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Intestinal transport of manganese from human milk, bovine milk and infant formula in rats.

The transport of manganese from extrinsically labeled human milk, bovine milk and infant formula was studied by the everted intestinal sac method. Tissue/mucosal flux data indicated that transport of manganese into the intestinal tissue was significantly greater with bovine milk and formula than from human milk. Similarly, the total flux of manganese from the mucosal to serosal surface was less when human milk was used. Smaller molecular weight manganese binding ligands isolated from the milk samples enhanced the mucosal to tissue movement of manganese as contrasted to the higher molecular weight manganese binding ligands. Most significantly the data suggest that the transport and uptake of manganese is less in the presence of human milk and its isolated manganese fractions than it is in bovine milk or infant formula.

Animals↗

High-performance liquid chromatographic determination of furfural compounds in infant formulas. Changes during heat treatment and storage.

Furfural contents in adapted and follow-up infant formulas were measured by RP-HPLC. The evolution of furfural compound contents during storage (a year at 20 and 37 degrees C) was studied. 2-Furylmethylketone and 5-methyl-2-furaldehyde were not detectable in analysed samples. The differences in the furfural compounds at point zero between both infant formulas has to be ascribed to the differences in protein and iron contents. An increase in free 5-hydroxymethyl-2-furfuraldehyde (HMF), 2-furaldehyde (F) and HMF+F contents was observed in all samples, although the differences were not statistically significant. The storage temperature affected the total HMF content and the storage time affected the total HMF and F contents.

Chromatography, High Pressure Liquid↗

Effect of infant formula zinc and iron level on zinc absorption, zinc status, and immune function in infant rhesus monkeys.

To evaluate the effects of marginal zinc (Zn) deficiency on Zn absorption and metabolism, three groups of infant rhesus monkeys (n = 4/group) were fed from birth to 5 months of age either a regular infant formula (5 mg Zn/L) or a low-Zn formula (1 mg Zn/L). Since iron (Fe) intake may affect Zn absorption, the low-Zn formula was given without (1 mg Fe/L) or with Fe fortification (12 mg/L). At monthly intervals, Zn absorption and retention were assessed by gavage feeding with 65Zn and whole-body counting immediately after and on days 4, 7, and 11 after intubation. Blood samples were drawn before dosing for analyses of various potential markers of Zn status. Infants fed low-Zn formula had lower weight gain than controls; however, length growth was similar in all groups. 65Zn retention was considerably higher in both groups fed low-Zn formula (40%) than in the control group (20%), whereas plasma Zn levels were normal in all infants. Plasma metallothionein levels were generally very low and detectable in only 5 samples of 48; however, 4 of these were found in control infants. Neutrophil chemotaxis assessed at the end of the study was impaired in low-Zn infants compared to controls. In addition, low-Zn infants had increased levels of interleukin-2 at the end of the study. No differences were seen between the groups in hemoglobin levels, total white blood cells/absolute neutrophil counts, or plasma activities of 5'-nucleotidase or angiotensin converting enzyme. In conclusion, marginal Zn intake in infant rhesus monkeys resulted in increased Zn retention, which was not enough to completely compensate for the lower Zn intake. The higher level of iron fortification studied did not affect Zn retention significantly.

5'-Nucleotidase↗

Infant formula ingestion is associated with the development of diabetes in the BB/Wor rat.

The association between early exposure to cow's milk products in infancy and risk for insulin dependent diabetes mellitus (IDDM) is controversial. We examined whether the ingestion of cow's milk-based infant formula altered the expression of the diabetic syndrome in the BB/Wor rat, an animal model of IDDM. Pregnant BB/Wor dams were obtained from the NIH contract colony at the University of Massachusetts and housed under semi-barrier conditions. Rat pups were intubated with 1 to 2 ml of commercially available cow's milk-based infant formula (Enfamil or Nutramigen) or sham intubated (controls) daily from day 12 to day 25 of life. Pups were weaned at day 25 and monitored for glucosuria daily through 120 days of life. All rats including dams consumed a milk-free rat chow and acidified water ad libitum throughout the study. The mean age of disease onset was 4 to 10 days earlier in Nutramigen-fed and Enfamil-fed rats relative to controls (84+/-3, 78+/-2 and 88+/-4 days, respectively); the mean age of disease onset was significantly different between controls and Enfamil-fed animals (p<0.05). At 120 days, 60% (12/20) of control rats developed diabetes versus 100% of animals fed either type of infant formula prior to weaning (15/15:Enfamil-fed; 19/19:Nutramigen-fed) (p<0.05). These data indicate that direct, early ingestion of cow's milk-based formula was related to the expression of diabetes in the BB/Wor rat.

