When MILK, WHEY, and CASEIN were pooled into a single group (PROTEIN), protein co-ingestion resulted in greater MyoPS rates compared with CHO (PROTEIN: 0.057% ± 0.002%/h; CHO: 0.049% ± 0.003%/h; P = 0.04). MitoPS rates and signaling through the mTORC1 pathway were similar between treatments. CONCLUSION: MyoPS and MitoPS rates do not differ after co-ingestion of either milk protein, whey protein, or micellar casein protein with carbohydrate during recovery from a single bout of concurrent resistance- and endurance-type exercise in recreationally active young men. Co-ingestion of protein with carbohydrate results in greater MyoPS, but not MitoPS rates, when compared with the ingestion of carbohydrate only during recovery from concurrent exercise. This trial was registered at Nederlands Trial Register: NTR5098.


Assuntos
Caseínas/administração & dosagem , Carboidratos da Dieta/administração & dosagem , Proteínas do Leite/administração & dosagem , Mitocôndrias/metabolismo , Miofibrilas/metabolismo , Soro do Leite/administração & dosagem , Caseínas/química , Método Duplo-Cego , Humanos , Masculino , Micelas , Mitocôndrias/efeitos dos fármacos , Resistência Física , Treinamento de Força , Adulto Jovem
12.
J Dairy Sci ; 102(3): 2283-2297, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30660422

RESUMO

Postpartum dietary supplementation of gluconeogenic precursors may improve the plasma metabolite profile of dairy cows, reducing metabolic disorders and improving lactation performance. The objective of this trial was to examine the effects of supplementation with fermented ammoniated condensed whey (FACW) postpartum on lactation performance and on profile of plasma metabolites and hormones in transition dairy cows. Individually fed multiparous Holstein cows were blocked by calving date and randomly assigned to control (2.9% dry matter of diet as soybean meal; n = 20) or FACW (2.9% dry matter of diet as liquid GlucoBoost, Fermented Nutrition, Luxemburg, WI; n = 19) dietary treatments. Treatments were offered from 1 to 45 d in milk (DIM). Cows were milked twice a day. Dry matter intake and milk yield were recorded daily and averaged weekly. Individual milk samples from 2 consecutive milkings were obtained once a week for component analysis. Rumen fluid was collected (n = 3 cows/treatment) at 4 time points per day at 7 and 21 DIM. Blood samples were collected within 1 h before feeding time for metabolite analysis and hyperketonemia diagnosis. Supplementation of FACW improved feed efficiency relative to control; this effect may be partially explained by a marginally significant reduction in dry matter intake from wk 3 to 7 for FACW-supplemented cows with no detected FACW-driven changes in milk yield, milk protein yield, and milk energy output compared with control. Also, there was no evidence for differences in intake of net energy for lactation, efficiency of energy use, energy balance, or body weight or body condition score change from calving to 45 DIM between treatments. Supplementation of FACW shifted rumen measures toward greater molar proportions of propionate and butyrate, and lesser molar proportions of acetate and valerate. Cows supplemented with FACW had greater plasma glucose concentrations in the period from 3 to 7 DIM and greater plasma insulin concentrations compared with control. Plasma nonesterified fatty acid and ß-hydroxybutyrate concentrations were decreased in cows supplemented with FACW compared with control cows in the period from 3 to 7 DIM. These findings indicate that FACW may have improved the plasma metabolite profile immediately postpartum in dairy cows. Additionally, supplementation of FACW resulted in improved feed efficiency as accessed by measures of milk output relative to feed intake.


Assuntos
Compostos de Amônio/metabolismo , Bovinos/fisiologia , Hormônios/sangue , Período Pós-Parto/fisiologia , Soro do Leite/metabolismo , Ração Animal/análise , Animais , Análise Química do Sangue/veterinária , Dieta/veterinária , Suplementos Nutricionais/análise , Feminino , Fermentação , Período Pós-Parto/efeitos dos fármacos , Soro do Leite/administração & dosagem
13.
J Nutr ; 149(2): 210-220, 2019 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-30698812

