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J. Dairy Sci.

105:6670–6692
https://doi.org/10.3168/jds.2022-21870
© 2022, The Authors. Published by Elsevier Inc. and Fass Inc. on behalf of the American Dairy Science Association®.
This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

Macronutrient profile in milk replacer or a whole milk powder


modulates growth performance, feeding behavior,
and blood metabolites in ad libitum-fed calves
J. N. Wilms,1,2* M. H. Ghaffari,3 M. A. Steele,2 H. Sauerwein,3 J. Martín-Tereso,1 and L. N. Leal1
1
Trouw Nutrition R&D, P.O. Box 299, 3800 AG, Amersfoort, the Netherlands
2
Department of Animal Biosciences, Animal Science and Nutrition, University of Guelph, Guelph, ON, Canada N1G 1Y2
3
Institute of Animal Science, University of Bonn, 53111 Bonn, Germany

ABSTRACT were regulated by the energy density of the milk sup-


plied. The percentage of calves requiring therapeutic
Milk replacers (MR) for calves usually contain more interventions related to diarrhea was greater in WP-fed
lactose and less fat than bovine whole milk (WM). calves (29%) than HF and HL calves (4%), whereas
There are insufficient data to determine whether these HP (13%) did not differ with other groups. This was
MR formulations are optimal for calves fed at high coupled with lower blood acid–base, blood gas, and
planes of nutrition. Thus, the effect of 3 MR formula- blood sodium in WP than in MR-fed calves. Calves fed
tions and a WM powder were evaluated on growth, HF had greater serum nonesterified fatty acids com-
feeding behavior, and blood metabolites in 96 male pared with other groups, and greater serum amyloid A
Holstein calves fed ad libitum and with 45.5 ± 4.30 compared with WP and HL calves. Among the serum
kg (mean ± SD) BW at arrival. Calves were blocked parameters, insulin-like growth factor-1 and lactate
based on arrival sequence, and randomly assigned dehydrogenase correlated positively with ME intake
within block to one of the 4 treatments (n = 24 calves/ and average daily gain. The high lactose and protein
group): a high-fat MR (25.0% fat, dry matter basis; intakes in HL and HP calves led to greater insulin-like
22.5% protein, 38.6% lactose; 21.3 MJ/kg; HF), a high growth factor-1 concentrations than in WP-fed calves.
lactose MR (44.6% lactose, 22.5% protein, 18.0% fat; Although growth differences were limited among MR
19.7 MJ/kg; HL), a high protein MR (26.0% protein, groups, the metabolic profile largely differed and these
18.0% fat, 41.5% lactose; 20.0 MJ/kg; HP), and a WM differences require further investigation.
powder (26.0% fat; 24.5% protein, 38.0% lactose; 21.6 Key words: calf, macronutrient profile, milk replacer,
MJ/kg; WP). In the first 2 wk after arrival, calves were feeding behavior
individually housed and were fed 3.0 L of their respec-
tive liquid feed 3 times daily at 135 g/L. They were
INTRODUCTION
then moved to group housing and fed ad libitum until
d 42 after arrival. Weaning was gradual and took place In current calf nutrition trends, replacement heif-
between d 43 and 70 after arrival; thereafter, calves ers are fed elevated planes of milk (~20% birth BW;
were fed solids only. Concentrates, chopped straw, and MacPherson et al., 2016; Welboren et al., 2019; Leal
water were available ad libitum throughout the study. et al., 2021). The effectiveness of milk replacer (MR)
Body weight was measured, and blood was collected formulations in supporting development and health of
at arrival and then weekly thereafter from wk 1 to 12. calves fed large amounts of liquid feed is not well char-
Weight gain and height were greater in HL than WP acterized (Diaz et al., 2001; van Niekerk et al., 2021b).
calves. In the preweaning phase, HL and HP-fed calves Milk replacers for calves contain higher levels of lactose
consumed more milk than WP, and HL-fed calves con- (40–50 vs. ~35% DM basis; Gilbert et al., 2016; Amado
sumed more milk than HF calves. In wk 10, starter et al., 2019; Wilms et al., 2020a) and lower levels of
feed intakes were lower in HF calves than in the other fat (16–20% vs. ~30%) than bovine whole milk (WM)
groups. In the preweaning phase, ME intakes were the from Holstein dairy cows. Although protein levels are
same for all treatments. This suggests that milk intakes rather comparable between MR and WM (20–24%
vs. ~24%), high protein MR formulations (≥26%) are
also available but not in wide use (Daniels et al., 2008;
Received January 26, 2022.
Accepted March 26, 2022. USDA, 2012). For the same percentage of solids, low
*Corresponding author: juliette.wilms@​trouwnutrition​.com levels of fat in MR (≤20%) result in a lower ME density

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Wilms et al.: MACRONUTRIENTS IN MILK REPLACER 6671

and a higher dietary protein to energy ratio compared the macronutrient profile of MR would affect growth
with high-fat MR and WM. For a same percentage of performance, feeding behavior, and blood metabolites
solids, calves fed ad libitum levels of MR with high lac- in male dairy calves fed ad libitum. In addition, a group
tose have greater liquid feed intakes and slightly greater of calves fed a WM powder served as a biological ref-
preweaning growth compared with MR with high fat erence for growth and development expected from its
(≥23% fat; Berends et al., 2020; Echeverry-Munera natural macronutrient and micronutrient profile.
et al., 2021). Additionally, feeding isocaloric MR with
higher protein content at 10 to 14% of BW daily to MATERIALS AND METHODS
dairy calves improved growth rates and gain-to-feed
ratios (Bartlett et al., 2006). This study was conducted at the Calf Research Facil-
Although performance in early life remains a main ity of Trouw Nutrition Research and Development (Sint
focus in calf nutrition, the metabolic implications re- Anthonis, the Netherlands) between April 2018 and July
lated to dietary macronutrient imbalances need to be 2019. All procedures described in this article complied
addressed in calves fed elevated planes of MR. In infant with the Dutch Law on Experimental Animals, which
nutrition, excessive protein intake from infant formula meets European guidelines defined by ETS123 (Council
(15–20% energy) in early in life (<4 mo of age) drives of Europe 1985 and the 86/609/EEC Directive) and
early programming of hormonal mechanisms by pro- were approved by the animal welfare authority (Cen-
moting growth acceleration, whereas slower growth in trale Commissie Dierproeven, CCD, the Netherlands).
breast-fed and low-protein formula-fed infants reduces The project application code is AVD2040020173425.
the incidence of cardiovascular disease and associated
risks later in life (Leunissen et al., 2009; Socha et al., Animals and Experimental Design
2011; Oddy et al., 2014). This was attributed to in-
creased concentrations of insulin-releasing AA stimu- A total of 96 male Holstein Friesian calves with an
lating insulin and insulin-like growth factor I (IGF-I; arrival BW of 45.5 ± 4.30 kg (mean ± SD) were pur-
Rolland-Cachera et al., 1984; Rolland-Cachera and chased from neighboring dairy farms. At the farm of ori-
Peneau, 2010; Michaelsen and Greer, 2014). Similarly, gin, a standardized protocol for colostrum management
feeding MR with high lactose increases postprandial was applied, which included 3 feedings of colostrum
insulin concentrations (Welboren et al., 2019; Yohe in the first 24 h: 3.0 to 4.0 L within the first 3 h after
et al., 2021); which in turn modulates hepatic IGF-I birth, followed by 2 feedings of 2.0 L. Colostrum quality
production through a direct regulation of IGF-I tran- was monitored at the farm of origin and brix values of
script levels (Boni-Schnetzler et al., 1991). Thus, feed- colostrum fed were recorded. Thereafter, meals of 3.0
ing high-lactose and high-protein MR at high planes of L of MR at 135 g/L (Sprayfo Excellent, Trouw Nutri-
nutrition (~20% birth BW) could result in increased tion) were offered twice daily until the day of collection.
IGF-I signals in calves. Calves were brought to the research facility between 0
Beyond the metabolic effects linked with excessive and 3 d after birth, and blood IgG concentrations were
intakes of lactose and protein from liquid feeds, higher measured within 48 to 72 h after birth using a por-
fat inclusion in MR (≥23%) has been associated with table Multi-Test Analyzer (DVM Rapid Test II, Vetlab
decreased mortality (Urie et al., 2018), improved health Supply Inc.). Calves were assigned to 1 of 24 blocks
in terms of fecal consistency (Amado et al., 2019), re- based on age and arrival date to minimize age differ-
duced therapeutic interventions (Berends et al., 2020), ences within blocks, and within each block, calves were
and greater gastrointestinal weight (Welboren et al., randomly assigned to 1 of 4 dietary treatments. The 4
2021) in dairy calves. Dietary fat from WM provides experimental diets were supplied from arrival onward
about 50% of the total dietary energy, as well as es- up to 84 d after arrival to the research facility. The ex-
sential fatty acids, presenting important structural and perimental period was divided into 3 phases, including
metabolic functions to newborn animals (Delplanque preweaning, weaning transition, and postweaning. In
et al., 2015; Grote et al., 2016; Wilms et al., 2022). Fat the preweaning phase, all calves were housed individu-
stores are mobilized during infections and potentially ally and fed 3.0 L (135 g/L) 3 times daily for the first
explain the association between nutritional status and 2 wk after arrival. Subsequently, calves were moved to
mortality in infants (Kuzawa, 1998). a group housing department and fed ad libitum from d
The present study tested the hypothesis that high 15 to 42 after arrival. Each group pen included 8 calves
fat intakes from liquid feeds would result in lower milk (2 blocks of 4 calves) for a total of 4 pens in the depart-
intakes, slower growth, improved health, and distinct ment. In the second phase, weaning was gradual and
metabolic profiles than calves fed high-lactose and took place between d 43 and 70 after arrival. Finally,
high-protein MR. The objective was to evaluate how in the postweaning phase, calves were exclusively fed
Journal of Dairy Science Vol. 105 No. 8, 2022
Wilms et al.: MACRONUTRIENTS IN MILK REPLACER 6672

solid feeds from d 70 to 84. The experiment included 3 fully weaned but had access to all other feeds, and they
successive batches of 32 calves each. were observed until 84 d.

Treatments and Feeding Housing

Treatments consisted of 4 experimental diets (n = For the first 2 wk after arrival, calves were housed
24 per treatment): a high-fat MR (25.0% fat; 22.5% indoors in individual pens (1.22 m × 2.13 m) separated
protein, 38.6% lactose; 21.3 MJ/kg; HF), a high lactose by galvanized bar fences and equipped with 50% rubber
MR (44.6% lactose, 22.5% protein, 18.0% fat; 19.7 MJ/ slatted floors in the front and 50% lying area including
kg; HL), a high protein MR (26.0% protein, 18.0% a mattress covered with flax straw in the rear. From d
fat, 41.5% lactose; 20.0 MJ/kg; HP), and dehydrated 15 after arrival onward, calves were housed in groups
WM powder (26.0% fat, 24.5% protein, 38% lactose; indoors with 2 blocks per pen (8 calves). The group
21.6 MJ/kg; WP). Treatments were blinded to animal pens were 5.0 × 5.9 m and had a resting area (5.0 × 2.8
caretakers by randomly assigning a letter (A, B, C, or m) covered with flax straw and rubber slatted floors in
D) to each treatment. Ingredients and nutrient compo- front of the feeders. The temperature in the calf facility
sition of MR (Sloten B.V., Trouw Nutrition) and WP was at a minimum of 12°C and a maximum of 31°C
(WMP STD 26%, Arla Foods) are presented in Table and the relative humidity between 60 and 80%. Calves
1. The HF treatment was designed to be close to the were exposed to daylight and artificial light from 0600
fat content of WM, whereas the HL and HP treatments to 2200 h. Environmental data were not used for data
aimed to represent formulation strategies currently pro- processing but only for animal welfare monitoring.
posed in Europe and North America, respectively. To
define these formulations, fat, lactose, and protein were Measurements
exchanged on a weight-to weight basis (wt/wt). The fat
concentrate used was based on spray-dried fat kernels, Milk replacers were sampled for analysis at the
with 35% fat from coconut oil and 65% from palm oil. beginning of the study. During the first 2 wk after
Milk replacer concentration was 135.0 g/L of the milk arrival, intakes of MR, water, and starter feed were
fed to get closer to the solid percentage of bovine WM. recorded by weighing leftovers. Thereafter, feed and
Having the same percentage of solids allowed leveling water intakes were recorded daily by the automated
the percentage of ash among the 3 MR formulas and feeders. The number of rewarded visits, defined as the
is likely closer to industry practices. Additionally, this number of times a calf visited the automated milk
allowed for isonitrogenous comparisons between HL feeders and received a milk portion, was recorded.
and HF, which would not be possible if MR concentra- Similarly, the number of unrewarded visits, defined
tions were adjusted for ME density. Starter feed and as the number of times a calf visited the feeders and
water were available ad libitum throughout the ex- did not receive a milk portion, was also registered.
perimental period. Chopped wheat straw was available Fecal scores were assessed daily in the first 14 d after
from d 14 onward. Milk replacers were fed ad libitum the morning meal at 0900 h according to Renaud et
via automated milk dispensers (CF1000+, DeLaval), al. (2020). Body weights were measured by weigh-
starter feed via automated feeders (CRFI, Biocontrol), ing calves with a custom scale (W2000; Welvaarts
chopped straw via automated feeders (CRFI, Biocon- Weegsystemen) at arrival, and then weekly on d 7,
trol), and water via automated bowls (Förster-Tech- 14, 21, 28, 42, 56, 70, and 84 after arrival. At the
nik). All 4 dietary treatments were available in each of same time, body dimensions including withers and hip
the 4 pens and were offered individually to the calves height, chest girth, and body barrel were measured
via electronic recognition. This means that each pen according to Echeverry-Munera et al. (2021). Blood
included 2 blocks of 4 calves each and one automated samples were collected by jugular venipuncture at the
milk feeder able to dispense all 4 milk treatments (WP same time as BW measurements. Blood samples were
or MR) through the same teat. The minimum time collected into two 9-mL serum tubes (BD Vacutainer,
interval between 2 milk meals was set at 1 h, meal size Becton Dickinson) for all time points, and into one
was set between a minimum of 0.5 L and a maximum of 9-mL tube with anticoagulant (lithium heparin, BD
2.0 L, and the maximum drinking speed of 0.3 L/min. Vacutainer, Becton Dickinson) on d 7, 14, 21, and 28.
In the preweaning phase, calves were linearly weaned For blood acid–base (pH, base excess, and HCO3−),
from a maximum daily consumption of 8.0 L on d 43 blood gas determination (total carbon dioxide [tCO2],
to 2.0 L on d 70 with a minimum time interval of 1.5 h partial pressure of carbon dioxide [pCO2]), glucose,
between visits to the MR feeder. On d 70, calves were electrolytes (sodium, potassium, ionized calcium), and

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Wilms et al.: MACRONUTRIENTS IN MILK REPLACER 6673
Table 1. Ingredient and analyzed nutrient composition of milk replacers, whole milk powder, and starter feed

Treatment1

Item WP HF HL HP Starter feed


Ingredient (% product)
Skim milk powder — 50.0 50.0 50.0 —
Fat blend2 — 25.0 18.0 18.0 —
Whey powder — 12.4 23.4 10.5 —
Whey protein concentrate — 6.8 2.8 15.7 —
Hydrolyzed wheat protein — 2.0 2.0 2.0 —
Maltodextrin — 2.0 2.0 2.0 —
Maize — — — — 30.0
Soybean meal — — — — 25.1
Soy hulls — — — — 18.0
Beet pulp — — — — 8.5
Barley — — — — 5.0
Sugar cane molasses — — — — 4.5
Maize gluten meal — — — — 2.1
Linseed (full fat) — — — — 1.1
Premix3 — 1.8 1.8 1.8 5.8
Nutrients (DM basis)4
DM 960 968 968 966 891
CP 245 225 225 260 196
Crude fat 260 250 180 180 30
Crude ash 65 63 69 66 75
Crude fiber — — — — 98.5
Lactose 380 386 446 415 —
Glucose 0 5 5 5 —
Starch 0 14 14 14 219
Sodium 5.4 4.5 4.9 4.8 4.7
Potassium 14 12 13 13 11.2
Chloride 12 8.3 9.7 9.7 7.8
Calcium 14 8 9 8.3 11.2
Phosphorus 9.8 6.6 7.1 7.1 5.1
Magnesium 1.3 1.2 1.3 1.2 —
CP:ME ratio 48 44 48 54 —
WPNI5 (mg/g) 1.9 6.9 7.1 8.2 —
Osmolality6 (mOsm/kg) 314 326 370 350 —
SID7 (mEq/L) 33 44 45 40 —
NDF — — — — 198
ADF — — — — 123
ADL — — — — 8
ME8 (MJ/kg) 21.6 21.3 19.7 20.0 12.5
1
Treatments included a whole milk powder (WP; n = 24), and 3 milk replacers (MR) including a MR with high
fat (HF; n = 24), a MR with high lactose (HL; n = 24), and a MR with high protein (HP; n = 24).
2
Blend of palm and coconut oils, 2:1.
3
Milk replacers contain vitamins, minerals, probiotics and prebiotics, stabilizers, amino acids, as well as flavor-
ing and stability agents.
4
Expressed in g/kg DM unless specified otherwise.
5
WPNI = whey protein nitrogen index
6
Osmolality (in moles/kg of solvent and expressed in mOsm/kg) was calculated by adding osmolality of carbo-
hydrates and minerals as described in (Wilms et al. 2020a).
7
Strong ion difference (SID), expressed in mEq/L = sodium (mmol/L) + potassium (mmol/L) − chloride
(mmol/L).
8
Starter feed ME value was calculated based on NRC (2001).