Animals↗

Risk of fluorosis associated with infant formulas prepared with bottled water.

PURPOSE: The purpose of this study was to estimate fluoride (F) intake from infant formulas prepared with different brands of bottled water. METHODS: Fluoride concentrations in 4 samples of infant milk and soy-based formulas, commercially available in the United States, prepared with deionized water and 5 brands of bottled water, were determined after Hexamethyldisioxane (HMDS)-facilitated diffusion, in duplicate, using an F ion-specific electrode. Possible fluoride ingestion per killogram body mass was estimated, based on suggested volumes of formula consumption, for infants 1 and 12 months. RESULTS: Fluoride concentrations ranged from 0.076 to 0.214 ppm and 0.092 to 1.053 ppm for formulas prepared with deionized and bottled water, respectively. When prepared with deionized water, none of the formulas provided an F intake above the suggested threshold for fluorosis (0.07 mg F/kg/day). However, when prepared with some brands of bottled water containing 0.623 and 0.839 ppm, all of them did provide it. CONCLUSIONS: Some brands of bottled water usually marketed for infants and used to dilute infant formulas may increase fluoride concentrations beyond reccommended levels believed to lead to fluorosis.

Fluorides↗

Estimated and measured energy content of infant formulas.

This study was undertaken to assess to what extent estimated energy content of 13 infant formulas was related to gross energy measured by bomb calorimetry. Measured gross energy exceeded significantly metabolizable energy as claimed by the manufacturers by applying the classical Atwater's factors by about 12% (range, 6-17%). Measured gross energy also exceeded significantly gross energy calculated by applying either FAO/WHO or our own values of heat combustion of nutrient by 6% (range, 3-9%) and 3.5% (range, 1-6%), respectively. It is concluded that for reasons of symmetry and simplicity, the labeling of the energy content of infant formulas should continue to be calculated by applying the classical Atwater's factors to the nutrient composition. However, when accurate energy balance studies are carried out, the energy content of the diet should be measured by bomb calorimetry rather than be estimated by applying conversion factors to claimed or determined nutrient composition.

Calorimetry↗

Vitamin K in milk and infant formulas: determination and distribution of phylloquinone and menaquinone-4.

A method is described for the determination of phylloquinone and menaquinones following enzymatic digestion, extraction and a single-stage HPLC technique utilizing post-column reduction with zinc and fluorescence detection. The technique is applicable to both routine compliance control of phylloquinone supplemented infant formula powders (30-150 micrograms per 100 g) and fundamental studies of the K vitamins at endogenous levels in fluid milks (0-5.0 micrograms per 100 g). Analytical figures of merit include a detection limit of 30 micrograms on-column, recoveries greater than 98% for both K1 and MK4, an RSDR of 2.35% (K1) and 2.32% (MK4) and a regression correlation of 0.9932 for a wide range of infant formulas when compared against an alternative HPLC-UV technique. MK4 and 2',3'-dihydrophylloquinone, both with undefined bioactivity, were detected at measurable levels in a range of infant formulas. Although the higher menaquinones were found to be essentially absent in the milk of several species, the significant presence of MK4 relative to K1 has been confirmed in all milks examined, with both dominant forms correlated during early lactation in the cow. These observations suggest an as yet unrecognized physiological function for MK4 in infant nutrition.

Animals↗

Upper limits of intakes of total fat and polyunsaturated fatty acids in infant formulas.

The upper limit for fat in infant formulas in the United States is 6 g per 100 kcal. This concentration of fat, similar to that of human milk, seems appropriate for fats that are well absorbed. The upper limit for linoleic acid recommended by the working party in the United Kingdom was 1200 mg per 100 kcal. However, there seems to be no evidence that a higher percentage does the infant any temporary or permanent harm.

Dietary Fats↗

Infant formula label review.

The FDA review of infant formula labeling was conducted by a multi-disciplinary team composed of physicians, scientists, and experts in regulations and labeling. The review followed 2 tracks: the development of a general position of what would be necessary if we started with a blank label; and the purchase of many formulas and a critical review of information on the labels. An important part of the review was determining what information was available in the literature and using this information in assessing current practices and the effectiveness of present labeling. The review was divided into several major topics: introduction, definitions, historical perspectives, current regulatory situation, effectiveness of labeling, label review, other issues, and departmental initiatives. The labels review included product attributes, shelf life, retail and home storage instructions, and consumer preparation and use.

