Skip to main content
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1992 May;67(5):608–612. doi: 10.1136/adc.67.5.608

Using the steatocrit to determine optimal fat content in modular feeds.

M O Rawashdeh 1, D R Lloyd 1, J W Puntis 1, G A Brown 1, I W Booth 1
PMCID: PMC1793705  PMID: 1599298

Abstract

The steatocrit was measured in infants with protracted diarrhoea who were receiving intragastric modular feeds. Measurements were made when fat intake was constant to determine steatocrit variability and during increases in fat intake to determine fat tolerance limits. Steatocrit variability was expressed as the range between a subject's lowest and highest steatocrit value. The median between-stool and between-day variabilities were 2% and 11% respectively. Variability was also measured in seven healthy breast fed infants. In the five still displaying appreciable physiological steatorrhoea, the between-day variability (median 8%) and between-stool variability (median 9%) were not significantly different from the protracted diarrhoea group. In the fat tolerance investigations in the protracted diarrhoea group, the steatocrit increased with increases in the module fat content. Fat intake and steatocrit were significantly positively related. A significant negative correlation was seen between steatocrit and weight gain, the latter becoming negligible at steatocrit values around 30%.

Full text

PDF
608

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bright-Asare P., Binder H. J. Stimulation of colonic secretion of water and electrolytes by hydroxy fatty acids. Gastroenterology. 1973 Jan;64(1):81–88. [PubMed] [Google Scholar]
  2. Colombo C., Maiavacca R., Ronchi M., Consalvo E., Amoretti M., Giunta A. The steatocrit: a simple method for monitoring fat malabsorption in patients with cystic fibrosis. J Pediatr Gastroenterol Nutr. 1987 Nov-Dec;6(6):926–930. [PubMed] [Google Scholar]
  3. Fomon S. J., Ziegler E. E., Thomas L. N., Jensen R. L., Filer L. J., Jr Excretion of fat by normal full-term infants fed various milks and formulas. Am J Clin Nutr. 1970 Oct;23(10):1299–1313. doi: 10.1093/ajcn/23.10.1299. [DOI] [PubMed] [Google Scholar]
  4. Galeano N. F., Lepage G., Leroy C., Belli D., Levy E., Roy C. C. Comparison of two special infant formulas designed for the treatment of protracted diarrhea. J Pediatr Gastroenterol Nutr. 1988 Jan-Feb;7(1):76–83. doi: 10.1097/00005176-198801000-00015. [DOI] [PubMed] [Google Scholar]
  5. Iacono G., Carroccio A., Cavataio F., Montalto G., Mancuso C., Balsamo V., Notarbartolo A. Steatocrit test: normal range and physiological variations in infants. J Pediatr Gastroenterol Nutr. 1990 Jul;11(1):53–57. [PubMed] [Google Scholar]
  6. KERRY K. R., ANDERSON C. M. A WARD TEST FOR SUGAR IN FAECES. Lancet. 1964 May 2;1(7340):981–981. doi: 10.1016/s0140-6736(64)91777-5. [DOI] [PubMed] [Google Scholar]
  7. Larcher V. F., Shepherd R., Francis D. E., Harries J. T. Protracted diarrhoea in infancy. Analysis of 82 cases with particular reference to diagnosis and management. Arch Dis Child. 1977 Aug;52(8):597–605. doi: 10.1136/adc.52.8.597. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Phuapradit P., Narang A., Mendonca P., Harris D. A., Baum J. D. The steatocrit: a simple method for estimating stool fat content in newborn infants. Arch Dis Child. 1981 Sep;56(9):725–727. doi: 10.1136/adc.56.9.725. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Picciano M. F., Guthrie H. A., Sheehe D. M. The cholesterol content of human milk. A variable constituent among women and within the same woman. Clin Pediatr (Phila) 1978 Apr;17(4):359–362. doi: 10.1177/000992287801700412. [DOI] [PubMed] [Google Scholar]
  10. Rubaltelli F. F., Largajolli G. Effect of light exposure on gut transit time in jaundiced newborns. Acta Paediatr Scand. 1973 Mar;62(2):146–148. doi: 10.1111/j.1651-2227.1973.tb08082.x. [DOI] [PubMed] [Google Scholar]
  11. Saunders D. R., Sillery J. K. Absorption of triglyceride by human small intestine: dose-response relationships. Am J Clin Nutr. 1988 Oct;48(4):988–991. doi: 10.1093/ajcn/48.4.988. [DOI] [PubMed] [Google Scholar]
  12. Walters M. P., Kelleher J., Gilbert J., Littlewood J. M. Clinical monitoring of steatorrhoea in cystic fibrosis. Arch Dis Child. 1990 Jan;65(1):99–102. doi: 10.1136/adc.65.1.99. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES