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Published on: July 28, 2022
Growth of healthy term infants fed an extensively hydrolyzed casein-based or free amino acid-based infant formula: a
Marlene W Borschel1, Ekhard E Ziegler, Rita Thomas Wedig
11Abbott Nutrition, Abbott Laboratories, Columbus, OH, USA.
Insights
Amino acid-based formula (AF) supports infant growth comparable to extensively hydrolyzed formula (HF). Both formulas demonstrated similar growth outcomes and serum albumin levels in infants during the first 4 months of life.
Area of Science:
- Pediatric Nutrition
- Infant Formula Research
- Clinical Growth Studies
Background:
- Infant feeding choices impact growth and development.
- Hydrolyzed formulas are used for infants with cow's milk allergy.
- Amino acid-based formulas offer an alternative hypoallergenic option.
Purpose of the Study:
- To compare growth and tolerance of amino acid-based formula (AF) versus extensively hydrolyzed casein-based formula (HF).
- To assess infant growth parameters and stool patterns in a randomized controlled trial.
Main Methods:
- A masked, randomized, parallel growth study.
- Infants (0-9 days old) were fed either AF or HF until 112 days of age.
- Evaluated growth (weight, length, head circumference), formula intake, stool patterns, and serum albumin.
Main Results:
- No significant differences in weight, length, head circumference, or formula intake between AF and HF groups.
- Infants fed HF had more formed stools and a higher mean daily stool count at 14 and 28 days.
- Serum albumin concentrations were comparable and within normal ranges for both groups.
Conclusions:
- Amino acid-based formula (AF) supports normal infant growth comparable to extensively hydrolyzed formula (HF).
- AF is a viable option for infant nutrition, demonstrating similar growth outcomes to hydrolyzed formulas.
- Both formulas appear to be well-tolerated, supporting healthy development in early infancy.
Abstract:
A masked, randomized, parallel growth study was conducted in infants fed an amino acid-based formula (AF) or an extensively hydrolyzed casein-based formula (HF). Infants were enrolled between 0 and 9 days and studied to 112 days of age. Growth, formula intake, stool patterns, and serum albumin concentrations were assessed. There were no significant differences between groups in weight, length, or head circumference, gains in weight or length, or study formula intake. The number of stools parents rated as being formed, and the mean daily number of stools were greater in the HF than in the AF group at 14 and 28 days of age. Mean serum albumin concentrations were not significantly different between groups and were within the normal range. This study demonstrates that AF supports normal growth of infants comparable to that of infants fed HF during the critical first 4 months of life.
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