RESUMO

BACKGROUND: Protein ingestion during recovery from resistance-type exercise increases postexercise muscle protein synthesis rates. Whey protein has been reported to have greater anabolic properties than soy protein, an effect which may be attributed to the higher leucine content of whey. OBJECTIVE: The objective of this study was to compare postprandial myofibrillar (MyoPS) and mitochondrial (MitoPS) protein synthesis rates after ingestion of carbohydrate with whey, soy, or soy protein enriched with free leucine (to match the leucine content of whey) during recovery from a single bout of concurrent resistance- and endurance-type exercise in young healthy men. METHODS: In a randomized, double-blind, parallel-group design, 36 healthy young recreationally active men (mean ± SEM age: 23 ± 0.4 y) received a primed continuous infusion of l-[ring-13C6]-phenylalanine and l-[ring-3,5-2H2]-tyrosine and ingested 45 g carbohydrate with 20 g protein from whey (WHEY), soy (SOY), or leucine-enriched soy (SOY + LEU) after concurrent resistance- and endurance-type exercise. Blood and muscle biopsies were collected over a 360 min postexercise recovery period to assess MyoPS and MitoPS rates, and associated signaling through the mammalian target of rapamycin complex 1 (mTORC1). RESULTS: Postprandial peak plasma leucine concentrations were significantly higher in WHEY (mean ± SEM: 322 ± 10 µmol/L) and SOY + LEU (328 ± 14 µmol/L) compared with SOY (216 ± 6 µmol/L) (P < 0.05). Despite the apparent differences in plasma leucinemia, MyoPS (WHEY: 0.054 ± 0.002; SOY: 0.053 ± 0.004; SOY + LEU: 0.056 ± 0.004%·h-1; P = 0.83), and MitoPS (WHEY: 0.061 ± 0.004; SOY: 0.061 ± 0.006; SOY + LEU: 0.063 ± 0.004%·h-1; P = 0.96) rates over the entire 360 min recovery period did not differ between treatments. Similarly, signaling through mTORC1Ser2448, p70S6kThr389, 4E-BP1Thr37/46, and rpS6Ser235/236 was similar between treatments. CONCLUSION: Postexercise MyoPS and MitoPS rates do not differ after co-ingestion of carbohydrate with 20 g protein from whey, soy, or leucine-enriched soy protein during 360 min of recovery from concurrent resistance- and endurance-type exercise in young, recreationally active men. This trial was registered at Nederlands Trial Register as NTR5098.


Assuntos
Carboidratos da Dieta/administração & dosagem , Proteínas do Leite/administração & dosagem , Mitocôndrias/metabolismo , Miofibrilas/metabolismo , Proteínas de Soja/administração & dosagem , Soro do Leite/administração & dosagem , Método Duplo-Cego , Humanos , Leucina/administração & dosagem , Leucina/metabolismo , Masculino , Mitocôndrias/efeitos dos fármacos , Resistência Física , Biossíntese de Proteínas/efeitos dos fármacos , Treinamento de Força , Proteínas de Soja/metabolismo , Adulto Jovem
14.
Poult Sci ; 98(1): 236-243, 2019 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-30165581

RESUMO

The objective of the present study was to investigate the effect of the whey on broiler chicks' performance, welfare, and caecal Campylobacter counts under experimental and field conditions. In the experimental study, 120-d-old broiler chicks were randomly allocated to four treatment groups, as described below: group A, which served as negative control; group B, fed with a diet supplemented with 1% whey; group C, challenged with Campylobacter jejuni; and group D, supplemented with 1% whey and challenged with C. jejuni, respectively. Performance indexes and caecal C. jejuni counts were calculated. In addition to the performance indexes, the hock burn and the foot pad dermatitis lesions score were measured to assess the welfare status of broiler chicks. In order to evaluate the use of whey under field conditions, a second study was performed in a broiler farm with two identical houses. The evaluation of the experimental data revealed that the use of whey did not affect significantly the performance (P ≤ 0.05) and the caecal C. jejuni counts (P ≤ 0.05). There were neither footpad dermatitis lesions nor hock burn lesions in any of the experimental groups. In the field study, the use of whey had no effect on the performance indexes (P ≤ 0.05). It can be concluded that the addition of whey has no negative effect on poultry and may provide an alternative natural feed additive for the broiler feed industry.


