scholarly journals Effect of a high-protein, high-fiber diet plus supplementation with branched-chain amino acids on the nutritional status of patients with cirrhosis

Author(s):  
A. Ruiz-Margáin ◽  
R.U. Macías-Rodríguez ◽  
S.L. Ríos-Torres ◽  
B.M. Román-Calleja ◽  
O. Méndez-Guerrero ◽  
...  
2019 ◽  
pp. 155982761987404 ◽  
Author(s):  
Hamed Jafari-Vayghan ◽  
Jalal Moludi ◽  
Sevda Saleh-Ghadimi ◽  
Elgar Enamzadeh ◽  
Mir Hossein Seyed-Mohammadzad ◽  
...  

Background: Cardiac cachexia (CC) adversely affects the lifestyle of heart failure (HF) patients. The current study examined the impact of melatonin cosupplementation and branched-chain amino acids (BCAAs) on quality of life (QoL), fatigue, and nutritional status in cachectic HF patients. Methods: In this trial, 84 CC patients were randomized to melatonin, BCAAs, or coadministration (both) as intervention groups and a control group over 8 weeks. At baseline and postintervention, QoL, fatigue, and nutritional status were assessed. Results: After intervention, improvement in the overall and physical dimensions of QoL and appetite score were found to be statistically significant in the BCAAs (P < .001) and the melatonin+BCAAs (P < .001) groups compared with the placebo group. The emotional dimension score was significantly lower in the BCAAs group compared with the placebo group (P = .001). There was a statistically significant improvement in fatigue severity in all 3 intervention groups compared with the placebo group. The nutrition risk index (NRI) score increased significantly only in the melatonin group (P = .015), and there was no significant difference between the other groups (P = .804). Conclusions: Cosupplementation with BCAAs and melatonin improved QoL, fatigue status, and appetite in cachectic HF patients but did not affect NRI.


2019 ◽  
Vol 97 (Supplement_3) ◽  
pp. 274-274
Author(s):  
Thunyaporn Phungviwatnikul ◽  
Helen Valentine ◽  
Fei He ◽  
Kelly S Swanson

Abstract Obesity reduces the quality and length of life of companion animals. Spaying increases risk, but dietary modification may attenuate obesity and related co-morbidities. The objective of this study was to determine the effects of specially formulated diets on apparent total tract macronutrient digestibility (ATTD) and fecal metabolites of female dogs after spay surgery. All procedures were approved by the University of Illinois Institutional Animal Care and Use Committee prior to experimentation. Twenty-four dogs were spayed and randomly allotted to three experimental diets: 1) moderate-protein, moderate-fiber diet (control; COSP), 2) high-protein, high-fiber diet (HP-HF), or 3) high-protein, high-fiber diet plus omega-3 fats (HP-HF-O). Four dogs were sham-operated and fed the control diet (COSH). Dogs were fed to maintain BW for 12 weeks after spay, then allowed to consume twice that amount for another 12 weeks. Change from baseline data were analyzed statistically, with P &lt; 0.05 being significantly different. Food intake in dogs fed HP-HF or HP-HF-O was greater than COSH dogs, but COSP dogs were intermediate. Fat and organic matter digestibilities were lower in dogs fed HP-HF or HP-HF-O compared with COSH and COSP dogs. Fecal dry matter percentage and volume increases were greater in HP-HF and HP-HF-O dogs than COSH and COSP dogs. HP-HF and HP-HF-O dogs had higher fecal acetate than COSH or COSP dogs. Fecal butyrate tended to be greater (P = 0.08) in HP-HF dogs than COSH dogs. COSH and HP-HF-O dogs had lower fecal valerate than COSP dogs, while fecal ammonia tended to be higher (P = 0.05) in HP-HF-O than COSP and HP-HF dogs. Fecal total short-chain fatty acid (SCFA) increases in HP-HF-O dogs were higher than COSH dogs. Our results indicate that a high-protein, high-fiber diet can reduce energy content by reducing fat digestibility without affecting protein digestibility, modulate fecal SCFA concentrations, and decrease fecal branched-chain fatty acid.