hematocrit, one drop of whole blood from the lithium boxes with cooling elements and stored at −18°C until
heparin tube was inserted into CG8+ cartridges and analyses were performed.
analyzed immediately using a blood gas analyzer
(VetScan I-STAT 1, ref: 600-7015, Abbott Point of Chemical Analyses
Care Inc.). The serum tubes were fixed for 15 min
and centrifuged at 1,500 × g for 15 min at 20°C (Ro- Feed samples were processed and analyzed at Mas-
tina 380 R, Hettich). Serum samples were stored in terLab (Boxmeer, the Netherlands). Milk replacer and
1.5-mL cryotubes at −18°C and were transported in WP samples were analyzed for DM, crude ash, crude
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fat, CP, macrominerals, and carbohydrates (lactose and bin, 4.0% for lactate dehydrogenase, 2.9% for NEFA,
glucose), whereas starter feed was analyzed for DM, CP, 3.8% for total bilirubin, 1.3% for total protein, 2.2%
crude fat, crude ash, crude fiber, starch, and macro- for triglyceride, and 1.8% for urea. In addition, serum
minerals. In addition, the whey protein nitrogen index immunoglobulins (IgA, IgM, and IgG) were measured
(WPNI), which reflects protein quality, was measured on d 56 and 84 using a kit from Bethyl Laboratories
in MR and WP samples. Dry matter content was deter- (Uden, the Netherlands) according to manufacturer’s
mined by drying to a constant weight in a 103°C oven instructions.
for 4 h (EC 152/2009; EC, 2009). Crude ash was ana- Serum adiponectin, leptin, serum amyloid A (SAA),
lyzed by incineration in a muffle furnace by combustion and IGF-I were measured at the University of Bonn
for 4 h at 550°C (EC 152/2009; EC, 2009). Crude fat (Bonn, Germany). Serum concentrations of adiponectin
was determined by treating the sample with hydro- and leptin were determined using in-house developed
chloric acid followed by extraction with petroleum (EC ELISA (Sauerwein et al., 2004; Mielenz et al., 2013).
152/2009; EC, 2009). Crude protein content was ana- For the adiponectin and leptin ELISA, the intra- and
lyzed by combustion using the Dumas method (Ether- interassay CV were 8.3, 11.2, 8.0, and 10.9%, respec-
idge et al., 1998; ISO, 2008). Starter feed was analyzed tively. The concentrations of SAA were determined
for starch content, as described by Rijnen et al. (2001) with commercial sandwich ELISA (Life Diagnostics
and crude fiber was analyzed via intermediate filtration Ltd.; SAA −11) with intra- and interassay CV of 4.11
(NEN-EN-ISO 6865:2000; NEN, 2000). Macrominer- and 9.96%, respectively. The concentration of IGF-I
als were analyzed by inductively coupled plasma mass was determined using the commercial IGF-I ELISA
spectrometry (PerkinElmer ICP-MS 300D) according E20 kit (Mediagnost) with intra- and interassay CV of
to NEN-EN 15510 (2017). Chloride was analyzed as 2.24 and 4.15%, respectively.
described in Wilms et al. (2019). Carbohydrates in MR
and WP were determined by the titrimetric method Calculations and Statistical Analysis
according to 71/250/EEG (EEG, 1971) for lactose and
EC 152/2009 (EC, 2009) for glucose. Power analysis for sample size estimation was per-
The WPNI was determined by mixing 5 g of MR or formed for growth performance based on previously
WP with 50 mL of distilled water, placed in a water published values (Echeverry-Munera et al., 2021) ob-
bath at 37°C for 30 min and shaken 6 times. Afterward, tained in the same research facility as the present study.
20 g of NaCl was added, and the solution remained in From the power test analysis, using the α-level = 0.05
the water bath for an extra 30 min. After settling at and power (1 − β) = 0.80, the projected sample size was
room temperature for 15 min, the solution was filtered 22 calves per treatment group for growth data. Thus, 24
(Whatman grade 3, 5123613, Cytiva), and 0.24 mL calves per treatment group were included in the study.
of 10% HCl was added to 8 mL of the filtrate. After The ME content of the MR was calculated as follows:
settling for 30 min, the solution was again filtered ME (Mcal/kg) = [0.057 × CP (%) + 0.092 × crude fat
(Whatman S&S Blue Band, Grade 589/3, Cytiva), (%) + 0.0395 × lactose (%)] × 0.93 (NRC, 2001). The
and the absorbance was determined at 275 nm using ME content of the starter feed was calculated based on
a standard curve including 2 standard samples with the NRC (2001) ME table values for the raw materials
known WPNI. and applying the equation for calf starter feed. Total
Only complete blocks (n = 22) of animals who com- ME intake included MR and starter feed, whereas straw
pleted the entire experimental phase were considered for was not considered. Feed conversion was calculated by
blood sample analyses. Serum samples were processed dividing the daily total ME intake by ADG. Continuous
at the University of Nottingham (Nottingham, UK). variables (e.g., BW, intakes, blood parameters) were an-
Albumin, aspartate transaminase (AST), gamma- alyzed using mixed-model analysis with PROC MIXED
glutamyl transferase (GGT), BHB, chloride, cerulo- in SAS (SAS 9.4M6, SAS Institute Inc.). All the data
plasmin, haptoglobin, lactate dehydrogenase, bilirubin, were screened for normality of distribution using the
total protein, triglyceride, and urea were measured UNIVARIATE procedure of SAS (the Shapiro-Wilk
using Randox Kits in the RX IMOLA (Randox Labo- test) before analysis. The calf was the experimental
ratories Ltd.) according to the manufacturer’s instruc- unit, and the statistical model was as follows:
tions. Nonesterified fatty acids (NEFA) were analyzed
using a commercial kit (NEFA-HR(2) kit, Fujifilm
Yijk = µ + Ti + Vj + Wk + TWik + εijk,
Wako Chemicals Europe GmbH). The mean interassay
coefficients of variation (CV) was 3.5% for albumin,
3.1% for AST, 1.2% for BHB, 1.2% for chloride, 6.4% where Yijk is the dependent variable; μ is the overall
for ceruloplasmin, 2.6% for GGT, 6.3% for haptoglo- mean; Ti is the fixed effect of the ith treatment; Vj is
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the random effect of the jth block; Wk is the fixed effect map was generated by hierarchical clustering of the
of the kth week entering the model as a repeated mea- blood parameters obtained from the treatment groups.
sure; TWik is the fixed effect interaction between the The data were transformed using the generalized log-
ith treatment and the kth week; and εijk is the random transformation and then Pareto scaled to correct for
error associated with the jth block at the kth week with heteroscedasticity and to reduce the skewness of the
the ith treatment. In the case of BW and ADG, arrival data. Hierarchical clustering (shown as a heat map)
BW was included as a baseline covariate (µ0). Simi- was performed by Euclidean distance and Ward’s mini-
larly, for body dimension measurements, initial body mum variance method (ward.D) using the web-based
dimensions were also used as baseline covariates. For metabolomic data processing tool MetaboAnalyst 5.0
variables with equally spaced time points (e.g., BW, (http:​/​/​www​.metaboanalyst​.ca; Pang et al., 2021).
intakes, blood acid–base), the covariance structure (au-
toregressive covariance [AR(1)] or the heterogeneous RESULTS
autoregressive covariance [ARH(1)]) with the lowest
corrected Akaike information criterion was used. For General Health
variables with unequally spaced time points (e.g., blood
parameters), the heterogeneous Toeplitz covariance Results for general health are presented in Table
structure was used. Non-normally distributed values 2. The colostrum Brix score (25.3%), as well as IgG
were scaled using a log10 transformation to correct for concentrations measured between 48 to 72 h after ar-
heteroscedasticity and meet assumptions of normality. rival did not differ across treatment groups (2,189 ±
After the log-transformation, the distribution of the 158 mg/dL; LSM ± SD), nor arrival BW was different.
data was tested again, and the data were normally dis- One calf from the WP group and one calf from the HP
tributed. Significant effect of treatment was explored group were removed postinclusion because of diarrhea
with the LSMEANS statement using the PDIFF option and dehydration during the third week after arrival.
of the MIXED procedure of SAS. Significant interac- Data from these calves were not used for performance,
tions between treatment and time were explored with intake, and blood metabolites. The percentage of days
the SLICE option of the LSMEANS statement using with scours within the first 2 wk was 50% and did not
the PDIFF option of the MIXED procedure of SAS. In differ across treatment groups. Diarrhea occurred ex-
addition, the PDIFF option included a Tukey adjust- clusively in the first 3 wk after arrival, and the number
ment statement to correct for multiple comparisons. of calves receiving therapeutic interventions because of
Results in tables and figures are presented as least diarrhea was greater in the WP group (29%) than in
squares means with the standard error of the means the HF and HL groups (4%; P = 0.03), whereas the HP
(SEM). In case of log-transformed data, the SEM was group (13%) did not differ from the other treatments.
not transformed back to the original scale (Bland and In contrast, the number of calves receiving therapeutic
Altman, 1996). Discrete variables (e.g., therapeutic interventions for respiratory disease, antibiotics, and
interventions, mortality) were analyzed using mixed- the total number of therapeutic interventions did not
effects logistic regressions. These analyses were con- differ across treatment groups.
ducted with PROC GENMOD in SAS. Significance
was declared at P ≤ 0.05, and the trend threshold was Growth Performance, Intakes, and Feeding Behavior
set at 0.05 < P ≤ 0.10.
Body weight (P = 0.03) and ADG (P = 0.02) were
Correlations, Principal Components Analysis, greater in HL than WP calves throughout the whole
and Hierarchical Clustering experimental phase (Figure 1A and 1B; Table 3).
Calves fed HP tended (P = 0.07) to be heavier than
Pearson correlations were used to determine relation- WP calves and had a greater ADG than WP calves
ships between variables using an online platform for (P = 0.05). When considering the rearing phases, dif-
multivariate analysis (MVApp; Julkowska et al., 2019). ferences in BW and ADG were present only in the
Correlations were defined as weak (r = 0.1 to 0.3), preweaning phase where BW was 5% and ADG was
moderate (r = 0.3 to 0.7), or strong (r = 0.7 to 1.0). 15% greater in calves fed HL than calves fed WP and
Furthermore, the correlation structure was plotted as HF (P ≤ 0.03). Milk replacer intakes throughout the
a principal component analysis (PCA) to determine different rearing phases (Figure 2A) present an effect
patterns of correlation among the individual traits of treatment (P = 0.01), showing differences between
using the MVApp online platform. The significance HL and WP calves. However, milk intakes only differed
of the correlations was declared at P ≤ 0.05. A heat during the preweaning phase and were 13% greater in

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Wilms et al.: MACRONUTRIENTS IN MILK REPLACER 6676
Table 2. Parameters describing calves at arrival and number of therapeutic interventions (n = 96)

