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The Effect of Infant Formulas With 4 or 8 g/L GOS/FOS on Growth, Gastrointestinal Symptoms, and Behavioral Patterns:
Karina Merini Tonon1, Thaís Moreno Tomé2, Elaine Martins Bento Mosquera2
1Independent Researcher, Florianópolis, Santa Catarina, Brazil.
Insights
Prebiotic-supplemented infant formula with 4 g/L of galacto-oligosaccharides/fructo-oligosaccharides (GOS/FOS) supported growth similar to breastfed infants. Higher doses did not improve gastrointestinal symptoms.
Area of Science:
- Pediatrics
- Nutrition Science
- Gastroenterology
Background:
- Limited research exists on the clinical benefits of prebiotic-supplemented infant formula.
- Prebiotics like galacto-oligosaccharides/fructo-oligosaccharides (GOS/FOS) are added to infant formulas to mimic breast milk composition.
- Understanding optimal prebiotic dosage is crucial for infant development and well-being.
Purpose of the Study:
- To evaluate the clinical benefits of two different doses of GOS/FOS in infant formula.
- To compare the growth and gastrointestinal symptoms of infants fed GOS/FOS-supplemented formula with exclusively breastfed infants.
- To determine if a higher dose of GOS/FOS offers additional benefits.
Main Methods:
- A 30-day study involving healthy infants on artificial feeding.
- Infants were divided into two groups receiving formula with either 4 g/L (IF4) or 8 g/L (IF8) of GOS/FOS (9:1 ratio).
- A control group of exclusively breastfed (EBF) infants was included for comparison.
Main Results:
- Both IF4 and IF8 formulas supported adequate infant weight gain.
- The IF4 group exhibited growth patterns more similar to the EBF group.
- No significant additional benefit in gastrointestinal symptoms was observed with the higher 8 g/L GOS/FOS dose compared to the 4 g/L dose.
Conclusions:
- Infant formula supplemented with 4 g/L GOS/FOS supports growth comparable to breastfed infants.
- Increasing GOS/FOS dosage beyond 4 g/L in infant formula does not appear to provide additional benefits for gastrointestinal symptoms.
- The findings suggest an optimal GOS/FOS dosage for infant formula, balancing growth and digestive comfort.
Abstract:
There is a lack of studies investigating the clinical benefits of prebiotic-supplemented infant formula. In this study, healthy infants that started, on medical recommendation, artificial feeding with one of 2 infant formulas containing 4 g/L of GOS/FOS (9:1) (IF4 group; n = 60) or 8 g/L of GOS/FOS (9:1) (IF8 group; n = 60) were followed for 30 days to the evaluation of growth and gastrointestinal symptoms. Exclusively breastfed infants (EBF; n = 60) were followed up as a reference. Both infant formulas supported adequate weight gain, however, IF4 formula promotes growth more similar to breastfed infants. There was no additional benefit of a dose higher than 4 g/L of GOS/FOS on gastrointestinal symptoms.
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