Effect of β-casein A2 cow milk supplementation on physical growth, inflammation, growth, and metabolism hormonal profiles in stunted children.

IF 2.8 Q3 ENDOCRINOLOGY & METABOLISM
Revi Gama Hatta Novika, Atriany Nilam Sari, Siti Nurhidayati, Rufidah Maulina, Luluk Fajria Maulida, Nurul Jannatul Wahidah, Muhana Fawwazy Ilyas, Lanjar Sumarno, Sigit Prastowo, Cecilia M Jevitt
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引用次数: 0

Abstract

Purpose: Previous studies have suggested that milk consumption can promote growth in children. However, limited studies have been done on the effects of various cow milk varieties, especially β-Casein A2 milk. This study aims to investigate the effect of β-Casein A2 cow milk supplementation on physical growth, inflammation, growth, and metabolism hormonal profiles in stunted children.

Methods: This is a quasi-experimental study with only one group, pre-and post-test design. This research is divided into three stages: allele testing in the β-casein gene, process into ready-to-drink milk, and clinical trial. The participants studied were children aged 12-36 months who were given 200ml Allele-2 milk supplementation once a day for three months. The outcome assessment included physical growth (body weight and height), inflammation (tumour necrosis factor-alpha [TNF-α] and cortisol levels), and growth and metabolism hormonal profiles (insulin-like growth factor-1 [IGF-1], transferrin, and growth hormone [GH] levels) that were measured during pre, middle (week 6), and post (week 12) of intervention.

Results: This study included 30 study participants. Significant body weight and height improvements were observed at week six and post-intervention (week 12) compared to pre-intervention. Inflammation markers showed significant reductions in TNF-α and cortisol levels post-intervention. Additionally, growth hormone profiles exhibited significant increases in IGF-1, transferrin, and GH levels post-intervention.

Conclusions: This study highlights the potential of β-Casein A2 milk as a dietary intervention to address stunting in low- and middle-income countries. Additionally, β-Casein A2 milk reduces the risk of several diseases due to lower BCM-7 metabolite production than β-Casein A1 milk.

补充β-酪蛋白A2牛奶对发育迟缓儿童身体生长、炎症、生长和代谢激素谱的影响。
目的:以前的研究表明,牛奶可以促进儿童的生长。然而,对各种牛奶品种,特别是β-酪蛋白A2牛奶的影响进行的研究有限。本研究旨在探讨补充β-酪蛋白A2牛奶对发育迟缓儿童身体生长、炎症、生长和代谢激素谱的影响。方法:采用准实验研究,单组,前后设计。本研究分为三个阶段:β-酪蛋白基因等位基因检测、加工成即食牛奶和临床试验。研究的参与者是12-36个月大的儿童,他们每天一次补充200毫升的等位基因-2牛奶,持续三个月。结果评估包括在干预前、中期(第6周)和后(第12周)测量的身体生长(体重和身高)、炎症(肿瘤坏死因子-α [TNF-α]和皮质醇水平)、生长和代谢激素(胰岛素样生长因子-1 [IGF-1]、转铁蛋白和生长激素[GH]水平)。结果:本研究纳入30名研究参与者。与干预前相比,在第6周和干预后(第12周)观察到显著的体重和身高改善。炎症标志物显示干预后TNF-α和皮质醇水平显著降低。此外,生长激素谱显示干预后IGF-1、转铁蛋白和生长激素水平显著增加。结论:本研究强调了β-酪蛋白A2牛奶作为饮食干预措施解决中低收入国家发育迟缓问题的潜力。此外,与β-酪蛋白A1牛奶相比,β-酪蛋白A2牛奶由于BCM-7代谢物的产生较低而降低了几种疾病的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.00
自引率
18.20%
发文量
59
审稿时长
24 weeks
期刊介绍: The Annals of Pediatric Endocrinology & Metabolism Journal is the official publication of the Korean Society of Pediatric Endocrinology. Its formal abbreviated title is “Ann Pediatr Endocrinol Metab”. It is a peer-reviewed open access journal of medicine published in English. The journal was launched in 1996 under the title of ‘Journal of Korean Society of Pediatric Endocrinology’ until 2011 (pISSN 1226-2242). Since 2012, the title is now changed to ‘Annals of Pediatric Endocrinology & Metabolism’. The Journal is published four times per year on the last day of March, June, September, and December. It is widely distributed for free to members of the Korean Society of Pediatric Endocrinology, medical schools, libraries, and academic institutions. The journal is indexed/tracked/covered by web sites of PubMed Central, PubMed, Emerging Sources Citation Index (ESCI), Scopus, EBSCO, EMBASE, KoreaMed, KoMCI, KCI, Science Central, DOI/CrossRef, Directory of Open Access Journals(DOAJ), and Google Scholar. The aims of Annals of Pediatric Endocrinology & Metabolism are to contribute to the advancements in the fields of pediatric endocrinology & metabolism through the scientific reviews and interchange of all of pediatric endocrinology and metabolism. It aims to reflect the latest clinical, translational, and basic research trends from worldwide valuable achievements. In addition, genome research, epidemiology, public education and clinical practice guidelines in each country are welcomed for publication. The Journal particularly focuses on research conducted with Asian-Pacific children whose genetic and environmental backgrounds are different from those of the Western. Area of specific interest include the following : Growth, puberty, glucose metabolism including diabetes mellitus, obesity, nutrition, disorders of sexual development, pituitary, thyroid, parathyroid, adrenal cortex, bone or other endocrine and metabolic disorders from infancy through adolescence.
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