Treatment1
P-value,
Item WP HF HL HP Pooled SEM treatment
Colostrum Brix score (%) 25.3 25.7 24.6 25.4 0.63 0.63
Blood IgG2 (g/L) 22.5 22.8 21.2 21.2 1.8 0.83
Arrival BW (kg) 44.8 45.0 46.3 45.9 0.89 0.53
Scours3 (% days) 49 49 46 55 — 0.31
Therapeutic interventions (%)
Diarrhea4 29 (7/24)a 4 (1/24)b 4 (1/24)b 13 (3/24)ab — 0.03
Respiratory5 21 (5/24) 33 (8/24) 17 (4/24) 17 (4/24) — 0.48
Antibiotics 38 (9/24) 38 (9/24) 21 (5/24) 21 (5/24) — 0.35
Total calves treated6 42 (10/24) 42 (9/24) 29 (5/24) 42 (7/24) — 0.41
Mortality (%) 4 (1/24) 0 (0/24) 0 (0/24) 4 (1/24) — 0.42
a,b
Means with a different superscript are significantly different (P ≤ 0.05).
1
Treatments included whole milk powder (26% fat; WP; n = 24), and 3 milk replacers (MR) including a MR with high fat (25% fat; HF; n =
24), a MR with high lactose (44% lactose; HL; n = 24), and a MR with high protein (26% protein; HP; n = 24).
2
Blood IgG was measured between 48 and 72 h after arrival.
3
Percentage of days with a fecal score of 2 (watery feces) within the first 14 d after arrival.
4
Therapeutic interventions for diarrhea include oral rehydration solutions, intravenous fluids, and medicines. All diarrhea cases occurred in the
first 3 wk after arrival.
5
Therapeutic interventions for respiratory disease; cases occurred between wk 2 and 12 after arrival.
6
Total of therapeutic interventions was limited to diarrhea and respiratory diseases. Specific disorders, such as navel infection, that could not be
related to nutrition were not considered.

HL than WP and HF calves, and 9% higher in HP than protein intakes than HF calves, whereas WP did not
WP calves (P < 0.01). Table 4 summarizes the main differ from HF and HL. Finally, a treatment by time in-
MR feeding behavior parameters. In the weaning phase, teraction was also observed for total ME intakes in the
WP calves were drinking 9% faster than other groups weaning phase (P = 0.02; Figure 3D), and throughout
(P < 0.01). During the preweaning phase, the number all rearing phases (P = 0.04). This translated into lower
of rewarded visits was 14% greater in HL and HP than ME intakes for HF calves than the other groups in wk
HF (P = 0.02). Then in the weaning phase, the num- 10. By design, there was no variation in CP-to-ME ra-
ber of rewarded visits was 9% higher in MR-fed calves tio in the weaning and postweaning phases. During the
than WP calves (P < 0.01). In contrast, the number preweaning phase, the CP-to-ME ratio was the highest
of unrewarded visits did not differ. The total number in HP and the lowest in HF calves. The feed conversion
of visits to the feeders was 15% higher for HL and HP ratio was 11% higher in WP than HL calves (P = 0.04)
than that of HF calves during the preweaning phase (P throughout the experimental period due to differences
= 0.03). There was a treatment by time interaction for present in the preweaning phase (P = 0.01).
overall starter feed intakes (P = 0.01; Figure 2B) due In addition to growth performance, differences in
to different dynamics through time. Straw intakes were body dimensions are presented in Table 5. In the wean-
not affected by treatments. Water intakes tended to be ing phase, withers height was 2.3% higher in HL and
greater in WP-fed calves in the preweaning phase (P = HP than in WP calves (P < 0.01). In addition, withers
0.06) and was greater in the weaning phase (P = 0.05) height was 1.5% greater in HF than WP calves (P <
than the other treatment groups. 0.01). In the postweaning phase, withers height was
Fat intakes (Figure 3A) were by design consistently 2.8% higher in HL than WP calves (P < 0.01). Overall,
higher for WP and HF calves than HL and HP calves (P withers height was 1.6% greater in MR-fed calves com-
< 0.01), differences that leveled off in the postweaning pared with WP (P < 0.01). In all rearing phases, hip
phase. By design, lactose intakes (P < 0.01; Figure 3B) height was consistently higher in HL than WP calves
were the highest for HL calves, followed by HP calves, (P < 0.05). Overall, hip height was 1.8% higher in
and then WP and HF calves. Differences in lactose in- MR-fed calves than WP (P < 0.01). Throughout all
takes also disappeared in the weaning phase as calves phases, chest girth was 2.2% higher in HL and HP
were then fed restricted amounts of milk. Similarly, CP than WP calves and 1.8% higher in HL than HF calves
intakes (Figure 3C) were different among treatments (P < 0.01). No differences were detected for the body
(P < 0.01), with higher protein intakes in HP calves barrel during the different rearing phases. However,
compared with other groups, as a direct consequence overall body barrel was 1.8% greater in HL than HF
of MR composition. In addition, HL calves had higher calves (P = 0.03).

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Wilms et al.: MACRONUTRIENTS IN MILK REPLACER 6677

Figure 1. Performance including BW (A) and ADG (B) measured weekly at 1000 h in calves fed ad libitum from d 15 after arrival onward.
Treatments included whole milk powder (WP, n = 23) and 3 milk replacers: high fat (HF, n = 24), high lactose (HL, n = 24), and high protein
(HP, n = 23). a,b: Treatments with different superscript letters are significantly different (P ≤ 0.05).

Blood Metabolites HCO3− were 36 and 8% lower, respectively, in WP than


MR-fed calves (P < 0.01). Consistently, blood tCO2,
Table 6 summarizes the results from blood param- and pCO2 were 8 and 5% lower, respectively, in WP
eters evaluated weekly in the first 4 wk of life. Blood calves (P < 0.01). Among the main blood minerals,
glucose was not affected by treatments (P = 0.24), only blood sodium was affected by treatment (P <
whereas hematocrit was 13% lower in WP calves than 0.01), with lower concentrations in WP and HF calves
MR-fed calves (P < 0.01). Blood base excess and compared with HL and HP calves. Table 7 summarizes

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Wilms et al.: MACRONUTRIENTS IN MILK REPLACER 6678
Table 3. Weekly milk, solids, and water intakes (LSM) measured daily in calves fed ad libitum from d 15 after arrival onward (n = 94)

Treatment2 P-value

Item1 WP HF HL HP Pooled SEM Treat Week Treat × Week


Milk intake (L/d)
Preweaning3 8.29c 8.72bc 9.63a 9.05ab 0.029 <0.01 <0.01 0.28
Weaning3 4.28 4.46 4.36 4.34 0.015 0.24 <0.01 0.67
Postweaning — — — — — — — —
Overall3 6.37b 6.67ab 7.02a 6.74ab 0.021 0.01 <0.01 0.35
Starter feed intakes (kg/d)
Preweaning4 0.39 0.33 0.35 0.38 0.068 0.21 <0.01 0.09
Weaning 1.22 1.12 1.21 1.21 0.084 0.82 <0.01 0.19
Postweaning3 3.45 3.41 3.50 3.68 0.041 0.58 <0.01 0.41
Overall3,4 0.70 0.66 0.68 0.68 0.071 0.96 <0.01 0.01
Straw intakes (g/d)
Preweaning — — — — — — — —
Weaning3 179 178 172 232 0.13 0.32 <0.01 0.20
Postweaning3 307 358 345 349 0.10 0.64 0.13 0.81
Overall3 214 224 217 266 0.11 0.37 <0.01 0.30
ME (MJ/d)
Preweaning 24.6 25.6 25.9 24.9 0.69 0.42 <0.01 0.42
Weaning 28.0 26.6 27.2 26.9 0.99 0.75 <0.01 0.02
Postweaning 42.7 42.3 45.2 47.3 1.73 0.17 <0.01 0.65
Overall 28.8 28.7 29.6 29.2 0.70 0.80 <0.01 0.04
Water intakes (L/d)
Preweaning3,5 1.26A 0.63B 0.65B 0.71B 0.228 0.06 <0.01 0.91
Weaning3 5.10a 3.04b 3.27b 3.65ab 0.145 0.05 <0.01 0.37
Postweaning3 14.8 13.2 13.7 15.3 0.061 0.29 <0.01 0.95
Overall3,5 3.64A 2.18B 2.29B 2.49B 0.148 0.06 <0.01 0.74
CP:ME (g/MJ)
Preweaning 11.5 10.6 11.5 13.1 0.23 — — —
Weaning3 13.1b 12.6c 13.2b 14.0a 0.07 <0.01 <0.01 <0.01
Postweaning 15.0 15.0 15.0 15.0 — — — —
Overall 12.6 12.0 12.6 13.7 1.35 — — —
BW (kg)
Preweaning 64.9b 66.3b 69.0a 67.3ab 0.98 0.03 <0.01 0.14
Weaning 97.2 100 104 101 1.82 0.07 <0.01 0.91
Postweaning 125 128 134 130 2.37 0.08 <0.01 0.20
Overall3 77.8b 79.9ab 82.3a 80.7ab 0.013 0.03 <0.01 0.63
ADG (g/d)
Preweaning 889b 955b 1057a 973ab 36.0 <0.01 <0.01 0.78
Weaning 970 955 933 957 42.6 0.94 <0.01 0.89
Postweaning 1341 1465 1569 1518 71.2 0.14 <0.01 0.86
Overall 993b 1040ab 1101a 1066a 25.2 0.02 <0.01 0.80
Feed conversion (MJ/kg gain)
Preweaning3 30.7a 29.9ab 26.5c 27.3bc 0.036 0.01 <0.01 0.68
Weaning3 30.8 29.7 31.4 30.7 0.047 0.96 <0.01 0.91
Postweaning3 33.0A 29.0BC 28.4C 32.0AB 0.051 0.06 <0.01 0.73
Overall3 31.1a 29.8ab 28.0b 29.3ab 0.026 0.04 <0.01 0.80
a–c
Means with a different superscript are significantly different (P ≤ 0.05).
A–C
Means with a different superscript include a trend (0.05 < P ≤ 0.10).
1
In the preweaning phase, calves were first individually housed and fed 3.0 L 3 times daily (135 g/L) in the first 2 wk after arrival. Calves were
then moved to a group housing department and were fed ad libitum from wk 3 to 6 after arrival. Weaning was gradual and took place between
wk 7 and 10 after arrival. In wk 11 and 12, calves were fed solids only.
2
Treatments (Treat) included whole milk powder (26% fat; 21.6 MJ/kg; WP; n = 23) and 3 milk replacers (MR), including a MR with high fat
(25% fat; 21.3 MJ/kg; HF; n = 24), a MR with high lactose (44% lactose; 19.7 MJ/kg; HL; n = 24), and a MR with high protein (26% protein;
20.0 MJ/kg; HP; n = 23).
3
SEM expressed as log.
4
Only available from 28 d after arrival onward due to low intakes within the first 28 d after arrival.
5
Only available from 15 d after arrival onward.

