Milk Fat Globule Membrane Supplementation in Children: Systematic Review with Meta-Analysis

(1) Background: Milk fat globule membrane (MFGM), composing fat droplets responsible for lipid transport in breast milk, has been shown to possess immunological and antimicrobial effects. Standard formulas (SF) are devoid of MFGMs during the production process. The study’s aim was to evaluate the sa...

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Main Authors: Dominika Ambrożej, Karolina Dumycz, Piotr Dziechciarz, Marek Ruszczyński
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/3/714
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author Dominika Ambrożej
Karolina Dumycz
Piotr Dziechciarz
Marek Ruszczyński
author_facet Dominika Ambrożej
Karolina Dumycz
Piotr Dziechciarz
Marek Ruszczyński
author_sort Dominika Ambrożej
collection DOAJ
description (1) Background: Milk fat globule membrane (MFGM), composing fat droplets responsible for lipid transport in breast milk, has been shown to possess immunological and antimicrobial effects. Standard formulas (SF) are devoid of MFGMs during the production process. The study’s aim was to evaluate the safety and benefits of MFGMs supplementation in children. (2) Methods: We searched four databases for randomized controlled trials evaluating the supplementation of MFGMs in children. Growth parameters were chosen as the primary outcome. (3) Results: Twenty-four publications of seventeen studies were included. Meta-analyses assessing the primary outcomes at the age of 4 months included four studies (814 children) comparing the MFGM-supplemented formulas and SF, and two trials (549 children) comparing the MFGM-supplemented formulas and breastfeeding. The primary outcomes were non-inferior in all the experimental MFGM formulas compared to SF, or even represented more similar results to breastfed infants. The promising effects, including a lower incidence of acute otitis media and improved cognitive development, cannot be firmly confirmed due to the small amount of existing evidence. No significant adverse effects were reported in any of the assessed products. (4) Conclusions: The available data signaled beneficial effects and a good safety profile, requiring future research with well-designed trials.
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spelling doaj.art-77c7b6446f6344c09c6ee769a896eada2023-12-11T18:15:14ZengMDPI AGNutrients2072-66432021-02-0113371410.3390/nu13030714Milk Fat Globule Membrane Supplementation in Children: Systematic Review with Meta-AnalysisDominika Ambrożej0Karolina Dumycz1Piotr Dziechciarz2Marek Ruszczyński3Department of Pediatric Pneumonology and Allergy, Medical University of Warsaw, 02-091 Warsaw, PolandDepartment of Pediatric Pneumonology and Allergy, Medical University of Warsaw, 02-091 Warsaw, PolandDepartment of Pediatrics, Medical University of Warsaw, 02-091 Warsaw, PolandDepartment of Pediatrics, Medical University of Warsaw, 02-091 Warsaw, Poland(1) Background: Milk fat globule membrane (MFGM), composing fat droplets responsible for lipid transport in breast milk, has been shown to possess immunological and antimicrobial effects. Standard formulas (SF) are devoid of MFGMs during the production process. The study’s aim was to evaluate the safety and benefits of MFGMs supplementation in children. (2) Methods: We searched four databases for randomized controlled trials evaluating the supplementation of MFGMs in children. Growth parameters were chosen as the primary outcome. (3) Results: Twenty-four publications of seventeen studies were included. Meta-analyses assessing the primary outcomes at the age of 4 months included four studies (814 children) comparing the MFGM-supplemented formulas and SF, and two trials (549 children) comparing the MFGM-supplemented formulas and breastfeeding. The primary outcomes were non-inferior in all the experimental MFGM formulas compared to SF, or even represented more similar results to breastfed infants. The promising effects, including a lower incidence of acute otitis media and improved cognitive development, cannot be firmly confirmed due to the small amount of existing evidence. No significant adverse effects were reported in any of the assessed products. (4) Conclusions: The available data signaled beneficial effects and a good safety profile, requiring future research with well-designed trials.https://www.mdpi.com/2072-6643/13/3/714milk fat globule membraneMFGMfeedinginfant formulachildren
spellingShingle Dominika Ambrożej
Karolina Dumycz
Piotr Dziechciarz
Marek Ruszczyński
Milk Fat Globule Membrane Supplementation in Children: Systematic Review with Meta-Analysis
Nutrients
milk fat globule membrane
MFGM
feeding
infant formula
children
title Milk Fat Globule Membrane Supplementation in Children: Systematic Review with Meta-Analysis
title_full Milk Fat Globule Membrane Supplementation in Children: Systematic Review with Meta-Analysis
title_fullStr Milk Fat Globule Membrane Supplementation in Children: Systematic Review with Meta-Analysis
title_full_unstemmed Milk Fat Globule Membrane Supplementation in Children: Systematic Review with Meta-Analysis
title_short Milk Fat Globule Membrane Supplementation in Children: Systematic Review with Meta-Analysis
title_sort milk fat globule membrane supplementation in children systematic review with meta analysis
topic milk fat globule membrane
MFGM
feeding
infant formula
children
url https://www.mdpi.com/2072-6643/13/3/714
work_keys_str_mv AT dominikaambrozej milkfatglobulemembranesupplementationinchildrensystematicreviewwithmetaanalysis
AT karolinadumycz milkfatglobulemembranesupplementationinchildrensystematicreviewwithmetaanalysis
AT piotrdziechciarz milkfatglobulemembranesupplementationinchildrensystematicreviewwithmetaanalysis
AT marekruszczynski milkfatglobulemembranesupplementationinchildrensystematicreviewwithmetaanalysis