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At least 991 records · Page 55Linked to original sources
PubMed2004

Breast-fed infants have higher leptin values than formula-fed infants in the first four months of life.

BACKGROUND: Leptin is a hormone present in breast milk, which regulates food intake and energy metabolism. AIM: To investigate whether leptin levels are different in breast-fed (BF) or formula-fed (FF) infants in the first months of life. METHODS: We evaluated serum leptin by radio-immunoassay and anthropometric parameters in 51 infants at the average age of 62.8+/-30 days, 25 exclusively BF and 26 exclusively FF. RESULTS: Leptin serum values were higher in BF (7.1+/-10.4 ng/ml) than in FF (3.7+/-3.87 ng/ml) infants (p <0.05). Leptin values were higher in females (6.9+/-9.87 ng/ml) than in males (3.5+/-3.88 ng/ml) (p <0.05). No differences were found in anthropometric measurements and body mass index. CONCLUSION: The kind of feeding might be a factor affecting serum leptin concentration in term infants. The long-term consequences of this difference between BF and FF infants and leptin's role in promoting obesity later in life are unknown.

Anthropometry↗
PubMed1997

Sialic acid content of infant saliva: comparison of breast fed with formula fed infants.

Sialic acid is found in especially high concentrations in brain gangliosides, and supplementary sialic acid is associated with increased learning behaviour in animals. It was hypothesised that breast fed infants may have higher concentrations of sialic acid in body fluids and tissues because human milk is a rich source of sialylated oligosaccharides, while formulas contain very little. The aim therefore was to compare the sialic acid content of saliva collected from full term infants who were either solely breast fed or formula fed until weaning at 3-5 months of age. Thirty three infants, 18 breast fed and 15 formula fed, were studied at a mean (SD) age of 5 (2) months. The breast fed infants, when compared with formula fed infants, were found to have almost two times more free sialic acid in saliva (mean (SE) 16.0 (2.7) v 8.2 (2.1) mg/l, p < 0.036) and nearly 50% more total sialic acid (47.3 (3.9) v 32.2 (4.4) mg/l, p < 0.014). The findings provide a preliminary indication that an exogenous source of sialic acids derived from human milk may contribute to higher concentrations of sialic acid in body fluids. There are important implications for the formulation of human milk substitutes.

Adult↗
PubMed1984

Manganese intake and serum manganese concentration of human milk-fed and formula-fed infants.

Manganese (Mn) status was determined in 24 infants exclusively fed either human milk (n = 8) or formula (n = 16) from birth to 3 months. Mn intakes were estimated from test weighings , dietary records, and direct analyses of human milk and formula via graphite furnace atomic absorption spectrophotometry. Mean human milk Mn concentrations significantly decreased (p less than 0.05) with the progression of lactation, from 6.6 micrograms/L during the 1st month of lactation, to 3.5 micrograms/L by the 3rd month of lactation. Infant formulas were observed to contain considerably higher levels of Mn (70.0 to 1289.0 micrograms/L) than either human milk (means = 4.9 micrograms/L) or cows' milk (means 25.2 micrograms/L). At 3 months, human milk-fed infants consumed a smaller volume of milk (689.0 ml) than formula-fed infants (894.0 ml), and also received significantly less Mn (0.42 micrograms/kg/day) than formula-fed infants (183.22 micrograms/kg/day). Mean sera Mn concentrations of infants receiving human milk or formula were similar, with mean values of 4.4 and 4.7 micrograms/L, respectively. Manganese intakes of human milk-fed infants were found to be linearly correlated (r = 0.78) with the respective serum Mn concentration at 3 months of age.

Analysis of Variance↗
PubMed2004

Colostrum protein concentrate enhances intestinal adaptation after massive small bowel resection in juvenile pigs.

