An α-lactalbumin-enriched and symbiotic-supplemented v. a standard infant formula: a multicentre, double-blind,

Jean-Christophe Rozé1, Sébastien Barbarot, Marie-José Butel

  • 1Department of Neonatal Medicine, Nantes University Hospital, Boulevard Jean Monet, 44000 Nantes, France. jcroze@chu-nantes.fr

Insights

This study found that an experimental infant formula, enriched with alpha-lactalbumin and synbiotics, improved infant tolerance and reduced atopic dermatitis incidence. The formula demonstrated a protective effect against eczema development in non-breastfed neonates.

Area of Science:

  • Pediatrics
  • Immunology
  • Microbiology

Background:

  • Atopic dermatitis (AD) is a common inflammatory skin condition in infants.
  • Infant nutrition plays a crucial role in immune system development and disease prevention.
  • Early life gut microbiota composition is linked to AD development.

Purpose of the Study:

  • To assess the safety, tolerance, and preventive effects of an experimental infant formula.
  • The formula was enriched with alpha-lactalbumin and supplemented with synbiotics (probiotics and prebiotics).
  • To evaluate the impact on infant growth, gastrointestinal tolerance, and atopic dermatitis manifestation.

Main Methods:

  • A double-blind, multicentre, randomised controlled trial involving 97 non-breastfed term neonates.
  • Infants received either the experimental formula (n=48) or standard formula (n=49) for 6 months.
  • Outcomes included weight, gastrointestinal tolerance, atopic dermatitis incidence, and analysis of faecal secretory IgA (SIgA) and microbiota.

Main Results:

  • Growth was comparable between the experimental and control groups.
  • Infants on the experimental formula showed improved tolerance (less crying) at 1 month (P=0.03).
  • A significantly lower incidence of atopic dermatitis was observed in the experimental group at 6 months (P<0.05).
  • Decreased faecal SIgA correlated with AD and inversely with bifidobacteria colonization.

Conclusions:

  • The experimental formula is safe and well-tolerated, supporting similar growth to standard formula.
  • It offers a protective effect against the development of atopic dermatitis in infants.
  • Synbiotic supplementation may modulate the gut immune response, influencing AD development.

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