Use of Soy-Based Formulas and Cow's Milk Allergy: Lights and Shadows

Soybean (Glycine max) is a species of legume native to East Asia and used in childhood diet for over 2,000 years in the East. Soy protein formulas have been available for almost a century. Nowadays, the increase in cow's milk allergy and vegetarian dietary preferences are driving consumers towa...

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Main Authors: Elvira Verduci, Elisabetta Di Profio, Lucia Cerrato, Giulia Nuzzi, Luca Riva, Giulia Vizzari, Enza D'Auria, Maria Lorella Giannì, Gianvincenzo Zuccotti, Diego G. Peroni
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-11-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2020.591988/full
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author Elvira Verduci
Elvira Verduci
Elisabetta Di Profio
Lucia Cerrato
Giulia Nuzzi
Luca Riva
Giulia Vizzari
Enza D'Auria
Maria Lorella Giannì
Maria Lorella Giannì
Gianvincenzo Zuccotti
Diego G. Peroni
author_facet Elvira Verduci
Elvira Verduci
Elisabetta Di Profio
Lucia Cerrato
Giulia Nuzzi
Luca Riva
Giulia Vizzari
Enza D'Auria
Maria Lorella Giannì
Maria Lorella Giannì
Gianvincenzo Zuccotti
Diego G. Peroni
author_sort Elvira Verduci
collection DOAJ
description Soybean (Glycine max) is a species of legume native to East Asia and used in childhood diet for over 2,000 years in the East. Soy protein formulas have been available for almost a century. Nowadays, the increase in cow's milk allergy and vegetarian dietary preferences are driving consumers toward cow's milk alternatives. In this paper, we reviewed the nutritional composition of soy-based infant formula and discussed their possible use in pediatric age, mainly focusing on prevention and treatment of cow's milk allergy. Protein quality is determined by digestibility and amino acid content. Purified or concentrated vegetable proteins (e.g., soy protein and gluten) have high digestibility (>95%), similar to those of animal ones. For some intact vegetable products (e.g., whole cereals and pulses), protein digestibility is lower (80–90%). Food processing and heat treatment also influence protein digestibility. Considering these data, we tried to evaluate the possible use of soybean and derivatives in pediatric age, including the nutritional composition of soy formulas and the clinical indications for their use. Moreover, since plant-based beverages are being perceived as healthy by consumers and their use is growing on the market, we recommend that soy drink should not be used as a substitute for infant formulas or cow's milk in children younger than 24 months.
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spelling doaj.art-4a2a72df37ee459c96f96a3650e12b772022-12-22T02:17:27ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602020-11-01810.3389/fped.2020.591988591988Use of Soy-Based Formulas and Cow's Milk Allergy: Lights and ShadowsElvira Verduci0Elvira Verduci1Elisabetta Di Profio2Lucia Cerrato3Giulia Nuzzi4Luca Riva5Giulia Vizzari6Enza D'Auria7Maria Lorella Giannì8Maria Lorella Giannì9Gianvincenzo Zuccotti10Diego G. Peroni11Department of Health Sciences, University of Milan, Milan, ItalyDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, Milan, ItalyDepartment of Health Sciences, University of Milan, Milan, ItalyDepartment of Health Sciences, University of Milan, Milan, ItalySection of Paediatrics, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, ItalyDepartment of Health Sciences, University of Milan, Milan, ItalyDepartment of Health Sciences, University of Milan, Milan, ItalyDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, Milan, ItalyFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, Milan, ItalyDepartment of Clinical Science and Community Health, University of Milan, Milan, ItalyDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, Milan, ItalySection of Paediatrics, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, ItalySoybean (Glycine max) is a species of legume native to East Asia and used in childhood diet for over 2,000 years in the East. Soy protein formulas have been available for almost a century. Nowadays, the increase in cow's milk allergy and vegetarian dietary preferences are driving consumers toward cow's milk alternatives. In this paper, we reviewed the nutritional composition of soy-based infant formula and discussed their possible use in pediatric age, mainly focusing on prevention and treatment of cow's milk allergy. Protein quality is determined by digestibility and amino acid content. Purified or concentrated vegetable proteins (e.g., soy protein and gluten) have high digestibility (>95%), similar to those of animal ones. For some intact vegetable products (e.g., whole cereals and pulses), protein digestibility is lower (80–90%). Food processing and heat treatment also influence protein digestibility. Considering these data, we tried to evaluate the possible use of soybean and derivatives in pediatric age, including the nutritional composition of soy formulas and the clinical indications for their use. Moreover, since plant-based beverages are being perceived as healthy by consumers and their use is growing on the market, we recommend that soy drink should not be used as a substitute for infant formulas or cow's milk in children younger than 24 months.https://www.frontiersin.org/articles/10.3389/fped.2020.591988/fullsoy-based formulainfant nutritioncow's milk allergyvegetables beveragessoybeannutritional status
spellingShingle Elvira Verduci
Elvira Verduci
Elisabetta Di Profio
Lucia Cerrato
Giulia Nuzzi
Luca Riva
Giulia Vizzari
Enza D'Auria
Maria Lorella Giannì
Maria Lorella Giannì
Gianvincenzo Zuccotti
Diego G. Peroni
Use of Soy-Based Formulas and Cow's Milk Allergy: Lights and Shadows
Frontiers in Pediatrics
soy-based formula
infant nutrition
cow's milk allergy
vegetables beverages
soybean
nutritional status
title Use of Soy-Based Formulas and Cow's Milk Allergy: Lights and Shadows
title_full Use of Soy-Based Formulas and Cow's Milk Allergy: Lights and Shadows
title_fullStr Use of Soy-Based Formulas and Cow's Milk Allergy: Lights and Shadows
title_full_unstemmed Use of Soy-Based Formulas and Cow's Milk Allergy: Lights and Shadows
title_short Use of Soy-Based Formulas and Cow's Milk Allergy: Lights and Shadows
title_sort use of soy based formulas and cow s milk allergy lights and shadows
topic soy-based formula
infant nutrition
cow's milk allergy
vegetables beverages
soybean
nutritional status
url https://www.frontiersin.org/articles/10.3389/fped.2020.591988/full
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