Infant Feeding Regimens and Gastrointestinal Tolerance: A Multicenter, Prospective, Observational Cohort Study in

Meng Mao1, Lan Zhang1, John Ge2

  • 1Chengdu Women's and Children's Central Hospital, Chengdu, Sichuan Province, China.

Global Pediatric Health
|January 19, 2018
PubMed

Insights

Infants fed a formula with increased sn-2 palmitate and oligofructose (sn-2+OF) showed good feeding tolerance. This observational study found low incidences of hard or watery stools in formula-fed and mixed-fed infants.

Area of Science:

  • Nutrition Science
  • Pediatrics
  • Gastroenterology

Background:

  • Infant feeding tolerance is crucial for healthy development.
  • Understanding the impact of specialized infant formulas on gastrointestinal health is important.
  • The combination of sn-2 palmitate and oligofructose (sn-2+OF) is designed to improve infant gut comfort.

Purpose of the Study:

  • To evaluate feeding tolerance in healthy Chinese infants consuming a formula enriched with sn-2 palmitate and oligofructose (sn-2+OF).
  • To compare tolerance outcomes between exclusively breastfed, exclusively formula-fed (sn-2+OF), and mixed-fed infants in a real-world setting.

Main Methods:

  • An observational study involving 460 healthy Chinese infants over 48 days.
  • Infants were categorized into three feeding groups: exclusively breastfed (BF), exclusively formula-fed (FF) with sn-2+OF, and mixed-fed (MF) with breast milk and sn-2+OF formula.
  • Incidence of hard and watery stools, and gastrointestinal tolerance scores were monitored.

Main Results:

  • Incidence of hard stools was low across all groups, with ≤2.1% in FF and 0.8% in MF infants.
  • Incidence of watery stools was also low, not exceeding 5.0% in FF infants.
  • Gastrointestinal tolerance scores indicated good tolerance in both FF and MF groups, comparable to BF infants by study end.

Conclusions:

  • Infant formula containing increased sn-2 palmitate and oligofructose (sn-2+OF) demonstrates good feeding tolerance in a real-world setting.
  • The formula is associated with low incidences of abnormal stools (hard or watery).
  • These findings support the use of sn-2+OF formula for promoting infant gastrointestinal comfort.

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