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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.
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.
Abstract:
To study feeding tolerance in infants fed formula with increased sn-2 palmitate and oligofructose (sn-2+OF) in a real-world setting, healthy Chinese infants were enrolled in this 48-day observational study on their current feeding regimens: exclusively breastfed (BF; n = 147), exclusively sn-2+OF formula-fed (FF; n = 150), or mixed-fed with breast milk and sn-2+OF formula (MF; n = 163). Throughout the study, incidence (90% confidence interval) of hard stools was ≤2.1% (0.0-5.3) in FF and 0.8% (0.0-3.5) in MF, with no hard stools in BF. Incidence of watery stools was ≤5.0% (1.0-9.2) in FF and ≥5.1% (2.4-9.3) in MF and BF. Gastrointestinal tolerance scores, although low in all groups (lower scores indicating better tolerance), were slightly higher (P ≥ .03) in FF (17.5 ± 4.8) and MF (18.2 ± 5.0) versus BF (16.3 ± 3.2) at mid-study; this difference disappeared at study end. Overall, low incidences of hard and watery stools and good feeding tolerance were observed in infants fed sn-2+OF formula.
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