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Related Experiment Videos

Rickets in premature infants fed different formulas.

P B Kulkarni, R D Dorand, W M Bridger

    Southern Medical Journal
    |January 1, 1984
    PubMed
    Summary

    Soy-based infant formula is linked to a high incidence of rickets in very-low-birth-weight (VLBW) infants. Researchers suggest avoiding prolonged use of soy isolate formulas in VLBW infants due to potential mineral bioavailability issues.

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    Bone·2016

    Area of Science:

    • Neonatology
    • Pediatric Nutrition
    • Nutritional Biochemistry

    Background:

    • Rickets is a significant concern in very-low-birth-weight (VLBW) infants.
    • The role of infant formula composition in rickets development requires further investigation.
    • Soy-based formulas are sometimes used for VLBW infants, but their impact on bone health is not fully understood.

    Purpose of the Study:

    • To investigate the association between different infant formulas and the incidence of rickets in VLBW infants.
    • To compare the effects of soy isolate formula versus milk-based formulas on bone metabolism markers.
    • To identify potential risks associated with soy isolate formula feeding in VLBW infants.

    Main Methods:

    • A randomized controlled trial involving 46 VLBW infants (<= 1,500 gm).

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  • Infants were assigned to receive Isomil (soy isolate), Similac with Iron (milk-based), or Similac 24 LBW (hypercaloric milk-based) for 3-4 months.
  • Postnatal monitoring included serum calcium, phosphorus, alkaline phosphatase, and albumin levels, along with radiologic diagnosis of rickets.
  • Main Results:

    • Rickets was diagnosed in 60% of infants fed Isomil, compared to 5% fed Similac with Iron.
    • Infants on Isomil exhibited significantly lower serum phosphorus and higher alkaline phosphatase levels.
    • No significant rickets incidence was observed in infants fed milk-based formulas.

    Conclusions:

    • Soy isolate formula is associated with a high frequency of rickets in VLBW infants.
    • Milk-based formulas did not show a similar increased risk for rickets.
    • Prolonged feeding of soy isolate formulas is not recommended for VLBW infants due to potential mineral bioavailability issues and high rickets incidence.