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Updated: Aug 15, 2026

Cholesterol Efflux Assay
Published on: March 6, 2012
Serum cholesterol concentrations in early infancy
Insights
Cholesterol levels in infants increase significantly from birth to six months. Breastfed infants show a higher total cholesterol increase compared to formula-fed infants, with free cholesterol comprising one-third of total cholesterol.
Area of Science:
- Pediatric lipid metabolism
- Neonatal and infant health
- Nutritional biochemistry
Background:
- Infant lipid profiles are crucial for long-term health.
- Understanding cholesterol changes in early life is essential for assessing developmental trajectories.
Purpose of the Study:
- To investigate changes in total cholesterol, VLDL-LDL-cholesterol, and HDL-cholesterol in healthy term infants from birth to 3-6 months.
- To compare cholesterol levels between breast-fed and formula-fed infants.
- To determine the proportion of free and esterified cholesterol during this period.
Main Methods:
- Longitudinal study of 16 healthy term infants from birth to 3-6 months.
- Serum lipid analysis including total cholesterol, VLDL-LDL-cholesterol, and HDL-cholesterol at birth, early infancy, and 3-6 months.
- Comparison of lipid profiles between breast-fed (n=8) and formula-fed (n=8) subgroups.
Main Results:
- Mean total cholesterol increased by 1.5 mmol/l in the first week and an additional 1.1 mmol/l by 3-6 months.
- VLDL-LDL-cholesterol and HDL-cholesterol also increased, but the HDL-cholesterol:VLDL-LDL-cholesterol ratio decreased significantly.
- Breast-fed infants exhibited a higher mean total cholesterol increase (2.9 mmol/l) compared to formula-fed infants (2.3 mmol/l).
- Free cholesterol constituted approximately one-third of total cholesterol throughout the study period.
Conclusions:
- Infant cholesterol levels undergo substantial changes in the first six months of life.
- The shift in the HDL-cholesterol to VLDL-LDL-cholesterol ratio warrants further investigation.
- Dietary fat composition, as influenced by breast milk versus formula, may impact infant cholesterol metabolism.
Abstract:
Sixteen healthy term infants were followed from birth to the age of 3-6 months. Total cholesterol, VLDL-LDL-cholesterol and HDL-cholesterol were determined in cord serum, in serum obtained 3-10 days after birth (mean age 4.6 days) and at the age of 3-6 months (mean 4.1 months). Mean total cholesterol increased by 1.5 mmol/l during the first 3-10 days and by an additional 1.1 mmol/l during the following 3-6 months. Mean VLDL-LdL-cholesterol increased by 1.0 mmol/l and 0.9 mmol/l, respectively, and mean HDL-cholesterol by 0.4 mmol/l and 0.3 mmol/l, respectively, during the same periods. The HDL-cholesterol: VLDL-LDL-cholesterol ratio thus fell from 1.5 at birth to 0.8 at the age of 3-10 days and to 0.6 at 3-6 months. In eight breast-fed infants, the mean total cholesterol level increased by 2.9 mmol/l from birth to the age of 3-6 months. This increase was significantly higher than the increase found in eight infants who received a cow's milk formula--i.e. 2.3 mmol/l. Free and esterified cholesterol were determined in 10 infants. Free cholesterol accounted for about one-third of the total cholesterol from birth to the age of 3-6 months.
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