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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Frontiers Media S.A.
2020-11-01
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Series: | Frontiers in Pediatrics |
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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. |
first_indexed | 2024-04-14T02:35:27Z |
format | Article |
id | doaj.art-4a2a72df37ee459c96f96a3650e12b77 |
institution | Directory Open Access Journal |
issn | 2296-2360 |
language | English |
last_indexed | 2024-04-14T02:35:27Z |
publishDate | 2020-11-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Pediatrics |
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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