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Thickened infant formula: What to know.
Silvia Salvatore1, Francesco Savino2, Maartje Singendonk3
1Clinical Pediatrica di Varese, Universita dell'Insubria, Varese, Italy.
Nutrition (Burbank, Los Angeles County, Calif.)
|March 2, 2018
Summary
Thickened formulas effectively reduce infant regurgitation and may improve reflux symptoms. Commercial thickened formulas offer better viscosity and nutritional balance than standard formulas with added thickeners.
Area of Science:
- Pediatrics
- Gastroenterology
- Nutrition
Background:
- Infant regurgitation is a common concern for healthcare providers.
- Management strategies for infant regurgitation often involve dietary modifications.
Purpose of the Study:
- To review the characteristics of thickened formulas for managing infant regurgitation.
- To provide an overview of thickening agents and their efficacy.
Main Methods:
- Literature review of PubMed and Cochrane databases up to December 2016.
- Focused on indications, properties, and efficacy of thickened formulas and agents.
Main Results:
- Thickened formulas reduce regurgitation and may improve reflux symptoms and weight gain.
- Commercial thickened formulas demonstrate superior viscosity, digestibility, and nutritional balance.
- Rice starch, corn starch, carob bean gum, and soy polysaccharides are common thickening agents; hydrolyzed formulas show added benefit.
Conclusions:
- Thickened formulas are indicated for formula-fed infants with persistent regurgitation.
- These formulas reduce the frequency and severity of regurgitation.
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