OBJECTIVES: Short bowel syndrome (SBS) usually results from the surgical removal of a large segment of small intestine. Patient outcome depends on the extent of intestinal resection and adaptation of the remaining intestine. We evaluated the impact of colostrum protein concentrate (CPC) on intestinal adaptation after massive small bowel resection in a porcine model of infant SBS. METHODS: Four-week-old piglets underwent an approximate 75% small bowel resection (R, n = 23) or a control transection operation (C, n = 14). Postoperatively, animals from both groups received either pig chow (R = 6, C = 5), polymeric infant formula (R = 6, C = 3) or polymeric infant formula supplemented with CPC (R = 11, C = 6) for 8 weeks until sacrifice. Clinical outcome measures included weight gain and stool consistency. Morphologic measures were intestinal villus height and crypt depth. Functional outcome measure was mucosal disaccharidase activity. RESULTS: Resected animals fed polymeric infant formula alone had reduced weight gain compared with controls fed the same diet (P < 0.005). Despite massive small bowel resection, animals fed pig chow or polymeric infant formula supplemented with CPC grew at an equivalent rate to controls fed polymeric infant formula alone. Resected animals supplemented with CPC had increased villus length and crypt depth in the jejunum (P < 0.001) and ileum (P < 0.001) compared with resected animals fed either pig chow or polymeric infant formula alone. CONCLUSION: In an animal model of SBS, CPC supplementation of polymeric infant formula resulted in normal weight gain and features of enhanced morphologic adaptation.

Adaptation, Physiological↗
PubMed1996

[Nutritional and fluid supplementation for neonates. Types and use of supplementation in maternity wards].

The objective of the study was to evaluate the practice of giving supplementary feeding to newborns on maternity wards according to type of supplement, use and choice of supplement in different clinical settings, recommended frequency of breast-feeding, recommended types of infant formula and finally the influence of paediatric department and geographic site on the use of different types and use of supplements at the wards. Sixty maternity wards (95%) in Denmark filled in and returned the questionnaire. The maternity wards offered six different kinds of supplements and 36% of the maternity wards offered human milk. The study gave the impression of a large consumption of supplements on the maternity wards. Most of the maternity wards (83%) would recommend hydrolysed infant formula for infants with a family history of allergy, and almost the same number (88%) would recommend traditional infant formula for infants without a family history of allergy. Mothers' request for hydrolysed infant formula for infants without a family history of allergy was refused in 20% of the maternity wards. There were no differences between the recommended frequencies of breast-feeding. Maternity wards in hospitals with paediatric departments would significantly more frequently offer the infants supplements than maternity wards in hospitals without paediatric departments. The same maternity wards would significantly more often use water and human milk and more rarely water with glucose than maternity wards in hospitals without paediatric departments. In the western part of Denmark the maternity wards significantly more often used traditional infant formula and water with glucose than in the eastern part of Denmark. In conclusion, the investigation showed a considerable variation in the different types of supplements used in the maternity wards. The variation was influenced by the presence of a paediatric department in the hospital as well as by the geographic site. To ensure a higher and more uniform quality in this area it would be desirable if The National Board of Health in collaboration with the Allergy committee in the Danish Society of Paediatricians would publish recommendations to all who work professionally with mothers and infants.

Denmark↗
PubMed2005

Enterobacter sakazakii and other bacteria in powdered infant milk formula.

Recently there has been considerable concern related to the presence of bacteria, in particular Enterobacter sakazakii, in powdered infant formula milk. This paper considers the bacteria in these products at point of sale, with reference to current microbiological testing and the need for good hygienic practice in their subsequent preparation before feeding. The ingestion of raised numbers of E. sakazakii resulting from temperature abuse after reconstitution is highlighted as well as the uncertain routes of E. sakazakii product contamination.

Colony Count, Microbial↗
PubMed1998

Prevention of iron-deficiency anemia: comparison of high- and low-iron formulas in term healthy infants after six months of life.

OBJECTIVES: For bottle-fed babies or nursing infants who receive milk supplements, the American Academy of Pediatrics recommends the use of iron-fortified infant formula. Because these recommendations have not been universally adopted, the hematologic effects of currently available low-iron formulas need to be determined. STUDY DESIGN: Healthy Chilean 6-month-old infants (without iron-deficiency anemia, born at term weighing > or 3.0 kg) who were totally or partially weaned from the breast were randomly allocated in a double-blind fashion to receive high-iron (n = 430) or low-iron formula (n = 405), containing an average of 12.7 mg/L or 2.3 mg/L, respectively, of elemental iron as ferrous sulfate. Iron status was determined at 12 months. RESULTS: The prevalence of iron-deficiency anemia was not different in the high- and low-iron groups (2.8% versus 3.8%, p = 0.35). Nevertheless, infants receiving high-iron formula had somewhat higher levels of hemoglobin and serum ferritin, greater mean cell volumes, and lower erythrocyte protoporphyrin levels (p < 0.005). CONCLUSIONS: Although high-iron formulas are more efficacious in improving iron status, currently available low-iron formulas may prevent iron-deficiency anemia in selected healthy, term infant populations with otherwise poor sources of dietary iron after 6 months of life. Formulas with relatively small amounts of iron appear to prevent iron-deficiency anemia. We speculate that the optimal level of iron fortification likely lies somewhere between the current levels in high- and low-iron formulas.