Food Labeling↗

Direct determination of free methionine in soy-based infant formula.

A method was developed for the direct determination of free methionine in soy-based infant formula, with analyte separation and quantitation by reversed-phase liquid chromatography (LC), and UV absorbance at 214 nm, respectively. Sample preparation required only dilution with mobile phase and syringe filtration. Using a 0.02M KH2PO4 mobile phase (pH adjusted to 2.9 with 85% o-phosphoric acid) and 0.7 mL/min flow rate, methionine eluted at approximately 8 min, and total run time was 14 min after column regeneration with acetonitrile-water. System linearity was demonstrated as peak area versus analyte concentration, ranging from 80 to 120% of the formula specification for free methionine (r > 0.999, and all residuals < 0.45%). Intermediate precision relative standard deviation values were < 1.5% for ready-to-feed and reconstituted powder samples, and recoveries ranged from 98.0 to 103.5% for inter-method comparison with an amino acid analyzer method. The limit of quantitation was 3 mg methionine/L in the "as fed" infant formula. Despite the relatively weak UV absorptivity of methionine, the 214 nm signal was sufficiently intense in the 30-65 mg/L (201-436 microM) range to afford quantitation by peak area proportionation versus a 2-point external standard calibration. This direct UV detection after reversed-phase LC separation provides a simple and accurate method for determining free methionine without derivatization.

Chromatography, Liquid↗

Plasma amino acid concentrations, indexes of protein metabolism and growth in healthy, full-term infants fed partially hydrolyzed infant formula.

BACKGROUND: It has been reported that feeding extensively hydrolyzed infant formula influenced the availability of arginine, glycine, histidine, lysine and threonine in full-term infants investigated during the first 2 months of life. In the present study, the nutritional effects of feeding partially hydrolyzed formula (PHF) were investigated. METHODS: Term infants fed conventional formula (F; n = 11) or PHF (n = 11) were investigated at the ages of 5, 30, 60, 90, and 120 days. Anthropometric data were obtained, and plasma amino acid concentrations and biochemical indices of protein metabolism were measured. RESULTS: Plasma concentrations (in micromoles per liter) of lysine on day 90: 117 (21) versus 143 (24); of threonine on day 30: 140 (53) versus 263 (87); of ornithine on day 90: 56 (21) versus 78 (29); and of tyrosine on day 30: 52 (17) versus 77 (20), on day 60: 56 (14) versus 87 (19) and on day 90: 46 (9) versus 81 (17) were significantly lower in infants receiving PHF than in those fed F. Values are median (range from 1st to 3rd quartile), PHF versus F; p < 0.05. At day 120, infants fed PHF showed significantly lower serum albumin concentrations than did infants receiving F (43.3 +/- 3.4 versus 48.9 +/- 3.5, g/l; mean +/- SD; p < 0.05). Serum creatinine, urea nitrogen, uric acid and total protein concentrations and gain in weight, length, and head circumference did not differ throughout the study. CONCLUSIONS: In this study, feeding PHF did not affect the majority of plasma amino acid concentrations, some indices of protein metabolism, and basic parameters of growth in full-term infants. However, plasma concentrations of lysine, threonine, tyrosine, ornithine, and albumin were, on at least one occasion, significantly lower in infants fed PHF than in those receiving F.

Amino Acids↗

Vitamin A and vitamin E content of infant formulas produced in the United States.

Vitamin A (vitamin A palmitate) and vitamin E (alpha-tocopheryl acetate) levels were determined in 77 samples of fortified infant formulas manufactured by 4 firms in the United States from 1981 to 1983 and were compared by formulation base (soy, milk) and manufacturing firm. For vitamin A and vitamin E, the mean values (IU/100 kcal) were 454 +/- 95 (range 248-614) and 2.0 +/- 0.7 (range 1.1-5.0), respectively. No significant differences (alpha = 0.05) were found in levels (IU/100 kcal) of vitamin A and vitamin E between milk- and soy-based formulas. When the mean vitamin A and vitamin E levels of formulas produced by the various firms were compared on an IU/100 kcal or percent of label declaration basis, significant differences (alpha = 0.05) were found among firms. Mean vitamin A levels for the various products compared to label declarations ranged from 126% of declared for the ready-to-use formulas to 139% of declared for the powders. Mean vitamin E levels ranged from 97% of declared for ready-to-use formulas to 118% of declared for concentrates. Except for one sample that contained 248 IU vitamin A/100 kcal, the formulas met the requirements of the 1980 Infant Formula Act.

