Acute Metabolic Response in Adults to Toddler Milk Formulas with Alternating Higher and Lower Protein and Fat Contents, a Randomized Cross-Over Trial

Protein intake in early life influences metabolism, weight gain, and later obesity risk. As such, a better understanding of the effects of protein intake on the postprandial metabolism and its dynamics over time may elucidate underlying mechanisms. In a randomized crossover study, we observed fasted adults who consumed two isocaloric toddler milk formulas concentrated as meals of 480 kcal with 67 g of carbohydrates 30 g (HP) or 7 g (LP) protein, and 10 g or 20 g fat, respectively. Anthropometry and body plethysmography were assessed, and blood samples collected at baseline and over five hours. Time-specific concentrations, areas under concentration curves (AUC), and maximum values of metabolites were compared by paired t-tests to examine the effects of protein content of toddler milks on postprandial plasma concentrations of insulin, glucose, branched-chain amino acids (BCAA), urea and triglycerides. Twenty-seven men and women aged 26.7 +/- 5.0 years (BMI: 22.2 +/- 2.5 kg/m(2)) (mean +/- SD) participated. BCAA AUC, and Cmax values were significantly higher with HP than LP (144,765 +/- 21,221 vs. 97,089 +/- 14,650 mu mol center dot min/L, p < 0.001; 656 +/- 120 vs. 407 +/- 66 mu mol/L, p < 0.001), as were insulin AUC and Cmax values (6674 +/- 3013 vs. 5600 +/- 2423 mu mol center dot min/L, p = 0.005; 71 +/- 37 vs. 55 +/- 28 mu mol/L, p = 0.001). Higher glucose, urea, and triglyceride concentrations occurred in the late postprandial phase (>= 180 min) with HP. In conclusion, we noted that higher milk protein intake induces increased postprandial BCAA concentrations for at least 5 h and led to higher initial insulin secretion. Gluconeogenesis due to an influx of amino acids and their degradation after HP meal might explain the late effects of protein intake on glucose and insulin.