Anemia, Iron-Deficiency↗
PubMed1996

Determination of pantothenic acid in infant milk formulas by high performance liquid chromatography.

A reverse-phase liquid chromatographic method was adapted for the assay of pantothenic acid in infant milk formulas. Sample preparation consisted of deproteination with acetic acid and sodium acetate solutions, followed by centrifugation and filtration. The chromatographic system included a C-18 column and a mobile phase consisting of a sodium phosphate buffer and acetonitrile (97:3, vol/vol). The column effluent was monitored by UV detection at 197 nm. The system was linear from 50 to 800 ng. The recoveries of pantothenic acid from augmented samples ranged from 89 to 98%, and the coefficients of variation ranged from 1.17 to 3.20%. The results obtained with the HPLC and a microbiological method were highly correlated for starting infant formula, follow-up infant formula, and formula for infants of low birth weight from four different manufactures. All formulas analyzed contained pantothenic acid at concentrations higher than those declared on their nutritional labels and were in compliance with international recommendations.

Chromatography, High Pressure Liquid↗
PubMed1980

Iron-fortified formulas and gastrointestinal symptoms in infants: a controlled study, With the cooperation of The Syracuse Consortium for Pediatric Clinical Studies.

In an attempt to determine whether iron-fortified infant formulas produced gastrointestinal symptoms in infants, we fed two similar formulas, one with and one without iron fortification, to a group of 93 term infants upon discharge from the nursery on the third day of life. Infants were fed the formulas for a period of 42 days while their mothers kept detailed daily records of all gastrointestinal symptoms. A total of 49 infants were fed the non-iron-fortified formula and 44 infants were fed the iron-fortified formula. Review of the records revealed no differences in the number of stools per day, the description of the stools, the number of days without stools, the incidence or frequency of colic, spitting-up, or vomiting. We conclude that the feeding of iron-fortified formulas to infants does not produce an increased incidence of gastrointestinal symptoms or signs.

Colic↗
PubMed1985

Effect of diet on blood lead concentration in the cynomolgus monkey.

Infant cynomolgus monkeys (Macaca fascicularis) were reared from birth in an infant primate nursery and dosed with lead acetate (2 mg Pb/kg body wt/day) from approximately 100 days of age. The monkeys were switched from an infant formula diet to a diet of primate chow and water at 460 days of age. Beginning at approximately 935 days of age, various diets were fed in the following order: infant formula plus a restricted amount of primate chow, infant formula only, infant formula plus cellulose fiber, infant formula plus phytic acid, cow's milk, and primate chow plus water. Blood lead content was determined throughout the experiment. At 360 days of treatment (approx. 460 days of age) the blood lead concentration was 90 micrograms/dl but decreased to 50 micrograms/dl within 30 days after the diet was changed to primate chow and water. When the monkeys were 935 days of age the introduction of the infant formula plus a restricted amount of primate chow had little effect on blood lead concentrations. However, when primate chow was removed from the diet so that the monkeys were fed infant formula only, there was a rapid increase in blood lead from approximately 40 to 220 micrograms/dl. The addition of cellulose fiber to the infant formula had no effect on blood lead concentrations, whereas the addition of phytic acid caused an abrupt decrease to approximately 85 micrograms/dl. Blood lead concentrations increased to approximately 190 micrograms/dl when cow's milk only was fed and decreased to approximately 55 micrograms/dl when the monkeys were returned to a diet of primate chow and water.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1997

Plasma lipid and apolipoprotein concentrations in full term infants fed formula supplemented with long-chain polyunsaturated fatty acids and cholesterol.

