Infant formula containing galacto-and fructo-oligosaccharides and Bifidobacterium breve M-16V supports adequate growth and tolerance in healthy infants in a randomised, controlled, double-blind, prospective, multicentre study

The objective of the present study was to evaluate the growth and tolerance in healthy, term infants consuming a synbiotic formula with daily weight gain as the primary outcome. In a randomised, controlled, double-blind, multicentre, intervention study infants were assigned to an extensively hydroly...

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Main Authors: M. Abrahamse-Berkeveld, M. Alles, E. Franke-Beckmann, K. Helm, R. Knecht, R. Köllges, B. Sandner, J. Knol, K. Ben Amor, A. Bufe
Format: Article
Language:English
Published: Cambridge University Press 2016-01-01
Series:Journal of Nutritional Science
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2048679016000355/type/journal_article
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author M. Abrahamse-Berkeveld
M. Alles
E. Franke-Beckmann
K. Helm
R. Knecht
R. Köllges
B. Sandner
J. Knol
K. Ben Amor
A. Bufe
author_facet M. Abrahamse-Berkeveld
M. Alles
E. Franke-Beckmann
K. Helm
R. Knecht
R. Köllges
B. Sandner
J. Knol
K. Ben Amor
A. Bufe
author_sort M. Abrahamse-Berkeveld
collection DOAJ
description The objective of the present study was to evaluate the growth and tolerance in healthy, term infants consuming a synbiotic formula with daily weight gain as the primary outcome. In a randomised, controlled, double-blind, multicentre, intervention study infants were assigned to an extensively hydrolysed formula containing a specific combination of Bifidobacterium breve M-16V and a prebiotic mixture (short-chain galacto-oligosaccharides and long-chain fructo-oligosaccharides in a 9:1 ratio; scGOS/lcFOS; synbiotic group), or the same formula without this synbiotic concept for 13 weeks (control group). Anthropometry, formula intake, tolerance, stool characteristics, blood parameters, faecal microbiota and metabolic faecal profile were assessed. Medically confirmed adverse events were recorded throughout the study. Equivalence in daily weight gain was demonstrated for the intention-to-treat (ITT) population (n 211). In the per-protocol (PP) population (n 102), the 90 % CI of the difference in daily weight gain slightly crossed the lower equivalence margin. During the intervention period, the mean weight-for-age and length-for-age values were close to the median of the WHO growth standards in both groups, indicating adequate growth. The number of adverse events was not different between both groups. No relevant differences were observed in blood parameters indicative for liver and renal function. At 13 weeks, an increased percentage of faecal bifidobacteria (60 v. 48 %) and a reduced percentage of Clostridium lituseburense/C. histolyticum (0·2 v. 2·6 %) were observed in the synbiotic group (n 19) compared with the control group (n 27). In conclusion, this study demonstrates that an extensively hydrolysed formula with B. breve M-16V and the prebiotic mixture scGOS/lcFOS (9:1) supports an adequate infant growth.
