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Effects of Term Infant Formulas Containing High sn-2 Palmitate With and Without Oligofructose on Stool Composition, Stool Characteristics, and Bifidogenicity

Identifieur interne : 000254 ( Main/Exploration ); précédent : 000253; suivant : 000255

Effects of Term Infant Formulas Containing High sn-2 Palmitate With and Without Oligofructose on Stool Composition, Stool Characteristics, and Bifidogenicity

Auteurs : Manjiang Yao [États-Unis] ; Eric L. Lien ; Maria R. Z. Capeding [Philippines] ; Margaret Fitzgerald ; Kalathur Ramanujam [États-Unis] ; Rebecca Yuhas [États-Unis] ; Robert Northington [États-Unis] ; Jowena Lebumfacil [Philippines] ; Lin Wang [États-Unis] ; Patricia A. Derusso

Source :

RBID : PMC:4222706

Abstract

ABSTRACTObjectives:

Levels of stool fatty acid soaps and beneficial bacteria differ between formula-fed and breast-fed infants; addition of specific formula ingredients may reduce these differences. This study evaluated the effects of a term infant formula containing high sn-2 palmitate term infant formula (sn-2) or an identical formula supplemented with oligofructose (OF) at 2 concentrations (sn-2+3 g/L OF, sn-2+5 g/L OF) on stool composition, stool characteristics, and fecal bifidobacteria.

Methods:

Healthy, term formula-fed infants 7 to 14 days old (n = 300) were randomized in a double-blind manner to receive standard formula (control), sn-2, sn-2+3 g/L OF, or sn-2+5 g/L OF for 8 weeks. Human milk (HM)–fed infants (n = 75) were studied in parallel. Stool samples were collected from all subjects at week 8 for fatty acid soaps and mineral content, and from a subset at baseline and week 8 for bifidobacteria. Stool characteristics were assessed via 3-day diary.

Results:

The sn-2 group had 46% less stool soap palmitate (P < 0.001) and softer stools than control (20% more mushy soft stools, P = 0.026; 50% fewer formed stools, P = 0.003). Addition of OF resulted in even fewer formed stools versus control (65% fewer for sn-2+3 g/L OF, 79% fewer for sn-2+5 g/L OF), with 5 g/L OF more closely resembling that of HM-fed infants. Both sn-2 (P < 0.05) and sn-2 with OF groups (P < 0.01) had significantly higher fecal bifidobacteria concentrations than control at week 8, not differing from HM-fed infants.

Conclusions:

High sn-2-palmitate formulas led to reduced stool soaps, softer stools, and increased bifidobacteria, whereas addition of OF further improved stool consistency. Those modifications brought outcomes in formula-fed infants closer to that in HM-fed infants.


Url:
DOI: 10.1097/MPG.0000000000000443
PubMed: 24840511
PubMed Central: 4222706


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<italic>sn</italic>
-2 Palmitate With and Without Oligofructose on Stool Composition, Stool Characteristics, and Bifidogenicity</title>
<author>
<name sortKey="Yao, Manjiang" sort="Yao, Manjiang" uniqKey="Yao M" first="Manjiang" last="Yao">Manjiang Yao</name>
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<country xml:lang="fr">États-Unis</country>
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<region type="state">Pennsylvanie</region>
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<wicri:noCountry code="subfield">Urbana</wicri:noCountry>
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<name sortKey="Capeding, Maria R Z" sort="Capeding, Maria R Z" uniqKey="Capeding M" first="Maria R. Z." last="Capeding">Maria R. Z. Capeding</name>
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<wicri:noCountry code="subfield">Askeaton</wicri:noCountry>
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<name sortKey="Ramanujam, Kalathur" sort="Ramanujam, Kalathur" uniqKey="Ramanujam K" first="Kalathur" last="Ramanujam">Kalathur Ramanujam</name>
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<name sortKey="Yuhas, Rebecca" sort="Yuhas, Rebecca" uniqKey="Yuhas R" first="Rebecca" last="Yuhas">Rebecca Yuhas</name>
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<name sortKey="Lebumfacil, Jowena" sort="Lebumfacil, Jowena" uniqKey="Lebumfacil J" first="Jowena" last="Lebumfacil">Jowena Lebumfacil</name>
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<name sortKey="Wang, Lin" sort="Wang, Lin" uniqKey="Wang L" first="Lin" last="Wang">Lin Wang</name>
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<name sortKey="Derusso, Patricia A" sort="Derusso, Patricia A" uniqKey="Derusso P" first="Patricia A." last="Derusso">Patricia A. Derusso</name>
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<wicri:noCountry code="subfield">PA.</wicri:noCountry>
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<title level="j">Journal of Pediatric Gastroenterology and Nutrition</title>
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<idno type="eISSN">1536-4801</idno>
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<title>ABSTRACT</title>
<sec>
<title>Objectives:</title>
<p>Levels of stool fatty acid soaps and beneficial bacteria differ between formula-fed and breast-fed infants; addition of specific formula ingredients may reduce these differences. This study evaluated the effects of a term infant formula containing high
<italic>sn-</italic>
2 palmitate term infant formula (
<italic>sn</italic>
-2) or an identical formula supplemented with oligofructose (OF) at 2 concentrations (
<italic>sn</italic>
-2+3 g/L OF,
<italic>sn</italic>
-2+5 g/L OF) on stool composition, stool characteristics, and fecal bifidobacteria.</p>
</sec>
<sec sec-type="methods">
<title>Methods:</title>
<p>Healthy, term formula-fed infants 7 to 14 days old (n = 300) were randomized in a double-blind manner to receive standard formula (control),
<italic>sn</italic>
-2,
<italic>sn</italic>
-2+3 g/L OF, or
<italic>sn</italic>
-2+5 g/L OF for 8 weeks. Human milk (HM)–fed infants (n = 75) were studied in parallel. Stool samples were collected from all subjects at week 8 for fatty acid soaps and mineral content, and from a subset at baseline and week 8 for bifidobacteria. Stool characteristics were assessed via 3-day diary.</p>
</sec>
<sec sec-type="results">
<title>Results:</title>
<p>The
<italic>sn</italic>
-2 group had 46% less stool soap palmitate (
<italic>P</italic>
 < 0.001) and softer stools than control (20% more mushy soft stools,
<italic>P</italic>
 = 0.026; 50% fewer formed stools,
<italic>P</italic>
 = 0.003). Addition of OF resulted in even fewer formed stools versus control (65% fewer for
<italic>sn</italic>
-2+3 g/L OF, 79% fewer for
<italic>sn</italic>
-2+5 g/L OF), with 5 g/L OF more closely resembling that of HM-fed infants. Both
<italic>sn</italic>
-2 (
<italic>P</italic>
 < 0.05) and
<italic>sn</italic>
-2 with OF groups (
<italic>P</italic>
 < 0.01) had significantly higher fecal bifidobacteria concentrations than control at week 8, not differing from HM-fed infants.</p>
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<title>Conclusions:</title>
<p>High
<italic>sn</italic>
-2-palmitate formulas led to reduced stool soaps, softer stools, and increased bifidobacteria, whereas addition of OF further improved stool consistency. Those modifications brought outcomes in formula-fed infants closer to that in HM-fed infants.</p>
</sec>
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