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Growth Patterns of Indonesian Infants with Cow's Milk Allergy and Fed with Soy-Based Infant Formula
Budi Setiabudiawan1, Mei Neni Sitaresmi2, Gartika Sapartini1
1Department of Child Health, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
Insights
Soy-based infant formula supports normal growth in infants with cow's milk allergy (CMA). Studies show no adverse reactions, indicating soy formula is a safe alternative for CMA infants.
Area of Science:
- Pediatrics
- Allergy and Immunology
- Nutrition Science
Background:
- Cow's milk allergy (CMA) is a common concern in infants.
- Soy-based infant formula is increasingly used as an alternative for infants with CMA.
- Evidence on the growth patterns of CMA infants fed soy formula in specific populations is needed.
Purpose of the Study:
- To evaluate the growth patterns of infants diagnosed with cow's milk allergy (CMA) when fed soy-based infant formula.
- To assess the safety and tolerance of soy-based infant formula in this vulnerable infant population.
- To provide data specific to an Indonesian setting regarding CMA infant nutrition.
Main Methods:
- A multi-site intervention study was conducted over six months.
- Full-term, normal birth weight infants with CMA were provided soy-based infant formula.
- Growth parameters (weight, height, head circumference) and adverse events were monitored regularly.
Main Results:
- Most infants demonstrated normal nutritional status for weight-for-age, length-for-age, weight-for-length, and head-circumference-for-age, according to WHO growth charts.
- Statistically significant improvements were observed in these growth parameters from baseline to the end of the study.
- No allergic symptoms or intolerance to the soy formula were reported during the intervention period.
Conclusions:
- Soy-based infant formula supports a normal growth pattern in infants with cow's milk allergy (CMA).
- Soy formula appears to be a safe and well-tolerated alternative for managing CMA in infants.
- The findings support the use of soy-based formula for Indonesian infants with CMA.
Purpose:
The use of soy-based infant formula has increased widely in infants with cow's milk allergy (CMA). This study aimed to provide evidence on the growth pattern of CMA infants fed with soy-based infant formula in an Indonesian setting.
Methods:
A multi-site, intervention study was conducted among full-term and normal birth weight CMA infants. Within six months, the subjects were provided with a soy-based infant formula. Weight, height, and head circumference were measured at baseline, weeks 4, 8, 12, 16, 20, and 24. Adverse events were recorded by scoring atopic dermatitis and symptom-based clinical scores.
Results:
Based on the World Health Organization growth chart, we found that most of subjects had normal nutritional status for weight-for-age, length-for-age, weight-for-length, and head-circumference-for-age. There were statistically significant differences between baseline and end-line for weight-for-age, length-for-age, weight-for-length, and head circumference-for-age nutritional status. No allergic symptoms or intolerance toward soy formula were observed at the end of the intervention period.
Conclusion:
These results show that infants fed with soy-based infant formula have a normal pattern of growth.
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