Gastrointestinal Diseases, Infant Nutrition Disorders
Conditions
Keywords
goat milk-based infant formula, infant formula, gastrointestinal comfort, infant nutrition
Brief summary
The aim of this study was to assess common gastrointestinal symptoms in healthy Brazilian infants receiving goat milk-based infant formula (GMF) compared to cow's milk-based infant formula (CMF) during a 24 week intervention.
Detailed description
Anecdotal evidence shows that the use of goat milk-based infant formula decreases discomfort of infants with cow's milk related symptoms. In this double-blind, randomized controlled trial, gastrointestinal comfort in infants fed goat milk-based infant formula (GMF) or cow's milk-based infant formula (CMF) was studied. Fifty-six healthy infants aged 3-12 months were followed for 24 weeks. Stool consistency, regurgitation frequency and crying duration were measured weekly using an adapted version of the Cow's Milk-related Symptom Score (CoMiSS®) where only the items for these scores were used. Blood hemoglobin levels were measured at the start and at the end of the intervention.
Interventions
Goat milk-based infant formula fed at age appropriate quantities for 24 weeks
Cow's milk-based infant formula formula fed at age appropriate quantities for 24 weeks
Sponsors
Study design
Masking description
Double-blind
Intervention model description
Randomized controlled trial
Eligibility
Inclusion criteria
* gestational age 37-42 weeks * 3-12 months old at enrollment * should have consumed cow's milk-based products during the 48 hours prior to the baseline visit to exclude cow's milk allergic infants
Exclusion criteria
* metabolic or chronic disease or congenital malformation, serious concurrent illness that would interfere with study treatment, (i.e. sepsis, pneumonia with respiratory failure, cardiac failure) * infant's parent(s) or primary caregiver(s) diagnosed with major depression * infant's weight for length at baseline \>\|3\| z-score indexes according to WHO criteria * infants enrolled in another interventional clinical research study * infants diagnosed with cow's milk allergies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gastrointestinal symptoms | 24 weeks, measured weekly | Stool consistency, regurgitation frequency and crying duration as measured by an adapted Cow's Milk-related Symptom Score®, where a higher score indicates more severe symptoms. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Blood hemoglobin levels | 24 weeks, measured at start and end | Blood hemoglobin levels before and after intervention |
| WHO z-score of weight-for-age | 24 weeks, measured monthly | Weight measured to the nearest 5.0 grams with clothes and diaper removed. |
| WHO z-score of length-for-age | 24 weeks, measured monthly | Body length without shoes, measured lying down to the nearest centimeter with a neonatometer. |
| WHO z-score of head circumference-for-age | 24 weeks, measured monthly | Head circumference measured with flexible non-stretching tape to the nearest centimeter. |
| WHO z-score of weight-for-length | 24 weeks, measured monthly | Weight and length measured as described above combined. |
Countries
Brazil