Differences in serum biochemistry between breast-fed and formula-fed infants
Tzee-Chung Wu1, I-Fei Huang, Yi-Chun Chen
1Division of Gastroenterology and Nutrition, Children's Medical Center, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Insights
Breast milk and formula feeding lead to distinct infant serum biochemistry profiles, with breast-fed infants showing higher levels of cholesterol, liver enzymes, and bilirubin. These findings provide crucial reference values for infant health monitoring.
Area of Science:
- Pediatric Biochemistry
- Infant Nutrition
- Clinical Chemistry
Background:
- Investigating differences in serum biochemistry between breast-fed and formula-fed infants.
- Establishing reference values for serum biochemistry in infants at 4 and 8 weeks old for clinical use.
Purpose of the Study:
- To compare serum biochemistry levels in breast-fed versus formula-fed infants.
- To provide normative data for serum biochemistry at different infant ages.
Main Methods:
- Study included 60 healthy infants (30 breast-fed, 30 formula-fed).
- Anthropometric measurements (weight, length, head circumference) were recorded at 4 and 8 weeks old.
- 14 serum biochemistry markers were analyzed.
Main Results:
- No significant differences in growth parameters between groups.
- Breast-fed infants had higher serum cholesterol, triglycerides, ALT, AST, GGT, and bilirubin levels.
- Breast-fed infants had lower serum BUN and inorganic phosphate levels compared to formula-fed infants.
- Significant age-related changes in serum biochemistry were observed in both groups.
Conclusions:
- Infant nutrition source significantly impacts serum biochemistry.
- Serum biochemistry reference values vary with postnatal age.
- These findings aid in interpreting infant laboratory results.
Background:
We investigated the differences in serum biochemistry levels between breast-fed and formula-fed infants. We provide reference values of serum biochemistry levels for 4-week-old (w/o) and 8 w/o infants for future clinical applications.
Methods:
Sixty healthy infants were enrolled in this study (30 infants were included in the breast-fed and formula-fed groups, respectively). During hospital visits at 4 and 8 w/o, several parameters, including body weight, body length, and head circumference were recorded. Blood was drawn to measure 14 serum biochemistry markers.
Results:
There were no significant differences between the two groups in terms of growth or anthropometric measurements. Serum cholesterol, triglyceride (TG), alanine aminotransferase (ALT), aspartataminotransferase (AST), gamma glutamyl transferase (GGT), total bilirubin (T-bil) and direct bilirubin (D-bil) levels were significantly higher in the breast-fed group compared with those measured in the formula-fed group at both 4 and 8 w/o. Serum blood urea nitrogen (BUN) and inorganic phosphate (IP) levels were significantly lower in the breast-fed group compared with the formula-fed group at 4 and 8 w/o. In the formula-fed group, serum total protein (TP), albumin, cholesterol, uric acid (UA), ALT, and AST levels were significantly higher in 8 w/o infants compared with 4 w/o infants; in addition, serum GGT, T-bil, D-bil, IP, and iron (Fe) levels were significantly lower in 8 w/o infants compared with 4 w/o infants. In the breast-fed group, serum TP, albumin, and UA levels were significantly higher in 8 w/o infants compared with 4 w/o infants; in addition, serum BUN, GGT, T-bil, D-bil, IP, and Fe levels were significantly lower in 8 w/o infants compared with 4 w/o infants.
Conclusion:
Different sources of nutrition may result in different metabolic responses; these differences are reflected by different serum biochemistries. The reference values for serum biochemistry levels also differ according to the infant's postnatal age.
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