UNLABELLED: Recent data indicate that supplementation of infant formula with omega-3 and omega-6 long-chain polyunsaturated fatty acids might offer developmental benefits for full term infants. We investigated biochemical consequences of feeding formula supplemented with egg lipids to provide long-chain polyunsaturated fatty acids and compared triglyceride, cholesterol, lipoprotein cholesterol (HDL2-cholesterol, HDL3-cholesterol, non-HDL-cholesterol) and apolipoprotein A-I, A-II and B concentrations in full term infants fed either conventional formula (n = 10) or a formula supplemented with omega-3 and omega-6 long-chain polyunsaturated fatty acids and cholesterol in amounts similar to those found in mature human milk (n = 12). At the age of 5 days, cholesterol, non-HDL-cholesterol and triglyceride concentrations were significantly higher in infants fed supplemented than in those receiving conventional formula. At the age of 30 days, triglyceride concentrations were significantly higher with supplemented than with conventional formula. Thereafter throughout the study, no significant differences were seen between the two groups. CONCLUSION: Full term infants fed formula supplemented with omega-3 and omega-6 long-chain polyunsaturated fatty acids and cholesterol showed significantly higher plasma cholesterol and triglyceride concentrations than infants receiving conventional formula on day 5 and on days 5 and 30, respectively. Thereafter no appreciable effect of diet on plasma phospholipid, triglyceride, cholesterol, lipoprotein cholesterol and apolipoprotein concentrations were seen.

Age Factors↗
PubMed1995

Challenge confirmation of late-onset reactions to extensively hydrolyzed formulas in infants with multiple food protein intolerance.

BACKGROUND: Many infants with cow's milk protein intolerance have adverse reactions to soy, casein and whey hydrolysate formula and to other foods. The recent development of Neocate, a hypoallergenic, nutritionally complete infant formula composed of individual amino acids and other nutrients, has enabled these infants to be stabilized. OBJECTIVE: We observed the effect of food challenges in infants with reported hypersensitivity to hypoallergenic formulas. METHODS: Eighteen infants (median age, 7 1/2 months) were given Neocate formula for 2 months and then underwent a 7-day double-blind placebo-controlled challenge with the formula previously best tolerated. RESULTS: In 12 of the 18 infants irritability, vomiting, diarrhea, and/or eczema flares developed during the formula challenge. In two patients symptoms developed immediately, but in the remainder adverse reactions evolved within 7 days (range, 4 to 7 days). Adverse reactions were to soy formula (six patients), whey hydrolysate (two), and casein hydrolysate (four). When infants were 12 months of age, parents reported adverse reactions after the ingestion of other low allergen foods (median, six; from a panel of 10 such foods). CONCLUSION: A group of infants with late-onset adverse reactions to soy, extensively hydrolyzed casein, and whey formulas and to other foods has been identified. Neocate formula proved to be an effective substitute formula for these patients.

Amino Acids↗
PubMed1996

Throat microflora in breastfed and formula-fed infants.

Most bacterial infections are caused by organisms that are already colonizing the host, and these infections commonly originate at site of the gastrointestinal and respiratory tracts. However, little attention has been focused on the indigenous microflora of the respiratory tract in the infant. We studied the throat microflora of healthy breastfed and formula-fed infants. The incidence of pathogenic bacterial isolation from breastfed infants (1 out of 23) was lower relative to infants fed formula (5 out 14). The dominant bacteria in the throat flora isolated in both breastfed and formula-fed infants were alpha-haemolytic Streptococcus and gamma Streptococcus. These results suggest that breastmilk may be effcacious in preventing the growth of pathogenic bacteria in the throat.

Bacteria↗
PubMed2004

Neutrophil and small intestinal lymphocyte migration after Salmonella typhimurium infection: impact of fermentable fiber.

