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Serum thiamin, pyridoxal, cobalamin and folate concentrations in young infants

Insights

Infant milk formulas are linked to higher serum thiamin, pyridoxal, and cobalamin levels. However, infants on cow's milk showed lower folate levels despite higher folate content in the milk.

Area of Science:

  • Nutritional Biochemistry
  • Pediatric Nutrition
  • Clinical Chemistry

Background:

  • Infant nutrition significantly impacts health and development.
  • Understanding vitamin levels in infants is crucial for early detection of deficiencies.
  • Dietary intake, including breast milk and formula, influences nutrient status.

Purpose of the Study:

  • To establish reference ranges for key vitamins in breastfed infants.
  • To compare serum vitamin concentrations between breastfed infants, those on formula, and those on cow's milk.
  • To investigate the impact of different milk sources on infant vitamin status.

Main Methods:

  • Serum samples collected from 509 healthy infants (3-54 weeks).
  • Assayed for thiamin, pyridoxal, cobalamin, and folate.
  • Compared vitamin levels across three feeding groups: breastfed, formula-fed, and cow's milk-fed.

Main Results:

  • Established 95 percentile reference ranges for breastfed infants.
  • Formula-fed infants showed significantly higher serum thiamin, pyridoxal, and cobalamin than breastfed infants.
  • Cow's milk-fed infants had significantly lower serum folate despite higher milk folate content.

Conclusions:

  • Different infant feeding practices lead to distinct serum vitamin profiles.
  • Manufactured formulas may enhance absorption or intake of certain vitamins compared to breast milk.
  • Cow's milk feeding in infants may be associated with impaired folate status.

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