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spelling doaj.art-17bc043aa7334c7bb1a06e374e7b3fed2023-03-09T12:38:50ZengCambridge University PressJournal of Nutritional Science2048-67902016-01-01510.1017/jns.2016.35Infant formula containing galacto-and fructo-oligosaccharides and Bifidobacterium breve M-16V supports adequate growth and tolerance in healthy infants in a randomised, controlled, double-blind, prospective, multicentre studyM. Abrahamse-Berkeveld0M. Alles1E. Franke-Beckmann2K. Helm3R. Knecht4R. Köllges5B. Sandner6J. Knol7K. Ben Amor8A. Bufe9Nutricia Research, Utrecht, The NetherlandsNutricia Research, Utrecht, The NetherlandsNETSTAP e.V., Bochum, GermanyNETSTAP e.V., Bochum, GermanyNETSTAP e.V., Bochum, GermanyNETSTAP e.V., Bochum, GermanyNETSTAP e.V., Bochum, GermanyNutricia Research, Utrecht, The Netherlands Laboratory of Microbiology, Wageningen University, Wageningen, The NetherlandsNutricia Research, Utrecht, The NetherlandsNETSTAP e.V., Bochum, Germany Experimental Pneumology, Ruhr-University Bochum, Bochum, GermanyThe objective of the present study was to evaluate the growth and tolerance in healthy, term infants consuming a synbiotic formula with daily weight gain as the primary outcome. In a randomised, controlled, double-blind, multicentre, intervention study infants were assigned to an extensively hydrolysed formula containing a specific combination of Bifidobacterium breve M-16V and a prebiotic mixture (short-chain galacto-oligosaccharides and long-chain fructo-oligosaccharides in a 9:1 ratio; scGOS/lcFOS; synbiotic group), or the same formula without this synbiotic concept for 13 weeks (control group). Anthropometry, formula intake, tolerance, stool characteristics, blood parameters, faecal microbiota and metabolic faecal profile were assessed. Medically confirmed adverse events were recorded throughout the study. Equivalence in daily weight gain was demonstrated for the intention-to-treat (ITT) population (n 211). In the per-protocol (PP) population (n 102), the 90 % CI of the difference in daily weight gain slightly crossed the lower equivalence margin. During the intervention period, the mean weight-for-age and length-for-age values were close to the median of the WHO growth standards in both groups, indicating adequate growth. The number of adverse events was not different between both groups. No relevant differences were observed in blood parameters indicative for liver and renal function. At 13 weeks, an increased percentage of faecal bifidobacteria (60 v. 48 %) and a reduced percentage of Clostridium lituseburense/C. histolyticum (0·2 v. 2·6 %) were observed in the synbiotic group (n 19) compared with the control group (n 27). In conclusion, this study demonstrates that an extensively hydrolysed formula with B. breve M-16V and the prebiotic mixture scGOS/lcFOS (9:1) supports an adequate infant growth.https://www.cambridge.org/core/product/identifier/S2048679016000355/type/journal_articleInfant growth Bifidobacterium breve M-16VHydrolysed formulaSynbioticsRandomised controlled trials
spellingShingle M. Abrahamse-Berkeveld
M. Alles
E. Franke-Beckmann
K. Helm
R. Knecht
R. Köllges
B. Sandner
J. Knol
K. Ben Amor
A. Bufe
Infant formula containing galacto-and fructo-oligosaccharides and Bifidobacterium breve M-16V supports adequate growth and tolerance in healthy infants in a randomised, controlled, double-blind, prospective, multicentre study
Journal of Nutritional Science
Infant growth
Bifidobacterium breve M-16V
Hydrolysed formula
Synbiotics
Randomised controlled trials
title Infant formula containing galacto-and fructo-oligosaccharides and Bifidobacterium breve M-16V supports adequate growth and tolerance in healthy infants in a randomised, controlled, double-blind, prospective, multicentre study
title_full Infant formula containing galacto-and fructo-oligosaccharides and Bifidobacterium breve M-16V supports adequate growth and tolerance in healthy infants in a randomised, controlled, double-blind, prospective, multicentre study
title_fullStr Infant formula containing galacto-and fructo-oligosaccharides and Bifidobacterium breve M-16V supports adequate growth and tolerance in healthy infants in a randomised, controlled, double-blind, prospective, multicentre study
title_full_unstemmed Infant formula containing galacto-and fructo-oligosaccharides and Bifidobacterium breve M-16V supports adequate growth and tolerance in healthy infants in a randomised, controlled, double-blind, prospective, multicentre study
title_short Infant formula containing galacto-and fructo-oligosaccharides and Bifidobacterium breve M-16V supports adequate growth and tolerance in healthy infants in a randomised, controlled, double-blind, prospective, multicentre study
title_sort infant formula containing galacto and fructo oligosaccharides and bifidobacterium breve m 16v supports adequate growth and tolerance in healthy infants in a randomised controlled double blind prospective multicentre study
topic Infant growth
Bifidobacterium breve M-16V
Hydrolysed formula
Synbiotics
Randomised controlled trials
url https://www.cambridge.org/core/product/identifier/S2048679016000355/type/journal_article
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