Multifunctional Benefits of Prevalent HMOs: Implications for Infant Health

Breastfeeding is the best source of nutrition during infancy and is associated with a broad range of health benefits. However, there remains a significant and persistent need for innovations in infant formula that will allow infants to access a wider spectrum of benefits available to breastfed infan...

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Main Authors: David R. Hill, Jo May Chow, Rachael H. Buck
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/10/3364
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author David R. Hill
Jo May Chow
Rachael H. Buck
author_facet David R. Hill
Jo May Chow
Rachael H. Buck
author_sort David R. Hill
collection DOAJ
description Breastfeeding is the best source of nutrition during infancy and is associated with a broad range of health benefits. However, there remains a significant and persistent need for innovations in infant formula that will allow infants to access a wider spectrum of benefits available to breastfed infants. The addition of human milk oligosaccharides (HMOs) to infant formulas represents the most significant innovation in infant nutrition in recent years. Although not a direct source of calories in milk, HMOs serve as potent prebiotics, versatile anti-infective agents, and key support for neurocognitive development. Continuing improvements in food science will facilitate production of a wide range of HMO structures in the years to come. In this review, we evaluate the relationship between HMO structure and functional benefits. We propose that infant formula fortification strategies should aim to recapitulate a broad range of benefits to support digestive health, immunity, and cognitive development associated with HMOs in breastmilk. We conclude that acetylated, fucosylated, and sialylated HMOs likely confer important health benefits through multiple complementary mechanisms of action.
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spelling doaj.art-b4726b37a2ba4a0ba15e9a07f1c9b7eb2023-11-22T19:27:23ZengMDPI AGNutrients2072-66432021-09-011310336410.3390/nu13103364Multifunctional Benefits of Prevalent HMOs: Implications for Infant HealthDavid R. Hill0Jo May Chow1Rachael H. Buck2Abbott Nutrition, 3300 Stelzer Road, Columbus, OH 43219, USAAbbott Nutrition, 3300 Stelzer Road, Columbus, OH 43219, USAAbbott Nutrition, 3300 Stelzer Road, Columbus, OH 43219, USABreastfeeding is the best source of nutrition during infancy and is associated with a broad range of health benefits. However, there remains a significant and persistent need for innovations in infant formula that will allow infants to access a wider spectrum of benefits available to breastfed infants. The addition of human milk oligosaccharides (HMOs) to infant formulas represents the most significant innovation in infant nutrition in recent years. Although not a direct source of calories in milk, HMOs serve as potent prebiotics, versatile anti-infective agents, and key support for neurocognitive development. Continuing improvements in food science will facilitate production of a wide range of HMO structures in the years to come. In this review, we evaluate the relationship between HMO structure and functional benefits. We propose that infant formula fortification strategies should aim to recapitulate a broad range of benefits to support digestive health, immunity, and cognitive development associated with HMOs in breastmilk. We conclude that acetylated, fucosylated, and sialylated HMOs likely confer important health benefits through multiple complementary mechanisms of action.https://www.mdpi.com/2072-6643/13/10/3364human milk oligosaccharidebreastfeedinginfant formulapediatric nutrition
spellingShingle David R. Hill
Jo May Chow
Rachael H. Buck
Multifunctional Benefits of Prevalent HMOs: Implications for Infant Health
Nutrients
human milk oligosaccharide
breastfeeding
infant formula
pediatric nutrition
title Multifunctional Benefits of Prevalent HMOs: Implications for Infant Health
title_full Multifunctional Benefits of Prevalent HMOs: Implications for Infant Health
title_fullStr Multifunctional Benefits of Prevalent HMOs: Implications for Infant Health
title_full_unstemmed Multifunctional Benefits of Prevalent HMOs: Implications for Infant Health
title_short Multifunctional Benefits of Prevalent HMOs: Implications for Infant Health
title_sort multifunctional benefits of prevalent hmos implications for infant health
topic human milk oligosaccharide
breastfeeding
infant formula
pediatric nutrition
url https://www.mdpi.com/2072-6643/13/10/3364
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AT jomaychow multifunctionalbenefitsofprevalenthmosimplicationsforinfanthealth
AT rachaelhbuck multifunctionalbenefitsofprevalenthmosimplicationsforinfanthealth