Respiratory quotient changes in full term newborn infants within 30 hours from birth before start of milk feeding.
OBJECTIVE
To evaluate substrate utilization in full-term newborn infants, fed every 3-4 h with glucose 10% solution, within 30 h from birth.


METHODS
Random.


METHODS
Full term newborn infants at the Paediatric Division City Major Hospital, Chair of Paediatrics, Verona University.


METHODS
Forty-six newborn infants, 24 females and 22 males of 39+/-2 weeks gestational age.


METHODS
Oxygen consumption (VO2) and CO2 production (VCO2) were measured. Permitting the computation of the respiratory quotient (RQ), which expresses substrate oxidation, at 6 and 30 h from birth. An indirect calorimeter (Deltratrac TMII-MBM-200-DATEX) was used to measure components of energy-balance.


RESULTS
Energy expenditure calculated at 6 h was 8.130 (+/-1.5757) kJ/kg/h. At 30 h the value changed to 8.858 (+/-1.483) kJ/kg/h. Statistical evaluation (t-student) showed a significant (P=0.000) variation in RQ values (6 h: RQ=0.94; 30 h: R=0.88).


CONCLUSIONS
Respiratory quotient suggests an increase of energy derived from fat metabolism at 30 h from birth. Our data confirm that early breast feeding or formula milk feeding could represent a physiological approach to nutritional regimen of the newborn infant.
Zoppi
G
G
Paediatrics, University of Verona, Major City Hospital of Verona, Italy.
Luciano
A
A
Cinquetti
M
M
Graziani
S
S
Bolognani
M
M
D000375:Aging; D002245:Carbon Dioxide / Q000378:metabolism; D004734:Energy Metabolism; D005260:Female; D006801:Humans; D007225:Infant Food; D007231:Infant, Newborn / Q000502:physiology*; D008297:Male; D008895:Milk, Human; D010101:Oxygen Consumption
D002245:Carbon Dioxide