2020 ◽  
Vol 98 (Supplement_4) ◽  
pp. 318-319
Author(s):  
Thunyaporn Phungviwatnikul ◽  
Sara E Belchik ◽  
Kelly S Swanson

Abstract Canine obesity can be managed by dietary energy restriction using a specifically formulated weight loss diet. The objective of this study was to determine the effects of weight loss on body composition, voluntary physical activity, and blood metabolites of overweight dogs while being fed a high-protein, high-fiber diet. All procedures were approved by the University of Illinois Institutional Animal Care and Use Committee prior to experimentation. Twelve overweight adult spayed female dogs (BW: 15.3±2.1 kg, BCS: 8.1±0.6) were fed a high-protein (CP: 42.0% DMB), high-fiber (TDF: 22.0% DMB) diet during a 5-wk baseline phase (wk 0) to identify food intake needed to maintain BW. A 24-wk weight loss phase followed. After wk 0, food was initially provided at 80% the amount needed to maintain BW and then adjusted weekly with a goal of 1.5–2% weight loss per wk. Data were analyzed statistically overtime using SAS 9.4. After 24 wk, dogs lost 31.2% of initial BW (P &lt; 0.0001), with 1.4±0.7% weight loss per wk. BCS decreased by 2.8 units (P &lt; 0.0001). During weight loss, dogs consumed an average of 457.5±61.4 kcal/d, with energy intake being reduced by a total of 43.8% by wk 24 compared to baseline. Lean muscle mass, fat mass, and fat percentage were reduced (P &lt; 0.0001) by 1.3 kg, 3.1 kg, and 11.7% respectively. Serum triglycerides, alkaline phosphatase, white blood cell counts, and neutrophils were decreased (P &lt; 0.0001), but serum bilirubin, creatinine, and blood urea nitrogen were increased (P &lt; 0.01) over time. Average daily physical activity changed over time, but was not greatly different due to weight loss. Our results suggest that a high-protein, high-fiber diet promotes fat mass loss, minimizes lean muscle mass loss, and reduces inflammatory marker and triglyceride concentrations in overweight dogs. Therefore, it is a suitable nutritional solution for weight loss programs in dogs.


2005 ◽  
Vol 48 (6) ◽  
pp. 612-626 ◽  
Author(s):  
K. A. Shahin ◽  
F. Abd Elazeem

Abstract. The effects of breed (Hubbard and Anak), sex and diet (two levels of protein (high or low) with two levels of crude fiber (low or high) at each level of protein) on carcass composition and distribution of tissues over the carcass were studied. Carcass composition and ratios of muscle: bone, muscle: fat and meat: bone in the carcass did not differ significantly between breed groups. Male carcasses had more muscle, more bone, more fat-free carcass, higher ratios of muscle: bone, muscle: fat but less fat, less meat and lower meat: bone ratio than female carcasses. Carcasses of chicks fed high protein (with either low or high fiber) diet had more muscle than carcasses of chicks fed low protein (with either low or high fiber) diet. Carcasses of chicks fed high fiber (with either low or high protein) diet had more bone but less meat than carcasses of chicks fed low fiber (with either low or high protein) diet. Increasing both protein and fiber in the diet resulted in lowering carcass fat, consequently raising muscle: fat ratio. Breed and sex did not influence the distribution of muscle and meat throughout the carcass parts. Breed differences in fat weight distribution were not significant. Anak had significantly higher proportions of bone in wing and neck than Hubbard did. The proportion of total carcass muscle in breast, drumstick, wing were not significantly affected by diet. Carcasses of chicks fed high fiber (with either low or high protein) diet had higher proportion of total meat in thigh and neck than carcasses from chicks fed low fiber (with either low or high protein) diet. Diet had no significant effect on bone weight distribution. Increasing crude fiber in diets resulted in lowering proportion of total fat in breast, thigh but increasing proportion of total fat in drumstick and wing. Breed x sex, breed x diet and sex x diet interactions did not significantly influence most of carcass traits indicating that the factors under consideration act independently of each other's. Significant sex x diet interactions was found for carcass fat and boneless carcass relative to live body weight: the sexual dimorphism in low protein diet is more pronounced than in high protein diets.


