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OBJECTIVES: Very little is known about dietary carbohydrate and intestinal microbe interactions during the introduction of solid foods in exclusively breastfed infants. The objective of the UC Davis IMiND study is to discover the relationships between plant-derived complementary foods commonly used in the early weaning period and the gut microbiome in a prospective feeding-trial in exclusively breast milk-fed infants. METHODS: In a randomized, crossover study, 6-month old, exclusively breastfed infants (n = 99) entered a 7-day lead-in period of exclusive breast milk, followed by 7 days of either study food (pear or sweet potato) plus breast milk. This was followed by a 4-day washout period of exclusive breast milk, then 7 days of the alternate study food, followed by a 4-day follow-up period of exclusive breast milk. The infant gut microbiome was measured by 16 s rRNA amplicon sequencing (n = 39). Fecal monosaccharides and short chain fatty acids were measured in a subset of mother-infant dyads (n = 20) by liquid chromatography-mass spectrometry. RESULTS: There was no significant difference in gut alpha diversity (Shannon index) but a significant difference in beta diversity (unweighted UniFrac, P = 0.03, R,(2) = 0.02) between pre- and post- first food. Free fecal monosaccharide composition was similar across all feeding periods. Total bound fecal monosaccharides, including arabinose and xylose were 2-fold higher in response to pear consumption compared with the other feeding periods (P |