OBJECTIVES: Formula-fed infants have more episodes of acute diarrhea and intestinal infection than do breast-fed infants. Nutrient additions to infant formula that could confer some of the immune benefits of breast milk to formula-fed infants are currently under investigation. This study examined the impact of enteral formulas supplemented with fermentable substrates on small intestinal lymphocyte and neutrophil migration in piglets infected with Salmonella typhimurium. Small intestinal proinflammatory cytokine messenger RNA abundance and in vitro lipopolysaccharide-stimulated interleukin-6 release in whole blood were assessed. METHODS: Piglets were randomized to receive sow milk replacer formula supplemented with methylcellulose (control), soy polysaccharides (SPS) or fructooligosaccharides (FOS). On day 7, half of the piglets were infected with S. typhimurium. Intestinal lymphocyte, neutrophil and whole blood samples were obtained on day 14. RESULTS: After infection, there was decreased lymphocyte migration in the control group but not in the SPS and FOS groups. The SPS group had greater neutrophil migration compared with the control and FOS groups, regardless of infection. Small intestinal abundance of proinflammatory cytokine messenger RNA was not significantly changed by either infection or diet. Blood from the FOS group challenged with lipopolysaccharide for 2 hours exhibited decreased interleukin-6 production compared with blood from the control and SPS groups, regardless of infection. CONCLUSIONS: Supplementation of enteral formulas with SPS maintains the migratory function of small intestinal lymphocytes while increasing that of neutrophils.

Animals↗
PubMed1998

Growth characteristics of breast-fed compared to formula-fed infants.

In affluent populations, breast-fed infants generally exhibit a different pattern of growth than formula-fed infants. The average weight gain of the former is lower than that of the latter, even after complementary foods are introduced. In some studies, the length gain is also lower among breast-fed infants, whereas in others there is no significant difference in linear growth between feeding groups. Growth in head circumference does not differ by feeding mode. Because of the difference in weight gain, breast-fed infants are generally leaner than formula-fed infants by 12 months of age. Breast-fed infants appear to self-regulate their energy intake at a lower level than consumed by formula-fed infants and have a lower metabolic rate. Evidence to date suggests that there are no apparent adverse consequences associated with the lower intake and slower weight gain of breast-fed infants: compared to formula-fed infants, they do not differ in activity level, and they experience less illness and appear to have enhanced cognitive development. The reasons for differences in growth patterns by feeding mode require further research.

Adipose Tissue↗
PubMed2002

Feeding patterns in breast-fed and formula-fed infants.

AIM: The intention of this study performed in healthy breast- and formula-fed infants was to characterize physiological feeding patterns as a basis for counseling parents to feed their infants on demand. METHODS: Ingested milk volumes of 10 breast-fed and 14 formula-fed infants were measured during five 72-hour investigation periods during the 3rd, 6th, 9th, 13th, and 17th weeks of life. RESULTS: A comparable diurnal distribution of feeds was observed in both groups during the first 9 weeks of life, with a day-night asymmetry of feeding first observed at the age of 6 weeks. Thereafter, formula-fed infants showed a further decrease in their nightly milk intake. Within the investigation period, the milk volume per feed rose from 100 (range 40-200) g to 140 (range 30-300) g in the breast-fed group and from 100 (range 20-200) g to 200 (range 20-450) g in formula-fed infants. From the 6th week of life onwards, formula-fed infants had significantly higher feeding volumes. CONCLUSIONS: Parents should be informed about the variability of infant demands per feed and of feeding at night observed in breast-fed infants. The results suggest that feeding patterns similar to those of breast-fed infants are difficult to accomplish in formula-fed infants.

Bottle Feeding↗
PubMed1989

Weaning foods cannot replace breast milk as sources of long-chain polyunsaturated fatty acids.

Breast-milk lipids contain long-chain polyunsaturated fatty acids (PUFA) not found in infant formulas. Because the erythrocyte membranes of formula-fed infants are depleted in long-chain PUFA, we sought food sources of these 20- and 22-carbon polyunsaturates suitable for use as dietary supplements. A variety of commercially available infant foods containing meats and egg products in addition to some whole foods (meat, eggs) were analyzed by gas chromatography. Commercially available infant foods contained only low levels of long-chain PUFA. The richest source of omega-3 and omega-6 PUFA was found to be lamb brains but lamb and chicken livers as well as egg yolks also contained high levels. However, the lipid content of most whole foods including brains, eggs, and liver is so low that prohibitively large amounts of food would be required to be fed to infants. It is concluded that it is virtually impossible to supplement the diet of formula-fed infants to match the long-chain PUFA intake of breast-fed infants with currently available whole foods.

Breast Feeding↗