High-sugar feeding and increasing cholesterol levels in infants

Petra Zubin Maslov1, Joseph A Hill2, Thomas F Lüscher3,4

  • 1Icahn School of Medicine at Mount Sinai, New York, NY, USA.

European Heart Journal
|December 16, 2020
PubMed

Insights

High simple sugar intake in infant formula may increase LDL cholesterol. Formula-fed infants show higher glucose, insulin, and proprotein convertase subtilisin/kexin type 9 levels, linking sugar to early childhood high cholesterol.

Area of Science:

  • Pediatrics
  • Cardiovascular Health
  • Nutritional Science

Background:

  • Hypercholesterolaemia is a significant risk factor for cardiovascular disease.
  • Cholesterol levels increase substantially from infancy to adulthood.
  • Low rates of exclusive breastfeeding and high consumption of simple carbohydrate-rich formulas are prevalent in the USA.

Purpose of the Study:

  • To investigate the potential link between simple sugar intake in infant formula and elevated LDL cholesterol in early childhood.
  • To explore the association between formula feeding, glucose/insulin spikes, and proprotein convertase subtilisin/kexin type 9 (PCSK9) levels.

Main Methods:

  • Observational study comparing cholesterol levels in neonates, infants, and adults.
  • Analysis of infant feeding practices, specifically breastfeeding vs. formula consumption.
  • Measurement of fasting glucose, insulin, and PCSK9 levels in formula-fed infants.

Main Results:

  • Formula-fed infants exhibit higher levels of fasting glucose and insulin compared to breastfed infants.
  • Elevated proprotein convertase subtilisin/kexin type 9 (PCSK9) levels were observed in formula-fed infants.
  • These findings suggest a correlation between simple carbohydrate intake and increased LDL cholesterol in early life.

Conclusions:

  • High intake of simple sugars from infant formulas may contribute to increased LDL cholesterol in early childhood.
  • Formula feeding practices, characterized by simple carbohydrate-rich products, warrant further investigation regarding long-term cardiovascular health implications.
  • Early life nutrition significantly impacts cholesterol metabolism and cardiovascular risk factors.

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