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Dietary management of infantile colic: a systematic review

Marina Iacovou1, Robin A Ralston, Jane Muir

  • 1Department of Nutrition and Dietetics, Monash Medical Centre, Southern Clinical School of Medicine, Monash University, Block E, Level 5, 246 Clayton Rd, Clayton, VIC 3168, Australia.

Maternal and Child Health Journal
|June 29, 2011
PubMed

Insights

Dietary changes can help treat infantile colic. For breastfed babies, a hypoallergenic maternal diet may reduce colic symptoms. For formula-fed infants, switching to a hydrolyzed or soy formula may improve colic.

Area of Science:

  • Pediatrics
  • Gastroenterology
  • Nutrition

Background:

  • Infantile colic affects 10-20% of infant pediatrician visits.
  • Colic can cause significant parental stress and exhaustion.
  • Effective therapeutic strategies for infantile colic are needed.

Purpose of the Study:

  • To systematically review the effectiveness of dietary changes in managing infantile colic.
  • To evaluate dietary interventions for both breastfed and formula-fed infants.

Main Methods:

  • Systematic review of 24 studies from six databases, with literature searches from 1960.
  • Analysis of dietary interventions including maternal diet, formula type, and carbohydrate content.

Main Results:

  • Hypoallergenic maternal diet shows potential benefit for colicky breastfed infants.
  • Switching formula-fed infants from cow's milk to hydrolyzed protein or soy-based formula may improve colic.
  • Fibre-supplemented formulas demonstrated no effect on colic symptoms.

Conclusions:

  • Dietary modifications, such as hypoallergenic maternal diets and specific infant formulas, can be effective for infantile colic.
  • Further research with standardized definitions and sample analysis is required for poorly digested carbohydrates.
  • Evidence supports dietary interventions as a viable approach to managing infantile colic.

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