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Pediatric Endocrinology |
Department of Pediatrics, Endocrinology and Metabolism Section, Texas Childrens Hospital and U.S. Department of Agriculture, Agricultural Research Service, Childrens Nutrition Research Center, Baylor College of Medicine, Houston, Texas 77030
Address all correspondence and requests for reprints to: Philip R. Beckett, Ph.D., Texas Childrens Hospital, 6621 Fannin, MC 32351, Houston, Texas 77030. E-mail: pbeckett{at}bcm.tmc.edu
We investigated whether the efficiency of dietary protein utilization for growth increases during the pubertal growth spurt in both nondiabetic and diabetic subjects.
We measured leucine oxidation and retention (intake minus oxidation) in
orally fed nondiabetic (n = 9) and diabetic (n = 9) human
subjects, aged 717 yr. Eight subjects were Tanner stage I, and 10
were Tanner stages IIIV; groups were not matched for gender. After 3
days of consuming a diet containing approximately 1 g/kg · day
protein, subjects drank a commercial liquid nutrition formula,
containing L-[1-13C]leucine, every 30 min for
a total of 6 h to provide 1 g protein/kg · day. Isotopic
enrichment of CO2 was used to calculate the fractional
leucine oxidation rate and, together with
-ketoisocaproate isotopic
enrichment, to calculate total leucine oxidation.
Leucine oxidation rates decreased with puberty in both nondiabetic subjects (36.0 ± 10.4 vs. 23.9 ± 4.2 µmol/kg fat-free mass (FFM) · h, prepubertal and pubertal, respectively; P < 0.05) and diabetic (33.6 ± 4.9% vs. 27.3 ± 3.4 µmol/kg FFM · h, prepubertal and pubertal, respectively; P < 0.1) subjects. Leucine retention increased with puberty in both nondiabetic (0.27 ± 3.2 vs. 15.7 ± 5.3 µmol/kg FFM · h, prepubertal and pubertal, respectively; P < 0.001) and diabetic (1.9 ± 4.9 vs. 13.2 ± 4.4 µmol/kg FFM · h, prepubertal and pubertal subjects, respectively; P < 0.05) subjects. The data suggest that the pubertal growth spurt is associated with a marked increase in the efficiency of dietary protein utilization for growth.
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