Animals ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 3079
Author(s):  
Ping Hu ◽  
Lingang Wang ◽  
Zhijin Hu ◽  
Liwen Jiang ◽  
Hong Hu ◽  
...  

This study aimed to investigate the effects of multi-bacteria solid-state fermented diets with different crude fiber (CF) levels on growth performance, nutrient digestibility, and microbial flora of finishing pigs. The multi-bacteria solid-state fermented diets were made up of Lactobacillus amylovorus, Enterococcus faecalis, Bacillus subtilis, and Candida utilis. According to a 2 (factors) × 2 (levels) design, with the two factors being multi-bacteria solid-state fermentation (fed non-fermented diet or multi-bacteria fermentation) or CF levels (fed a basal diet containing 2.52% CF or 7.00% CF), a total of 36 finishing pigs (70.80 ± 5.75 kg) were divided into 4 treatments with 9 barrows per group: (1) pigs fed a diet containing 7.00% CF (HF), (2) pigs fed a multi-bacteria fermentation diet containing 7.00% CF (HFM), (3) pigs fed a diet containing 2.52% CF (LF), and (4) piglets fed a multi-bacteria fermentation diet containing 2.52% CF (LFM). This experiment lasted 28 days. The multi-bacteria solid-state fermented diet increased the backfat thickness (p < 0.05) and apparent total tract nutrient digestibility (ATTD) of CF, neutral detergent fiber (NDF), acid detergent fiber (ADF), crude protein (CP), 8 amino acids (Trp, Asp, Gly, Cys, Val, Met, Ile, and Leu), total essential amino acids (EAA), total non-essential amino acids (NEEA), and total amino acids (TAA) (p < 0.05). Multi-bacteria solid-state fermented diet increased serum concentrations of HDL-c, ABL, TP, and GLU, the serum enzyme activities of GSH-Px, T-AOC, SOD, and CAT (p < 0.05), the relative abundance of Lactobacillus, Oscillospira, and Coprococcus (p < 0.05), and the abundance of YAMINSYN3-PWY, PWY-7013, GOLPDLCAT-PWY, ARGORNPROST-PWY, and PWY-5022 pathways (p < 0.05). The multi-bacteria solid-state fermented diet reduced the digestion amount of CF, NDF, and ADF (p < 0.05), the serum concentrations of TC, TG, LDL-c, BUN, and MDA (p < 0.05), the relative abundance of Streptococcaceae (p < 0.05), and the abundance of PWY-6470, PWY0-862, HSERMETANA-PWY, LACTOSECAT-PWY, MET-SAM-PWY, PWY-6700, PWY-5347, PWY0-1061, and LACTOSECAT-PWY pathways (p < 0.05). The high-fiber diet increased average daily feed intake (p < 0.05), the serum concentrations of TC, TG, LDL-c, BUN, and MDA (p < 0.05), the relative abundance of Clostridiaceae_Clostridium and Coprococcus (p < 0.05), and the abundance of TCA-GLYOX-BYPASS, GLYCOLYSIS-TCA-GLYOX-BYPASS, and PWY-6906 pathways (p < 0.05). The high-fiber diet reduced chest circumference (p < 0.05) and ATTD of ether extract (EE), CF, NDF, ADF, Ca, CP, 18 amino acids (Trp, Thr, Val, Met, Ile, Leu, Phe, Lys, His, Arg Asp, Ser, Glu, Gly, Ala, Cys, Tyr, and Pro), EAA, NEAA, and TAA (p < 0.05). The high-fiber diet also reduced the serum concentrations of HDL-c, TP, ABL, and GLU, the serum enzyme activities of T-AOC, GSH-Px, SOD, and CAT (p < 0.05), and the relative abundance of Akkermansia and Oscillospira (p < 0.05). There was no significant effect of the interaction between multi-bacteria fermentation and dietary CF levels, except on the digestion amount of CF (p < 0.05). The 7.00% CF had a negative effect on the digestion of nutrients, but multi-bacteria solid-state fermentation diets could relieve this negative effect and increase backfat thickness. High-fiber diets and multi-bacteria solid-state fermentation improved the diversity and abundance of fecal microorganisms in finishing pigs.


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