Abstract

Recent studies have highlighted the positive impact of high sn-2 formulas on gastrointestinal (GI) tolerance. We assessed the GI tolerance, acceptability, and safety of high sn-2 infant formula among non-breastfed healthy term infants in the Gulf countries. A multicenter observational study was conducted on 227 healthy-term infants who were prescribed high sn-2 palmitate infant formula and received a minimum of two formula feedings per day for the past two weeks prior to the study’s initiation. The number of stools per day decreased significantly from a median of four (interquartile range [IQR] = 4) at baseline to 3.0 (2) stools per day at the end of follow-up (p = 0.015). The percentage of stool amount changed significantly, where 61.2% and 33.7% of the infants had an amount of 25–50% of the diaper and >50% of the diaper, respectively (p < 0.001) at the end of the follow-up. Similarly, the percentage of hard stool decreased significantly from 17.4% at baseline to 0.4% of the population at week 12 (p < 0.00). The prevalence of colic and abdominal distention declined from 21.4% and 39.9% at baseline to 2.9% and 9.4% at week 12, respectively (p < 0.05). The same decline was observed in abdominal distension and regurgitation score (p < 0.05).

Highlights

  • The optimal food for healthy infants is breast milk, which provides an adequate supply of all essential nutrients for growth and bacterial community to develop infant gut microbiome [1,2]

  • Two infants discontinued the formula, and the rest of the infants maintained the same formula after withdrawal

  • We demonstrated that the high sn-2 infant formula significantly improved the stool characteristics and the gastrointestinal symptoms by the end of the 12th week amongst healthy non-breastfed infants

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Summary

Introduction

The optimal food for healthy infants is breast milk, which provides an adequate supply of all essential nutrients for growth and bacterial community to develop infant gut microbiome [1,2]. The absorption of palmitic acid from human milk is much better than in infant formulas, which can be attributed to the high tendency of palmitic acid in infant formulas to create complexes with dietary minerals and form saponified fatty acids. These complexes can lead to a decrease in both minerals and palmitic acid [6,7,8]. Many reports have mentioned that using formulas similar to human milk’s positional fatty acid profile was associated with better mineral balance, lower fecal calcium excretion, and improved absorption, especially in term and premature infants [6,10]

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