the results of the blood metabolites evaluated weekly in fer, whereas serum NEFA was 27% higher in HF calves
the first 4 wk of life and at d 56, and d 84. Serum urea (P < 0.01) than other groups. The treatment by time
was 23% lower in HF and HL calves than in WP and interaction for serum urea (P = 0.01; Figure 4A) and
HP calves (P < 0.01). Serum triglyceride did not dif- serum NEFA (P = 0.02; Figure 4C) likely shows that

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Wilms et al.: MACRONUTRIENTS IN MILK REPLACER 6679

Figure 2. Intakes including milk replacer (A) and starter feed (B), measured daily in calves fed ad libitum from d 15 after arrival onward.
Treatments included whole milk powder (WP, n = 23) and 3 milk replacers: high fat (HF, n = 24), high lactose (HL, n = 24), and high protein
(HP, n = 23). a,b: Treatments with different superscript letters are significantly different (P ≤ 0.05).

treatment differences faded away in the postweaning groups (P < 0.01; Figure 4D). Regarding organ func-
phase. Additionally, serum albumin was 3.2% higher in tions, no differences were detected for serum GGT and
WP calves than HF and HL calves, and 2.5% higher in lactase dehydrogenase, whereas serum AST was lower
HP than HL calves (P < 0.01). A treatment by time in WP calves in the preweaning phase (P < 0.01). A
interaction was present for serum bilirubin (P < 0.01; treatment by time interaction was also present (P <
Figure 4B), showing lower concentrations in the first 0.01; Figure 4E) showing that differences faded away
2 wk and higher concentrations from wk 3 onward in in the postweaning phase. No differences in serum IgG,
WP-fed calves compared with other treatment groups. IgM, and IgA-to-IgM ratio were observed. However, a
Overall, BHB was lower in HL calves than in the other treatment by time interaction for blood IgA concentra-
Journal of Dairy Science Vol. 105 No. 8, 2022
Wilms et al.: MACRONUTRIENTS IN MILK REPLACER 6680
Table 4. Feeding behavior (LSM) measured daily in calves fed ad libitum from d 15 after arrival onward (n = 94)

Treatment2 P-value

Item1 WP HF HL HP Pooled SEM Treat Week Treat × Week


Drinking speed (mL/min)
Preweaning3 310 305 305 295 6.0 0.31 <0.01 0.20
Weaning 383a 345b 349b 357b 6.5 <0.01 0.14 0.38
Overall 347a 326b 327b 326b 5.6 0.01 <0.01 <0.01
Rewarded visits (n/d)
Preweaning3,4 6.56ab 6.20b 7.24a 6.90a 0.038 0.02 <0.01 0.22
Weaning 6.29b 7.03a 6.81a 6.77a 0.136 <0.01 <0.01 0.02
Overall 6.51B 6.67AB 7.01A 6.84AB 0.147 0.10 <0.01 <0.01
Unrewarded visits (n/d)
Preweaning — — — — — — — —
Weaning 10.2 11.0 11.0 12.1 0.87 0.46 <0.01 0.28
Overall — — — — — — — —
Total visits (n/d)
Preweaning3,4 6.93ab 6.46b 7.67a 7.24a 0.042 0.03 <0.01 0.25
Weaning4 15.2 17.2 17.4 18.1 0.06 0.13 <0.01 0.20
Overall4 10.3B 10.5AB 11.6A 11.5A 0.04 0.10 <0.01 0.11
a,b
Means with a different superscript are significantly different (P ≤ 0.05).
A,B
Means with a different superscript include a trend (0.05 < P ≤ 0.10).
1
In the preweaning phase, calves were first individually housed and fed 3.0 L 3 times daily (135 g/L) in the first 2 wk after arrival. Calves were
then moved to a group housing department and were fed ad libitum from wk 3 to 6 after arrival. Weaning was gradual and took place between
wk 7 and 10 after arrival. In wk 11 and 12, calves were fed solids only.
2
Treatments (Treat) included whole milk powder (26% fat; WP; n = 23) and 3 milk replacers (MR), including a MR with high fat (25% fat; HF;
n = 24), a MR with high lactose (44% lactose; HL; n = 24), and a MR with high protein (26% protein; HP; n = 23).
3
Only available from 15 d after arrival onward.
4
SEM expressed as log.

tions was present (P = 0.04), with greater concentra- rum parameters such as IGF-1, lactate dehydrogenase,
tions in HF (0.099 mg/mL) than WP calves (0.076 mg/ and blood gas parameters. Moreover, PCA 2 explained
mL) at d 56. Acute phase proteins did not differ in a much smaller portion of observed variation (11.5%),
case of haptoglobin and ceruloplasmin, whereas serum corresponding mainly to some serum parameters such
SAA was 39% higher in HF than WP and HL calves (P as urea, albumin, and Hp.
= 0.03; Figure 4F). Although adiponectin did not dif- The liquid diets substantially affected the blood pa-
fer across treatments, a treatment by time interaction rameters, as shown on the heatmap plot in Figure 6. The
was present for serum leptin concentrations (P = 0.05) column dendrogram shows the distance or similarity
showing different dynamics through time (Figure 4G). between the treatment groups, allowing clustering. As
Serum insulin-like growth factor-1 (IGF-1) was 21% expected, MR treatments clustered together, whereas
lower in WP than HL and HP calves (P < 0.01). In WP differed the most with MR groups. Among the 3
addition, IGF-1 tented (P = 0.06) to be 14% lower for MR, HL and HP clustered together, whereas treatment
HF than HP calves (Figure 4H). groups with high fat intakes were closer. The row den-
drogram identifies blood metabolite clusters, whereas
Correlations, PCA, and Heatmap the color reflects the relative changes in concentrations
based on the average for each blood parameter. Blood
Serum IGF-1 was positively correlated with ME in- metabolites clustered in 2 groups, with the first one
take (r = 0.74; Figure 5C) and ADG (r = 0.71; Figure including acid–base balance parameters, IGF-1, SAA,
5B). Serum lactase dehydrogenase was positively cor- AST, and GGT. The blue colors in WP calves show the
related with ME intake (r = 0.49; Figure 5A) and ADG lower concentrations in blood acid–base parameters, as
(r = 0.47; Figure 5D). Supplemental Figure S1 (https:​ well as the lower serum IGF-1 as compared with the
/​/​doi​.org/​10​.6084/​m9​.figshare​.20055281​.v2) shows the MR-fed calves. The second cluster included blood pa-
biplot of the PCA analysis with the contributions of rameters related to macronutrient intakes, such as tri-
different variables including intakes, growth, and blood glyceride, NEFA, lactose, urea, albumin, and BHB. In
parameters. The PCA 1 explained 29.3% of the observed this second cluster, the lowest concentrations for blood
variation, corresponding mainly to intakes (ME, fat, parameters were observed in HL and HP as compared
lactose, protein), growth (ADG and BW), and some se- with WP and HF.

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Wilms et al.: MACRONUTRIENTS IN MILK REPLACER 6681

Figure 3. Fat (A), lactose (B), protein (C), and ME (D) intakes measured daily in calves fed ad libitum from d 15 after arrival onward.
Treatments included whole milk powder (WP, n = 23) and 3 milk replacers: high fat (HF, n = 24), high lactose (HL, n = 24), and high protein
(HP, n = 23). a,b: Treatments with different superscript letters are significantly different (P ≤ 0.05).