Assuntos
Infecções por Campylobacter/veterinária , Campylobacter jejuni/isolamento & purificação , Dieta/veterinária , Soro do Leite/administração & dosagem , Ração Animal/análise , Animais , Infecções por Campylobacter/microbiologia , Ceco/microbiologia , Galinhas/crescimento & desenvolvimento , Galinhas/microbiologia , Doenças das Aves Domésticas/microbiologia , Soro do Leite/efeitos adversos
15.
Food Nutr Bull ; 39(2_suppl): S30-S34, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-30238798

RESUMO

BACKGROUND: Much debate exists about the utility of dairy ingredients in the supplementary foods used to treat childhood moderate acute malnutrition (MAM). OBJECTIVE: To review the evidence regarding the effectiveness of dairy-containing supplements, particularly specially formulated foods containing whey permeate and whey protein concentrate, in treating children with MAM. METHODS: A summary of a conference presentation regarding an overview of current evidence behind the use of whey in supplementary foods, including results of a randomized double-blinded clinical effectiveness trial involving 2259 Malawian children treated for MAM using either a soy ready-to-use supplementary food (RUSF) or a novel whey RUSF treatment. RESULTS: While the majority of the evidence base only suggests potential benefits of including whey in supplementary foods to treat MAM, a recent study specifically demonstrates that a whey RUSF produced superior recovery and growth outcomes in treating children with MAM when compared with a soy RUSF. CONCLUSIONS: The use of whey ingredients has been shown to improve outcomes in the treatment of MAM; however, further research is needed to identify the ideal amount and type of dairy protein required to produce the best outcomes for the lowest cost.


Assuntos
Laticínios , Suplementos Nutricionais/economia , Desnutrição/terapia , Soro do Leite/administração & dosagem , Desenvolvimento Infantil , Pré-Escolar , Fast Foods , Alimentos Formulados/análise , Humanos , Malaui , Proteínas do Soro do Leite/administração & dosagem
16.
J Dairy Sci ; 101(10): 8688-8701, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30139624

RESUMO

Whey and casein proteins differentially affect postprandial blood glucose and satiety mechanisms, with relevance for type 2 diabetes and obesity. Therefore, the purpose of this work was to investigate the effect of the casein-to-whey protein ratio and total protein concentration of milks consumed with cereal on postprandial blood glucose, appetite ratings, and subsequent food intake in a randomized, controlled, double-blinded study with healthy young adults (n = 32, 23.4 ± 3.1 yr, body mass index = 22.2 ± 2.5 kg/m2). Fasted participants consumed milk (250 mL) with either 80:20 or 40:60 (modified) casein-to-whey protein ratios at commercially normal (3.1%, wt) or high protein (9.3%, wt) concentration, or control (water with whey permeate), each along with 2 servings of oat-based breakfast cereal. Blood glucose concentrations were determined from finger prick blood samples and appetite was assessed using visual analog scales. Participants consumed a measured ad libitum pizza lunch at 120 min and blood glucose determination and appetite assessment continued following the lunch meal (140-200 min) to observe the second meal effect. Pre-lunch (0-120 min) incremental area under the curve (iAUC) and mean change from baseline blood glucose were reduced with consumption of all milk treatments relative to control. However, we found no differences between all treatments on pre-lunch appetite change from baseline and total area under the curve (tAUC) or lunch meal food intake. In terms of protein concentration results, high protein (9.3%, wt) treatments contrasted to normal protein (3.1%, wt) treatments lowered blood glucose change from baseline and iAUC, and post-lunch appetite change from baseline and tAUC. Protein ratio showed a modest effect in that modified (40:60) protein ratio lowered pre-lunch blood glucose change from baseline but not iAUC, and normal (80:20) protein ratio lowered pre-lunch appetite change from baseline but not tAUC. Therefore, high-carbohydrate breakfast meals with increased protein concentration (9.3%, wt) could be a dietary strategy for the attenuation of blood glucose and improved satiety ratings after the second meal.


Assuntos
Diabetes Mellitus Tipo 2/metabolismo , Glucose/metabolismo , Proteínas do Leite/administração & dosagem , Proteínas do Leite/metabolismo , Adulto , Animais , Glicemia/metabolismo , Desjejum , Caseínas/administração & dosagem , Caseínas/metabolismo , Estudos Cross-Over , Ingestão de Energia/fisiologia , Feminino , Humanos , Insulina , Masculino , Período Pós-Prandial , Soro do Leite/administração & dosagem , Soro do Leite/metabolismo , Adulto Jovem
17.
Anim Sci J ; 89(8): 1152-1160, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29766609

RESUMO

The objective of the present study is to examine whether colostrum whey can have an effect on immune function in goats digestive tract. Two milliliters of colostrum whey (colostrum group) or water (control group) were administrated orally to goats every day for 3 weeks. Blood was collected twice a week for 3 weeks to measure immunoglobulin A (IgA), interleukin 8 (IL-8), and IL-10. At the end of the experimental period, the parotid glands, oral mucosa, lingua, esophagus, jejunum, and ileum were collected for immunohistochemical detection of IgA, cathelicidin-7, and S100A8. The ratio of the length of IgA-positive mucosal surface in the esophagus to the total esophageal length was significantly greater in the colostrum group than in the control group. The number of IgA-positive cells in the labial gland and ileum in the colostrum group was significantly higher than that in the control group. There were no significant differences between the colostrum and control groups in the number of cathelicidin-7-positive cells in the jejunum and ileum and in the number of S100A8-positive cells in the lingua, jejunum, and ileum. These results suggest that colostrum stimulates the recruitment of plasma cells into the labial gland, which then secrete more IgA into the saliva.