Chromatography, Liquid↗

Vitamin analysis in infant formulas.

The methodology used by the Atlanta Regional Laboratory, U.S. Food and Drug Administration, for determination of vitamins in infant formulas is summarized. Analytical findings for 11 vitamins are presented by manufacturer in terms of the requirements of the Infant Formula Act and percentage of the manufacturer's label declaration.

Ascorbic Acid↗

Enzymolysis approach to compare cu availability from human milk and infant formulas.

The purpose of the present paper is to develop an easy and quick in vitro method to compare copper availability from breast milk and infant formulas. This study focuses on the differences caused by the use of pH 2.0 (adult gastric pH) or pH 5.0 (newborn gastric pH) in the first stage of the enzymolysis. pH affects Cu solubility, a possible estimator of the availability. Selection of a digestor, times of enzymolysis, centrifugation parameters, and Cu determination by ETAAS were discussed as well. Percentage of Cu solubility was larger from breast milk (gastric pH 2.0, 65.3 +/- 14.0 vs 40.0 +/- 13.9%; gastric pH 5.0, 61.2 +/- 16.5 vs 26.6 +/- 10.3%), but the soluble content was larger from infant formulas for both pHs (gastric pH 2.0, 245.3 +/- 82.1 vs 113.0 +/- 103.4 ng mL(-1); gastric pH 2.0, 169.3 +/- 76.9 vs 75.3 +/- 21.9 vs ng mL(-1)).

Biological Availability↗

Aluminum concentrations in infant formulae.

The aluminum concentrations in breast milk and in 25 commercially available infant formulae were measured. The mean concentration in breast milk was 49 micrograms/L while concentrations in most of the humanized formulae were less than 500 micrograms/L. Higher concentrations were found in Nan, Prem Enfamil and the three soya formulae. We suggest that all formulae have the potential to be contaminated with aluminium, and to varying degrees in different batches. Until it is known whether aluminium toxicity occurs in normal infants fed these formulae, it seems reasonable to expect manufacturers to routinely measure aluminium and keep aluminium contamination to a minimum. This may be especially important for formula fed to infants with compromised gastrointestinal and renal systems.

Aluminum↗

Survey of lead, cadmium, cobalt and nickel in infant formulas and evaporated milks and estimation of dietary intakes of the elements by infants 0-12 months old.

Lead, cadmium, cobalt and nickel were determined in 282 infant formulas and evaporated milks using a graphite-furnace atomic absorption coprecipitation method capable of determining background levels in all samples. On an "as sold" basis, lead in ready-to-use (RTU), concentrated liquid, and powder formulas averaged 1.6, 3.7 and 12.6 ng g-1, respectively. Evaporated (evap.) milks in lead-free and lead-soldered cans contained 2.8 and 95 ng g-1, respectively. Average concentrations of cadmium, cobalt and nickel in evap. milk, milk-based RTU formulas and soy-based RTU formulas were: Cd, 0.38, 0.35 and 3.39 ng g-1; Co, 0.89, 0.46 and 2.79 ng g-1; and Ni, 4.7, 6.0 and 63.7 ng g-1, respectively. In milk-based formulas, cobalt and nickel concentrations were statistically higher in those fortified with iron. Dietary intakes of lead, cadmium, cobalt and nickel by 0-12-month-old infants from food and water used to dilute concentrated foods averaged 1.81 micrograms per kilogram body weight per day (micrograms kg-1 day-1) (13.2 micrograms day-1), 0.44 micrograms kg-1 day-1 (3.5 micrograms day-1), 0.52 micrograms kg-1 day-1 (3.93 micrograms day-1), and 5.0 micrograms kg-1 day-1 (38.2 micrograms day-1), respectively. Lead and cadmium intakes were below the respective FAO/WHO provisional tolerable daily intakes (PTDI) of 3.6 and 0.96-1.2 micrograms kg-1 day-1, except the lead intake of 6 micrograms kg-1 day-1 by infants fed evap. milk stored in lead-soldered cans.

Animals↗