DISCUSSION usually associated with metabolic acidosis in calves


with diarrhea (Trefz et al., 2012; Wilms et al., 2020b).
This study evaluated how the macronutrient profile The lower blood acid–base values in WP calves may
in MR and WM powder affected growth performance, also be related to the lower strong ion difference (SID)
feeding behavior, and blood metabolites of ad libitum- of the WP treatment compared with MR solutions, as
fed dairy calves. Liquid feed intakes were greater in HL high SID is known to alkalinize blood of calves (Wilms
(9.6 L/d) than in WP and HF calves (8.5 L/d) and et al., 2020b). However, the association between low
greater in HP (9.1 L/d) than in WP calves (8.3 L/d) blood acid–base and Na+ concentrations and increased
during the preweaning period. No differences were ob- diarrhea treatment does not allow to solely attribute
served in intakes of starter feed, straw, and ultimately these differences to MR SID. Although it was intended
total ME. Growth was greater in HL and HP than WP, to represent a standard WM diet, the dehydrated WM
whereas HF-fed calves did not differ from other groups powder (WP treatment) used in the current experiment
throughout the whole experimental phase. Overall, was found to differ substantially from fresh WM, as the
MR-fed calves had greater body dimensions than WP- processing steps include homogenization and drying,
fed calves. which disrupt the fat globule membrane and damage
Although the percentage of days with scours was bioactive components. It is likely that denaturation of
similar in the different treatment groups during the first milk proteins occurred, as indicated by the lower nitro-
2 wk after arrival, the WP calves had a higher severity gen index of whey proteins in the WP treatment (1.9
of diarrhea. This was reflected by the higher percentage mg/g) compared with MR (7.4 mg/g). This parameter
of calves that received therapeutic interventions for di- is expressed as milligrams of undenatured whey protein
arrhea in this group (29%). In addition, WP calves also nitrogen per gram of nonfat MR (Zhao et al., 2019) and
had lower blood acid–base, gas, and Na+ concentrations, is used as a quality indicator for MR. This indicates
Journal of Dairy Science Vol. 105 No. 8, 2022
Wilms et al.: MACRONUTRIENTS IN MILK REPLACER 6682
Table 5. Weekly body measurements (LSM), measured at 1000 h in calves fed ad libitum from d 15 after arrival onward (n = 94)

Treatment3 P-value

Item1,2 WP HF HL HP Pooled SEM Treat Week Treat × Week


Withers height
Preweaning 82.9b 83.5ab 84.1a 83.7ab 0.38 0.05 <0.01 0.33
Weaning 91.1c 92.5b 93.7a 92.6ab 0.46 <0.01 <0.01 0.08
Postweaning 96.2b 97.6ab 98.9a 97.5ab 0.57 <0.01 <0.01 0.26
Overall 87.8b 88.8a 89.8a 88.9a 0.35 <0.01 <0.01 0.08
Hip height
Preweaning 87.6b 88.5a 89.2a 88.5a 0.30 <0.01 <0.01 0.61
Weaning 96.3b 97.9ab 99.0a 98.1a 0.49 <0.01 <0.01 0.78
Postweaning 101.6b 103.3a 103.8a 102.7ab 0.57 0.03 <0.01 0.67
Overall 92.7b 94.1a 94.9a 94.1a 0.31 <0.01 <0.01 0.97
Chest girth
Preweaning 90.8c 91.4bc 93.1a 92.4ab 0.50 <0.01 <0.01 0.71
Weaning 102.6c 104.9b 106.4a 105.4ab 0.56 <0.01 <0.01 0.67
Postweaning 110.8b 112.3ab 114.4a 113.5a 0.75 <0.01 <0.01 0.30
Overall 97.9c 99.4b 101.1a 100.3ab 0.46 <0.01 <0.01 0.71
Body barrel
Preweaning 98.2AB 97.0B 98.9A 98.5A 0.58 0.07 <0.01 0.67
Weaning 117.9 116.6 118.7 117.7 1.00 0.45 <0.01 0.77
Postweaning 135.8 134.3 137.8 135.8 1.15 0.20 <0.01 0.34
Overall 111.0ab 109.8b 112.0a 111.1ab 0.58 0.03 <0.01 0.83
a,b
Means with a different superscript are significantly different (P ≤ 0.05).
A,B
Means with a different superscript include a trend (0.05 < P ≤ 0.10).
1
In the preweaning phase, calves were first individually housed and fed 3.0 L 3 times daily (135 g/L) in the first 2 wk after arrival. Calves were
then moved to a group housing department and were fed ad libitum from wk 3 to 6 after arrival. Weaning was gradual and took place between
wk 7 and 10 after arrival. In wk 11 and 12, calves were fed solids only.
2
Expressed in cm.
3
Treatments (Treat) included whole milk powder (26% fat; WP; n = 23) and 3 milk replacers (MR), including a MR with high fat (25% fat; HF;
n = 24), a MR with high lactose (44% lactose; HL; n = 24), and a MR with high protein (26% protein; HP; n = 23).

Table 6. Blood hematology, blood acid–base balance, and blood gas (LSM) measured at 1000 h on d 7, 14, 21, and 28 after arrival in calves fed
ad libitum from d 15 after arrival onward (n = 88)

Treatment2 P-value

Item1 WP HF HL HP Pooled SEM Treat Week Treat × Week


Glucose 6.27 6.38 6.55 6.27 0.122 0.24 <0.01 0.13
Blood hematology
Htc (%) 22.0b 25.9a 25.6a 24.6a 0.85 <0.01 <0.01 0.27
Blood acid–base balance
pH3 7.418 7.430 7.432 7.435 0.001 0.12 <0.01 0.13
BE 5.17b 7.41a 8.28a 8.44a 0.64 <0.01 <0.01 0.18
HCO3− 29.8b 31.7a 32.6a 33.0a 0.57 <0.01 <0.01 0.44
Blood gas
tCO2 31.2b 33.3a 34.0a 34.2a 0.57 <0.01 <0.01 0.29
pCO2 45.8b 48.2a 48.7a 48.5a 0.63 <0.01 0.24 0.07
Blood minerals
Na+ 3 133b 134b 136a 135a 0.004 <0.01 <0.01 0.52
K+ 4.62 4.63 4.74 4.71 0.05 0.14 <0.01 0.36
Cl− 91.0 91.6 92.2 91.5 0.58 0.38 <0.01 0.59
iCa 1.37 1.38 1.36 1.37 0.01 0.23 <0.01 0.50
a,b
Means with a different superscript are significantly different (P ≤ 0.05).
1
Expressed in mmol/L unless specified otherwise. Htc = hematocrit; iCa = ionized calcium; BE = base excess; HCO3− = bicarbonate; tCO2 =
total carbon dioxide; pCO2 = partial pressure of carbon dioxide.
2
Treatments (Treat, n = 22 per treatment group) included whole milk powder (26% fat; WP) and 3 milk replacers (MR), including a MR with
high fat (25% fat; HF), a MR with high lactose (44% lactose; HL), and a MR with high protein (26% protein; HP).
3
SEM expressed as log.

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Wilms et al.: MACRONUTRIENTS IN MILK REPLACER 6683
Table 7. Blood metabolites and hormones (LSM) measured at 1000 h on d 7, 14, 21, 28, 56, and 84 in calves fed ad libitum from d 15 after
arrival onward (n = 88)

Treatment2 P-value

Item1 WP HF HL HP Pooled SEM Treat Week Treat × Week


Blood chemistry
Urea (mmol/L)3 3.36a 2.60b 2.66b 3.43a 0.037 <0.01 <0.01 <0.01
Bilirubin (µmol/L)3 2.66 2.80 2.56 2.45 0.157 0.29 <0.01 <0.01
TG (mmol/L)3 0.239 0.250 0.217 0.213 0.0676 0.24 <0.01 0.22
Albumin (g/L) 32.7a 31.9bc 31.5c 32.3ab 0.23 <0.01 <0.01 0.95
TP (g/L) 59.4 59.6 57.7 59.4 0.78 0.22 <0.01 0.27
NEFA (mmol/L)3 0.155b 0.191a 0.143b 0.150b 0.0538 <0.01 <0.01 0.02
BHB (mmol/L)3 0.120a 0.110a 0.097b 0.111a 0.0296 <0.01 <0.01 <0.01
Organ function
GGT (IU/L)3 43.6 47.2 48.0 48.1 0.11 0.89 <0.01 0.64
AST (IU/L)3 38.8b 43.4a 44.9a 45.2a 0.03 <0.01 <0.01 <0.01
LDH (IU/L)3 1,254 1,273 1,295 1,294 0.0170 0.48 <0.01 0.84
Immune function (mg/mL)4
IgG 29.4 30.3 29.2 30.1 1.76 0.95 0.05 0.22
IgM 0.83 0.71 0.75 0.71 0.066 0.49 <0.01 0.32
IgA3 0.115 0.128 0.125 0.125 0.1062 0.77 <0.01 0.04
IgA/IgM 0.156 0.203 0.179 0.191 0.1128 0.28 <0.01 0.17
Acute phase proteins
SAA (mg/L)3 1.32b 1.79a 1.26b 1.49ab 0.097 0.03 <0.01 0.24
Haptoglobin (mg/mL)3 0.160 0.139 0.144 0.147 0.0558 0.29 <0.01 0.88
Ceruloplasmin (mg/mL)3 0.206 0.208 0.192 0.198 0.0539 0.62 <0.01 0.39
Hormones
Adiponectin (µg/mL) 12.5 12.3 12.4 13.0 0.40 0.61 <0.01 0.48
Leptin (ng/mL)3 2.39 2.31 2.26 2.26 0.037 0.65 <0.01 0.05
IGF-1 (ng/mL)3 164b 185ab 199a 214a 0.06 <0.01 <0.01 0.29
a–c
Means with a different superscript are significantly different (P ≤ 0.05).
1
Expressed in mmol/L unless specified otherwise. TG = triglyceride; TP = total protein; NEFA = nonesterified fatty acids; GGT = gamma-glu-
tamyl transferase; AST = aspartate transaminase; LDH = lactate dehydrogenase; SAA = serum amyloid A; IGF-I = insulin-like growth factor.
2
Treatments (Treat, n = 22 per treatment group) included whole milk powder (26% fat; WP) and 3 milk replacers (MR), including a MR with
high fat (25% fat; HF), a MR with high lactose (44% lactose; HL), and a MR with high protein (26% protein; HP).
3
SEM expressed as log.
4
Only includes d 56 and 84.

