EFFICIENCY OF USING THE ADAPTED GOAT’S MILK FORMULA IN THE DIET OF HEALTHY YOUNG INFANTS: A MULTICENTER PROSPECTIVE COMPARATIVE STUDY
https://doi.org/10.15690/vsp.v16i3.1733
Abstract
Background. There is no doubt that it is necessary to study the efficiency of milk formulas that are introduced into the Russian market of baby food. This applies to both new products and known brands of formulas whose composition is subject to change.
Objective. Our aim was to assess the clinical efficacy of the adapted goat's milk formula in the diet of young infants.
Methods. We conducted a prospective comparative study with healthy full-term children aged 0–5 months being on a formula (main group) or breast feeding (comparison group). The tolerability of the adapted goat's milk formula, the dynamics of anthropometric indicators, changes in body composition as well as microscopic characteristics of stool and general clinical and biochemical parameters of peripheral blood were assessed after 1 month.
Results. Good tolerability of the goat's milk formula was noted in 184 (96.8%) of 190 children in the main group. In the course of taking the product, the proportion of children with functional disorders of the gastrointestinal tract decreased significantly from 57 (30%) to 27 (14%) (p < 0.001). Physical development, complete blood count results, the levels of ferritin, prealbumin and 25(OH)D in children of the main group and the comparison group (n = 71) were comparable and were within the mean age parameters. Qualitative analysis of the level of specific IgE to goat's milk proteins did not reveal any sensibilization in any of the children receiving the milk formula, either at the beginning of the study or after 1 month of taking the product.
Conclusion. The studied adapted goat's milk formula can be used in nutrition of young infants in cases of lack or absence of mother's milk.
Keywords
About the Authors
Тatyana E. BorovikRussian Federation
Moscow
Natalya N. Semyonova
Russian Federation
Moscow
Olga L. Lukoyanova
Russian Federation
Moscow
Natalya G. Zvonkova
Russian Federation
Moscow
Tatyana V. Bushueva
Russian Federation
Moscow
Disclosure of interest: Москва
Tatyana N. Stepanova
Russian Federation
Moscow
Vera А. Skvortsova
Russian Federation
Moscow
Oleg S. Melnichuk
Russian Federation
Moscow
Elena A. Kopyltsova
Russian Federation
Moscow
Elena L. Semikina
Russian Federation
Moscow
Irina N. Zakharova
Russian Federation
Moscow
Irina I. Rjumina
Russian Federation
Moscow
Marina V. Narogan
Russian Federation
Moscow
Elena V. Grosheva
Russian Federation
Moscow
Roman A. Chanpherjan
Russian Federation
Krasnodar
Elena A. Savchenko
Russian Federation
Krasnodar
Tamara V. Belousova
Russian Federation
Tamara N. Elkina
Russian Federation
Ekaterina A. Surovkina
Russian Federation
Yulia A. Tatarenko
Russian Federation
References
1. Fomon SJ, editor. Nutrition of normal infants. St. Louis, MO: Mosby; 1993. 488 p.
2. Химический состав пищевых продуктов / Под ред. Скурихина И.М., Волгарева М.Н. Кн. 1, 2. — М.: Агропромиздат; 1987. — C. 224, 360. [Khimicheskii sostav pishchevykh produktov. Ed by Skurikhin I.M., Volgarev M.N. Vol. 1, 2. Moscow: Agropromizdat; 1987. P. 224, 360.(In Russ).]
3. Park YW, Juarez M, Ramosc M, Haenlein GFW. Physicochemical characteristics of goat and sheep milk. Small Rumin Res. 2007;68(1–2):88–113. doi: 10.1016/j.smallrumres.2006.09.013.
4. Haenlein GFW. Goat milk in human nutrition. Small Rumin Res. 2004;51(2):155–163. doi: 10.1016/j.smallrumres.2003.08.010.
5. Международный свод правил по сбыту заменителей грудного молока [интернет]. ВОЗ; 1981. 38 c. [World Health Organization. International code of marketing of breast-milk substitutes. WHО; 1981. 36 p. (In Russ).] [доступ от 11.05.2017]. Доступ по ссылке http://www.who.int/nutrition/publications/infantfeeding/9241541601/ru/.
6. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA). Scientific Opinion on the suitability of goat milk protein as a source of protein in infant formulae and in follow-on formulae. EFSA Journal. 2012;10(3):2603. doi: 10.2903/j.efsa.2012.2603.
7. Zhou SJ, Sullivan T, Gibson RA, et al. Nutritional adequacy of goat milk infant formula for term infants: a double-blind randomised controlled trial. Br J Nutr. 2014;111(9):1641–1651. doi: 10.1017/S0007114513004212.
8. Park YW, Mahoney AW, Hendricks DG. Bioavailability of iron in goat milk compared with cow milk fed to anaemic rats. J Dairy Sci. 1986;69(10):2608–2615. doi: 10.3168/jds.S0022-0302(86)80708-1.
9. Lopez Aliaga I, Alferez MJ, Barrionuevo M, et al. Influence of goat and cow milk on digestion and metabolic utilization of calcium and iron. J Physiol Biochem. 2000;56(3):201–208. doi: 10.1007/bf03179787.
10. Prosser CG, Mclaren RD, Frost D, et al. Composition of the non-protein nitrogen fraction of goat whole milk powder and goat milk-based infant and follow-on formulae. Int J Food Sci Nutr. 2008;59(2):123–133. doi: 10.1080/09637480701425585.
11. Jenness R. Composition and characteristics of goat milk. J Dairy Sci. 1990;63(10):1605–1630. doi: 10.3168/jds.S0022-0302(80)83125-0.
12. Bevilacqua C, Martin P, Candalh C, et al. Goats’ milk of defective s1-casein genotype decreases intestinal and systemic sensitization to -lactoglobulin in guinea pigs. J Dairy Res. 2001;68(2): 217–227. doi: 10.1017/s0022029901004861.
Review
For citations:
Borovik Т.E., Semyonova N.N., Lukoyanova O.L., Zvonkova N.G., Bushueva T.V., Stepanova T.N., Skvortsova V.А., Melnichuk O.S., Kopyltsova E.A., Semikina E.L., Zakharova I.N., Rjumina I.I., Narogan M.V., Grosheva E.V., Chanpherjan R.A., Savchenko E.A., Belousova T.V., Elkina T.N., Surovkina E.A., Tatarenko Yu.A. EFFICIENCY OF USING THE ADAPTED GOAT’S MILK FORMULA IN THE DIET OF HEALTHY YOUNG INFANTS: A MULTICENTER PROSPECTIVE COMPARATIVE STUDY. Current Pediatrics. 2017;16(3):226-233. https://doi.org/10.15690/vsp.v16i3.1733