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.author | Vandenplas, Yvan | |
dc.contributor.author | Ludwig, Thomas | |
dc.contributor.author | Bouritius, Hetty | |
dc.contributor.author | Alliet, Philippe | |
dc.contributor.author | Forde, Derek | |
dc.contributor.author | Peeters, Stefaan | |
dc.contributor.author | Huet, Frederic | |
dc.contributor.author | Hourihane, Jonathan O'B. | |
dc.contributor.funder | Nutricia Research Foundation | en |
dc.date.accessioned | 2018-02-01T11:30:43Z | |
dc.date.available | 2018-02-01T11:30:43Z | |
dc.date.issued | 2017-04-19 | |
dc.description.abstract | Aim: 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.status | Peer reviewed | en |
dc.description.version | Published Version | en |
dc.format.mimetype | application/pdf | en |
dc.identifier.citation | Vandenplas, 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.13844 | en |
dc.identifier.doi | 10.1111/apa.13844 | |
dc.identifier.endpage | 1158 | en |
dc.identifier.issn | 1651-2227 | |
dc.identifier.issued | 7 | en |
dc.identifier.journaltitle | Acta Paediatrica | en |
dc.identifier.startpage | 1150 | en |
dc.identifier.uri | https://hdl.handle.net/10468/5363 | |
dc.identifier.volume | 106 | en |
dc.language.iso | en | en |
dc.publisher | Wiley | en |
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 purposes | en |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | en |
dc.subject | Fermented formula | en |
dc.subject | Gastrointestinal tolerance | en |
dc.subject | Infant formula | en |
dc.subject | Infantile colic | en |
dc.subject | Prebiotic | en |
dc.title | Randomised controlled trial demonstrates that fermented infant formula with short-chain galacto-oligosaccharides and long-chain fructo-oligosaccharides reduces the incidence of infantile colic | en |
dc.type | Article (peer-reviewed) | en |