that the quality of protein fraction and functional prop- fewer rewarded visits to the automated milk feeders
erties of WP treatment were compromised, which could than calves fed HL and HP, although liquid feeds were
possibly have affected the performance and health of offered ad libitum in the preweaning phase, which re-
WP calves. It cannot be ruled out that the presence of flects the higher MR intakes in HL and HP calves. In
functional additives such as pre- and probiotics present contrast, WP calves had the lowest milk intakes but
in the MR treatments could have mitigated diarrhea no differences in the number of rewarded visits were
severity in MR-fed calves as earlier studies demon- detected with other treatment groups. This suggests
strated the health benefits of such components (Ren- that WP-fed calves may have consumed smaller meals
aud et al., 2019; Cangiano et al., 2020; Kayasaki et al., at each visit than HL and HP-fed calves. A hypotheti-
2021). However, previous research clearly showed that cal explanation could be a different nutrient absorption
high heat treatment of MR components or WM led to dynamic between WP- and MR-fed calves affecting
reduced curd formation, reduced digestibility, and in- nutrient signaling in WP-fed calves. The lower energy
creased diarrhea severity in calves (Shillam et al., 1962; density in the HL and HP diets compared with WP
Tagari and Roy, 1969; Laksesvela et al., 1978). Despite and HF may also explain the higher MR intakes and
large differences in health outcomes, only marginal the greater number of rewarded visits to the automated
differences in antiboby production were detected, with feeders. The similar ME intakes seem to indicate that
slightly lower IgA concentrations in blood of WP than the calves regulate their intakes to meet a certain en-
HF calves. This may be related to the different timing ergy level when milk is fed ad libitum. These results
between diarrhea occurrence and IgA measurement. are consistent with similar studies investigating the
During the preweaning period, the number of re- replacement of lactose with fat in MR in calves fed ad
warded visits per day to the automatic milk feeders libitum (Berends et al., 2020; Echeverry-Munera et al.,
differed among treatment groups. Calves fed HF had 2021). Echeverry-Munera et al. (2021) also showed that
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Wilms et al.: MACRONUTRIENTS IN MILK REPLACER 6684

Figure 4. Serum urea (A), bilirubin (B), nonesterified fatty acids (NEFA; C), BHB (D), aspartate transaminase (AST; E), serum amyloid
A (SAA; F), leptin (G), and insulin-like growth factor (IGF-I; H) concentrations measured at 1000 h on d 7, 14, 21, 28, 56, and 84 in calves fed
ad libitum from d 15 after arrival onward. Treatments (n = 22 per treatment group) included whole milk powder (WP) and 3 milk replacers:
high fat (HF), high lactose (HL), and high protein (HP). a,b: Treatments with different superscript letters are significantly different (P ≤ 0.05).

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Wilms et al.: MACRONUTRIENTS IN MILK REPLACER 6685

Figure 5. Pearson correlations between (A) serum insulin-like growth factor (IGF-1) and ME intake, (B) serum IGF-1 and ADG, (C) serum
lactate dehydrogenase (LDH) and ME intake, and (D) serum LDH and ADG across the treatments (n = 88).

ad libitum-fed calves receiving MR with high lactose calves (Hulbert et al., 2011; Meale et al., 2017), which
(44% lactose) displayed hunger-related behaviors based may have accentuated stress in calves fed the MR with
on a higher number of unrewarded visits compared high lactose in the study from Echeverry-Munera et al.
with calves fed a MR with high fat (23% fat) during (2021).
the weaning period. However, as no differences were Interestingly, WP-fed calves had a higher drinking
detected in the number of unrewarded visits during the speed than MR-fed calves. This could be related to the
weaning phase in the present study, no conclusion can taste, as well as the presence of olfactory components
be drawn regarding hunger stress in HL calves. The from milk fat, which are known to increase sucking
discrepancy between the current study and the study activity in infants (Gutiérrez-García et al., 2017).
by Echeverry-Munera et al. (2021) could be explained Whether this is also relevant for sucking activity in
by differences in weaning protocols. As seen in the calves has not yet been studied. Furthermore, calves fed
present study, the calves were weaned gradually, from WP had increased water intakes during the preweaning
d 43 to 70, whereas in an earlier study by Echeverry- and weaning phases compared with other groups. The
Munera et al. (2021), the calves were weaned from d 36 greater water and the lower milk intakes in WP-fed
to 57. Early weaning is known to be more stressful for calves could be related to the higher diarrhea severity
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Figure 6. Heatmap of blood parameters among the treatments (n = 88). The colors in the heatmap reflect the blood parameters abundance
(mean centered and divided by the range of each variable). The data were transformed using the generalized log-transformation and then Pareto
scaled. IGF-I = insulin-like growth factor; GGT = gamma-glutamyl transferase; AST = aspartate transaminase; HCO3− = bicarbonate; tCO2
= total carbon dioxide; Htc = hematocrit; SAA = serum amyloid A; pCO2 = partial pressure of carbon dioxide; CP = ceruloplasmin; LDH =
lactate dehydrogenase; Cl− = chloride; Glu = glucose; TG = triglyceride; TP = total protein; NEFA = nonesterified fatty acids; Na+ = sodium;
K+ = potassium; iCa = ionized calcium; BE = base deficit; Hp = haptoglobin. Treatments (n = 22 per treatment group) included whole milk
powder (WP) and 3 milk replacers: high fat (HF), high lactose (HL), and high protein (HP). *Indicates a significant difference among the treat-
ment groups.