Assuntos
Colostro/imunologia , Trato Gastrointestinal/imunologia , Cabras/imunologia , Imunidade Inata , Soro do Leite/administração & dosagem , Administração Oral , Animais , Peptídeos Catiônicos Antimicrobianos/metabolismo , Feminino , Trato Gastrointestinal/metabolismo , Imunoglobulina A/sangue , Imunoglobulina A/metabolismo , Interleucina-10/sangue , Interleucina-8/sangue , Catelicidinas
18.
J Nutr Biochem ; 51: 27-39, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29091812

RESUMO

Researchers are gaining an increasing understanding of host-gut microbiota interactions, but studies of the role of gut microbiota in linear growth are scarce. The aim of this study was to investigate the effect of food restriction and refeeding with different diets on gut microbiota composition in fast-growing rats. Young male Sprague-Dawley rats were fed regular rat chow ad libitum (control group) or subjected to 40% food restriction for 36 days followed by continued restriction or ad libitum refeeding for 24 days. Three different diets were used for refeeding: regular vegetarian protein chow or chow in which the sole source of protein was casein or whey. In the control group, the composition of the microbiota remained stable. Food restriction for 60 days led to a significant change in the gut microbiota at the phylum level, with a reduction in the abundance of Firmicutes and an increase in Bacteroidetes and Proteobacteria. Rats refed with the vegetarian protein diet had a different microbiota composition than rats refed the casein- or whey-based diet. Similarities in the bacterial population were found between rats refed vegetarian protein or a whey-based diet and control rats, and between rats refed a casein-based diet and rats on continued restriction. There was a significant strong correlation between the gut microbiota and growth parameters: humerus length, epiphyseal growth plate height, and levels of insulin-like growth factor 1 and leptin. In conclusion, the type of protein in the diet significantly affects the gut microbiota and, thereby, may affect animal's health.


Assuntos
Restrição Calórica/efeitos adversos , Caseínas/administração & dosagem , Disbiose/dietoterapia , Microbioma Gastrointestinal , Soro do Leite/administração & dosagem , Animais , Bacteroidetes/classificação , Bacteroidetes/crescimento & desenvolvimento , Bacteroidetes/isolamento & purificação , Doenças do Desenvolvimento Ósseo/etiologia , Doenças do Desenvolvimento Ósseo/patologia , Doenças do Desenvolvimento Ósseo/prevenção & controle , Biologia Computacional , Dieta Vegetariana , Disbiose/etiologia , Disbiose/microbiologia , Disbiose/fisiopatologia , Fezes/microbiologia , Firmicutes/classificação , Firmicutes/crescimento & desenvolvimento , Firmicutes/isolamento & purificação , Transtornos do Crescimento/etiologia , Transtornos do Crescimento/patologia , Transtornos do Crescimento/prevenção & controle , Lâmina de Crescimento/patologia , Masculino , Tipagem Molecular , Proteínas de Vegetais Comestíveis/uso terapêutico , Proteobactérias/classificação , Proteobactérias/crescimento & desenvolvimento , Proteobactérias/isolamento & purificação , Ratos Sprague-Dawley , Aumento de Peso
19.
Nutr Neurosci ; 21(2): 108-115, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27646675

