Randomised controlled trial demonstrates that fermented infant formula with short-chain galacto-oligosaccharides and long-chain fructo-oligosaccharides reduces the incidence of infantile colic

dc.contributor.authorVandenplas, Yvan
dc.contributor.authorLudwig, Thomas
dc.contributor.authorBouritius, Hetty
dc.contributor.authorAlliet, Philippe
dc.contributor.authorForde, Derek
dc.contributor.authorPeeters, Stefaan
dc.contributor.authorHuet, Frederic
dc.contributor.authorHourihane, Jonathan O'B.
dc.contributor.funderNutricia Research Foundationen
dc.date.accessioned2018-02-01T11:30:43Z
dc.date.available2018-02-01T11:30:43Z
dc.date.issued2017-04-19
dc.description.abstractAim: We examined the effects on gastrointestinal (GI) tolerance of a novel infant formula that combined specific fermented formula (FERM) with short-chain galacto-oligosaccharides and long-chain fructo-oligosaccharides (scGOS/lcFOS), with a 9:1 ratio and concentration of 0.8 g/100 mL. Methods: This prospective, double-blind, randomised, controlled trial comprised 432 healthy, term infants aged 0–28 days whose parents decided to not start, or discontinued, breastfeeding. Infant formula with scGOS/lcFOS+50%FERM, scGOS/lcFOS+15%FERM, 50%FERM and scGOS/lcFOS were tested. Parents completed standardised seven-day diaries on GI symptoms, crying, sleeping and stool characteristics each month until the infants were 17 weeks. Results: All the formulas were well tolerated. At four weeks, the overall incidence of infantile colic was significantly lower (8%) with scGOS/lcFOS+50%FERM than scGOS/lcFOS (20%, p = 0.034) or 50%FERM (20%, p = 0.036). Longitudinal modelling showed that scGOS/lcFOS+50%FERM-fed infants also displayed a persistently lower daily crying duration and showed a consistent stool-softening effect than infants who received formula without scGOS/lcFOS. Conclusion: The combination of fermented formula with scGOS/lcFOS was well tolerated and showed a lower overall crying time, a lower incidence of infantile colic and a stool-softening effect in healthy term infants. These findings suggest for the first time that a specific infant formula has a preventive effect on infantile colic in formula-fed infants.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationVandenplas, Y., Ludwig, T., Bouritius, H., Alliet, P., Forde, D., Peeters, S., Huet, F. and Hourihane, J. (2017) 'Randomised controlled trial demonstrates that fermented infant formula with short-chain galacto-oligosaccharides and long-chain fructo-oligosaccharides reduces the incidence of infantile colic', Acta Paediatrica, 106(7), pp. 1150-1158. doi:10.1111/apa.13844en
dc.identifier.doi10.1111/apa.13844
dc.identifier.endpage1158en
dc.identifier.issn1651-2227
dc.identifier.issued7en
dc.identifier.journaltitleActa Paediatricaen
dc.identifier.startpage1150en
dc.identifier.urihttps://hdl.handle.net/10468/5363
dc.identifier.volume106en
dc.language.isoenen
dc.publisherWileyen
dc.rights© 2017 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and repro duction in any medium, provided the original work is properly cited and is not used for commercial purposesen
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectFermented formulaen
dc.subjectGastrointestinal toleranceen
dc.subjectInfant formulaen
dc.subjectInfantile colicen
dc.subjectPrebioticen
dc.titleRandomised controlled trial demonstrates that fermented infant formula with short-chain galacto-oligosaccharides and long-chain fructo-oligosaccharides reduces the incidence of infantile colicen
dc.typeArticle (peer-reviewed)en
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