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in that group. However, differences were present during than WP calves. Thus, similar ME intakes but different
the whole preweaning and weaning phases for water type of liquid feed resulted in taller calves in the MR
intakes and during the whole preweaning phase for milk groups. Measuring BCS and body mass index could
intakes, whereas increased diarrhea severity could only provide additional information in future experiments.
be detected in the first 3 wk after arrival. This does Stimulation of the somatotropic axis depends on
not suggest that diarrhea was the main driver of the nutrient availability, and increased protein and energy
observed differences but rather that different nutrient intakes from elevated MR feedings may influence blood
absorption dynamics or the protein denaturation of the and tissue levels of IGF-I in dairy calves (Schäff et
WP treatment may have triggered the calves to drink al., 2016; Frieten et al., 2017; Ghaffari et al., 2021).
more water. The results of the current study confirmed that, across
The differences in milk intakes and treatment com- treatment groups, serum IGF-1 was positively corre-
position resulted in differences in fat, lactose, and pro- lated with ME intake and ADG. Serum IGF-1 concen-
tein intakes. As expected by diet design, WP and HF trations were higher in HL and HP than in WP calves,
calves consumed more fat than HL and HP calves, and and tended to be greater in HP than in HF calves.
protein intake was the highest in HP followed by HL, These results are consistent with Bartlett et al. (2006)
whereas lactose intake was the highest in HL followed showing that high circulating IGF-I was mostly driven
by HP. Differences in nutrient intakes were not present by high dietary protein intake rather than ME intake
anymore during the postweaning phase. However, HF in preweaning calves. Infant nutrition research showed
calves consumed slightly less starter feed than other that early protein intake (<4 mo) in excess of metabolic
groups in wk 10, resulting in a trend toward lower total requirements leads to increased weight gain in infancy
ME intake but these differences did not persist in the (Koletzko et al., 2005). This has been attributed to
postweaning phase. Interestingly, starter feed intakes an increase in insulin-releasing AA in the bloodstream,
surged from d 70 to 77 (+1.1 kg/d) and slowed down which stimulate the secretion of insulin and IGF-1,
from d 77 to 84 (+0.4 kg/d). This resulted in a de- both factors involved in the mammalian growth sig-
crease in ADG from d 77 to 84 (−229 g/d), whereas naling network (Rolland-Cachera et al., 1984; Rolland-
ADG increased by 234 g/d from d 70 to 77. These Cachera and Peneau, 2010). These factors have been
starter feed intake patterns were previously observed linked to the regulation of early growth, adipose tissue
in other experiments feeding high volumes of milk differentiation, and early adipogenesis (Smith et al.,
(Miller-Cushon et al., 2013; Rosenberger et al., 2017; 1988; Nouguès et al., 1993; Ketelslegers et al., 1995). In
Echeverry-Munera et al., 2021). Thus, calves may have contrast, slower growth in infancy, in conjunction with
consumed large amounts of solids once milk was no lon- optimal daily protein intake, reduces the incidence of
ger available, resulting in accumulation of dry feed and cardiovascular disease and its risk factors in adulthood
overestimation of the BW measured at d 77. The feed (Leunissen et al., 2009; Socha et al., 2011; Oddy et
conversion ratio was lower for HL than for WP calves al., 2014). Although the concept of early, rapid growth
throughout the experimental period, mainly during the may be attractive in rearing systems where animals are
preweaning phase. This indicates that HL calves were raised for meat production; it can be hypothesized that
more efficient because for the same ME intakes, growth this may negatively affect the metabolic homeostasis of
was greater, or that WP calves may have retained more replacement dairy animals and long-term effects should
energy in the form of adipose tissue. be evaluated in future experiments.
Although ME intakes were the same in all treatment In addition to high protein and lactose intakes, feed-
groups throughout the experimental period, growth ing low levels of fat (≤18% DM) to young calves may
and body dimensions were affected by the treatments. be detrimental to health (Urie et al., 2018; Berends
Growth was greater in HL and HP than in WP calves, et al., 2020) and development (Welboren et al., 2021).
whereas HF did not differ from other groups. At d 84 The current study found no beneficial effect of higher
after arrival, the difference between HL and WP was as fat content in MR on the percentage of calves treated
large as 10 kg BW. Although BW is a good indicator for diarrhea and respiratory diseases, nor on fecal scores
of animal performance and health, it does not provide during the first 2 wk of life. These results are not con-
insight into body composition, which can be affected by sistent with those of Berends et al. (2020), in which ad
large differences in dietary fat, lactose, and protein in- libitum-fed calves fed a high-fat MR (23%, DM basis)
takes. Calves fed HL and HP had higher withers height, received fewer therapeutic interventions than calves
hip height, and chest girth than WP calves. In addi- fed a high lactose MR (44%). In the current study,
tion, chest girth and body barrel were greater in calves serum NEFA concentrations were greater in HF calves
fed HL than calves fed the HF MR. Calves fed HF also than in the other treatment groups. Previous authors
had greater withers height, hip height, and chest girth investigating the replacement of lactose with fat in MR
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attributed the greater serum NEFA concentrations ably reflected different dynamics at different rearing
in HF calves to the higher fat intake (Berends et al., stages. Serum leptin concentration increased from d 14
2020; Yohe et al., 2021; Echeverry-Munera et al., 2021). to 28 in calves fed HL, HF, and HP, corresponding
However, in the present study, serum NEFA concentra- to the ad libitum feeding phase. Later, a decrease was
tions were also greater in HF calves than in WP calves observed in the weaning phase (d 56) before increasing
despite similar fat intakes. In contrast, no differences again in the postweaning phase (d 84). The postwean-
in serum concentration of triglycerides were observed. ing increase in leptin concentration was more marked
Acute phase protein was also evaluated to provide in HF-fed calves. In contrast, leptin concentrations in
additional insights on calf health. The results showed WP-fed calves peaked on d 21, followed by a decline
that serum concentrations of SAA were greater in HF from d 21 to 56, and an increase between d 56 and
than in WP and HL calves. Serum amyloid A is a posi- 84. Experimentally increasing circulating leptin con-
tive acute phase protein synthesized predominantly by centrations resulted in lower feed intakes in rodents
the liver (Eklund et al., 2012) and increases in response and sheep (Houseknecht et al., 1998; Ahima and Flier,
to inflammation. In contrast, serum albumin is a nega- 2000; Morrison et al., 2001). In contrast low leptin in
tive acute phase protein whose concentration decreases underfed animals can stimulate feed intakes and modu-
in case of inflammation. Albumin was 3% lower in late metabolic responses (Ahima et al., 1996; Friedman
calves fed HF and HL than WP, however, the differ- and Halaas 1998; Heiman et al., 1998). In calves, Lee
ence appeared marginal as some authors evaluated that et al. (2006) showed that leptin concentrations reflect
the difference should be at least 25% to be indicative changes in nutritional status in calves of 5 mo, whereas
of an acute phase response (Ackermann, 2017). The leptin decreases with feed restriction, it increases with
presence of metabolic inflammation in HF-fed calves, as refeeding. This could mean that lower leptin concentra-
shown by the 39% greater serum SAA, may be related tions are coupled with hunger, which is consistent with
to the fat composition of MR, which is a mixture of the lower concentrations at weaning (d 56) compared
palm and coconut oils and has an n-6 to n-3 polyun- with the ad libitum phase (d 28) in the current study.
saturated fatty acid ratio of 40:1 compared with 6:1 in Therefore, the higher serum leptin concentrations in
WP. Consequently, for the same fat intake, HF calves HF calves during weaning (d 56) and after weaning (d
consumed larger amounts of n-6 PUFA relative to n-3 84) could indicate increased satiety in this group.
PUFA than WP. The total intake of n-6 PUFA was In addition to the differences in hormones and mark-
also greater in HF than HL and HP because calves ers of inflammations, other blood metabolites were
consumed greater amounts of fat. As a result, HF affected by the dietary treatments. Serum urea concen-
calves were provided with a larger pool of precursors trations were elevated in WP and HP calves compared
for arachidonic acid (ARA) than for eicosapentaenoic with HF and HL throughout the experimental phase.
acid (EPA) and docosahexaenoic acid (DHA; Noble Urea is generated when amino acids are broken down
et al., 1978; Sardesai, 1992). Whereas EPA and DHA in the body and is affected by the diet. In this regard,
are precursors of anti-inflammatory eicosanoids, ARA the greater serum urea in HP calves is likely the result
is the precursor of pro-inflammatory eicosanoids, which of higher protein intakes in that group. The higher
may explain the higher SAA in HF calves (Noble et al., urea concentrations in the WP group may be related
1978; Sardesai, 1992; Calder, 2010). However, a higher to protein denaturation of the WP treatment, which
serum SAA concentration does not necessarily mean can affect the tertiary protein structure and thus, their
that HF calves were in a state of systemic inflamma- biological value and activity or increased protein break-
tion. Indeed, recent studies have shown that occurrence down.
of metabolic disturbances associated with high serum Milk replacer-fed calves had increased concentrations
SAA concentrations in transgenic mice fed a high-fat of serum AST compared with WP calves (45 vs. 39 IU/L,
diet only occurred with prolonged consumption of 52 respectively). Aspartate aminotransferase is used as an
wk (Jang et al., 2016), which may not be relevant in indicator of liver function (Gorman, 2011). In adults,
calves fed HF MR for 10 wk. In addition, serum SAA elevated AST activities (>40 IU/L) can be an indicator
concentrations remained within normal ranges for of renal or pancreatic inflammation, however, MR-fed
calves (Joshi et al., 2018; van Niekerk et al., 2021b). calves were in good general health. This may not be re-
Adiponectin and leptin are both adipokines that lated to a specific macronutrient composition, as there
regulate lipid and glucose metabolism and insulin sen- was no difference across MR treatments and therefore
sitivity (Kadowaki et al., 2006). In the current study, may be linked with other nutrients such as fatty acids
adiponectin concentration was not affected by dietary or minerals. Similarly, serum bilirubin concentrations
treatment. There was an interaction between treatment were higher in WP-fed calves than in HL and HP at
and time for serum leptin concentrations, which prob- d 28, and higher than in HF and HP calves at d 56
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after arrival. Fat intake did not appear to affect serum productive life span and future performance of dairy
bilirubin, as HF and WP had similar fat intakes but cows.
different bilirubin dynamics. Tennant (1997) described
that greater bilirubin concentrations can be consequent CONCLUSIONS
to bilirubin clearance reduction, which is a usual meta-
bolic function of the liver. Thus, these results may in- Calves fed the HL and HP diets, having a lower
dicate that WP calves did not eliminate bilirubin from energy density, had greater MR intakes than WP-fed
the blood for bile acid production to the same extent as calves in the preweaning phase. Despite the same total
MR-fed calves. Results also showed that calves fed HL ME intake, WP-fed calves were lighter and smaller
had lower serum BHB concentrations than the other than HL and HP calves. Although limited growth dif-
treatment groups. This could be related to the lower ferences were present between HF and other treatment
fat intake in this group, as BHB is produced by the ru- groups throughout the experimental period, the meta-
men wall and synthesized in the liver from dietary fatty bolic profile largely differed. Feeding HF MR did not
acids (Newman and Verdin, 2017). However, this is not result in high serum IGF-I concentration, as compared
consistent with the fact that HP calves also had higher with HL and HP MR. Calves fed the WP treatment
BHB concentrations than HL calves, despite having the had an increased number of therapeutic interventions
lowest fat intake. Earlier research showed that increas- related to diarrhea, as well as indications of increased
ing serum BHB concentrations is a good indicator of diarrhea severity. The dehydrated WM powder used in
rumen development, and thus, of a shift in nutrient this experiment may therefore not be representative of
source from liquid to solid feed (Coverdale et al., 2004). fresh WM due to the heat treatment during process-
Nevertheless, it is unlikely that the slightly lower serum ing, which resulted in protein denaturation. Calves fed
BHB concentrations in HL calves translated to slower MR with high fat presented increased NEFA and SAA
rumen development, as uptake of solid feeds was similar concentrations. Whether the observed differences are
across treatment groups. Calves fed the WP treatment biologically relevant for future dairy cattle health and
also had lower blood hematocrit levels during the first production requires further investigation.
4 wk of life compared with other groups. Hematocrit of
WP calves (22%) were lower than the normal range for ACKNOWLEDGMENTS
healthy male calves between 11 to 30 d of age (23–40%;
Dillane et al., 2018), although normal ranges for calves This study was funded by Trouw Nutrition (Amers-
fed bovine WM has not been characterized. This could foort, the Netherlands). The authors thank Natasja
be related to the substantially greater iron levels in Boots, Hanneke de Cock, and the personnel of the Calf
MR treatments (83 mg/kg) than in bovine WM (~3 Research Facility of Trouw Nutrition for their techni-
mg/kg), which led to a greater iron intake in MR-fed cal assistance. Several of the authors (J. N. Wilms, J.
calves. Indeed, previous research showed the link be- Martín-Tereso, and L. N. Leal) are employed by Trouw
tween dietary iron supplementation and blood hemato- Nutrition, a company with commercial interests in milk
crit (Brigety and Pearson, 1970). The greater supply of replacers for calves. Trouw Nutrition Research and De-
iron in MR-fed calves likely promotes the formation of velopment adheres to the principles of the European
hemoglobin and thus of erythrocytes, ultimately lead- Code of Conduct for Research Integrity (Drenth et al.,
ing to increased blood hematocrit in MR-fed calves. 2011). The authors have not stated any other conflicts
An important finding of this study was that despite of interest.
an optimal nutrient profile in terms of macronutri-
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