RESUMO

OBJECTIVES: Goat whey, a usually discarded byproduct from goat cheese manufacturing, is a good source of sialic acid (SA), an oligosaccharide that is involved in processes such as memory and brain excitability. Here, we investigated in rats the effect of dried goat whey (DGW) on memory and the brain excitability-dependent phenomenon known as cortical spreading depression (CSD). We also provide evidence for the involvement of SA in this effect. In addition, we tested animals under unfavorable suckling conditions to evaluate whether nutritional deficiency would modulate DGW action. METHODS: Wistar rats were suckled in litters with 9 and 15 pups (groups L9 and L15, respectively). From postnatal (P) days 7-14, the animals received per gavage 17.45 g of DGW/kg/day, or SA (20 mg/kg/day or 100 mg/kg/day). At P28-30, we tested the animals' memory in the object recognition paradigm. At P35-45 we recorded CSD and analyze its velocity of propagation, amplitude, and duration. RESULTS: In the object recognition test, the L15 DGW-treated rats performed better than the L15-controls. The L15 rats displayed higher CSD velocities compared with L9 groups. The DGW and SA groups exhibited higher CSD velocity than the naïve- and saline-treated controls, regardless the lactation status (P < 0.05). DISCUSSION: Our results documented a novel effect of DGW on memory and CSD. SA dose-dependently facilitated CSD, suggesting its involvement on the DGW action. DGW is considered a potential supplement to improve brain development and function in malnourished children, and this shall be further translationally investigated.


Assuntos
Depressão Alastrante da Atividade Elétrica Cortical/efeitos dos fármacos , Tamanho da Ninhada de Vivíparos , Memória/efeitos dos fármacos , Ácido N-Acetilneuramínico/farmacologia , Soro do Leite/administração & dosagem , Animais , Animais Recém-Nascidos , Queijo , Feminino , Cabras , Masculino , Ratos , Ratos Wistar , Soro do Leite/química
20.
Animal ; 12(4): 692-700, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28877767

RESUMO

Dietary interventions are a common practice in the poultry industry to promote optimal performance and health of animals. Here, we aim at assessing the influence of supplementing broiler diets with dry whey powder (DWP) and whey protein concentrate (WPC) on nutrient coefficient of apparent ileal digestibility (CAID) and productive performance. Cecal microbiota composition was also determined using Illumina amplicon sequencing. Dietary treatments were control diet (no supplementation of DWP or WPC), 60-DWP (60 g/kg of DWP), and 80-WPC (80 g/kg of WPC). One-day-old male broilers were randomly assigned to one of three treatments, and housed in floor pens. In Trial 1, 90 1-day-old chicks were allocated to three pens/treatment, with 10 birds/pen, during 21 days for CAID evaluation. Diet 60-DWP increased Ca CAID (P=0.041), while diet 80-WPC improved Ca and P CAID (P<0.001 and 0.002, respectively) when compared with control diet. In Trial 2, 810 one-day-old chicks were allocated to nine pens/treatment, with 30 birds/pen, during 42 days. Feeding chickens with 60-DWP and 80-WPC increased their BW, average daily gain (ADG) and feed intake (FI) during the starter (P<0.001 for all variables) and grower-finisher periods (P<0.001 for BW and FI, and P=0.048 for ADG), and during the entire feeding period (P<0.05), when compared with control diet. Diets 60-DWP and 80-WPC reduced the feed conversion ratio of chickens during the starter period (P<0.001 and 0.003, respectively), while 60-DWP reduced this parameter during the entire feeding period (P=0.048), when compared to control diet. At day 42, cecal microbial communities of chickens that were fed with 60-DWP and 80-WPC differed from those fed with control diet (R=0.776, P=0.008; and R=0.740, P=0.008, respectively). The abundance of Bacteroides fragilis, Bacteroides spp., Escherichia coli/Shigella flexneri and Megamonas furniformis increased when 60-DWP and 80-WPC diets were offered, while the presence of Helicobacter pullorum decreased. Lactobacillus salivarius consistently increased in chickens with better feed conversion ratio, which were those fed with 60-DWP. The results obtained in the present study indicate that growth of chickens is improved by DWP and WPC supplementation because of a higher mineral digestibility, increased feed intake and modulation of cecal microbiota communities.


Assuntos
Ceco/efeitos dos fármacos , Galinhas/microbiologia , Galinhas/fisiologia , Digestão/efeitos dos fármacos , Microbioma Gastrointestinal/efeitos dos fármacos , Soro do Leite/metabolismo , Ração Animal/análise , Fenômenos Fisiológicos da Nutrição Animal/efeitos dos fármacos , Animais , Ceco/microbiologia , Galinhas/crescimento & desenvolvimento , Dieta/veterinária , Proteínas na Dieta/administração & dosagem , Proteínas na Dieta/metabolismo , Suplementos Nutricionais/análise , Íleo/efeitos dos fármacos , Lactose/administração & dosagem , Lactose/metabolismo , Masculino , Distribuição Aleatória , Soro do Leite/administração & dosagem , Proteínas do Soro do Leite/administração & dosagem , Proteínas do Soro do Leite/metabolismo
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