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Oligosaccharides in infant formula

Published online by Cambridge University Press:  09 March 2007

Y. Vandenplas*
Affiliation:
Academic Children's Hospital, Free University of Brussels, Laarbeeklaan 101, 1090 Brussels, Belgium
*
*Corresponding author: Dr Y. Vandenplas, tel +32 2 477 57 80, fax +32 2 477 57 83, email yvan.vandenplas@az.vub.ac.be
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Abstract

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Breast-feeding is the golden standard for infant feeding. However, the majority of a few week old infants are fed with a second choice infant feeding, cow's milk based formula. Amongst the multiple differences between human and cow's milk regards the development of the gastro-intestinal flora: the flora of the breast-fed infant being richer in bifidobacteria and lactobacilli. Both species are known to be potentially beneficial for the health of the host. The absence of oligosaccharides, the third largest component in human milk, in cow's milk is likely to account for the differences in colonic flora. The oligosaccharide content and concentration in breast milk is — just as for the other macronutrients — a dynamic process, making it impossible for industry to mimic nature. However, if the composition cannot be mimicked, the effect and function can be imitated. The addition of two oligosaccharides, galacto-oligosaccharides and inulin, to cow's milk based infant formula has been shown to have a bifidogenic effect, and to stimulate the growth of bifidi and lactobacilli. In conclusion, the addition of oligosaccharides to cow's milk based infant formula brings this alternative, second choice infant feeding one step closer to the golden standard of human milk. But, prolonged breast-feeding should still be promoted with maximum effort.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2002

References

Agerholm-Larsen, L, Bell, ML, Grunwald, GK & Astrup, A (2000) The effect of a probiotic milk product on plasma cholesterol: a meta-analysis of short-term intervention studies. European Journal of Clinical Nutrition 54, 856860.CrossRefGoogle ScholarPubMed
Boehm, G, Casetta, P, Lidestri, M, Negretti, F, Jelinek, J, Stahl, J & Marini, A (2001) Effect of dietary oligosaccharides on faecal bifidobacteria in formula fed preterm infants. Journal of Pediatric Gastroenterology and Nutrition 32, 393.Google Scholar
Caplan, MS & Jilling, T (2000) Neonatal necrotizing enterocolitis: possible role of probiotic supplementation. Journal of Pediatric Gastroenterology and Nutrition 30, suppl 2, S18S22.CrossRefGoogle ScholarPubMed
Coppa, GC, Pierani, P, Zampini, L, Carloni, I, Carlucci, A & Gabrielli, O (1999) Oligosaccharides in human milk during different phases of lactation. Acta Paediatrica 88, suppl 430, 8994.CrossRefGoogle ScholarPubMed
Coppa, GV, Gabrielli, O, Girogi, P, Catassi, C, Montanari, MP, Varaldo, PE & Nichols, BL (1990) Preliminary study of breastfeeding and bacterial adhesion to uroepithelial cells. Lancet 335, 569571.CrossRefGoogle ScholarPubMed
Coppa, GV, Gabrielli, O, Pierani, P, Catasi, C, Carlucci, A & Giorgi, PL (1993) Changes in carbohydrate composition in human milk over 4 months of lactation. Pediatrics 91, 737741.CrossRefGoogle ScholarPubMed
Coppa, GV, Pierani, P, Zampini, L, Gabrielli, O, Carlucci, A, Catassi, C & Giorgi, P (1997) Lactose, oligosaccharide and monosacharide content of milk from mothers delivering preterm newborns over the first month of life. Minerva Pediatrica 49, 471475.Google Scholar
Erney, RM, Malone, WT, Skelding, MB, Marcon, AA, Kleman-Leyer, KM, O'Ryan, ML, Ruiz-palacios, G, Hilty, MD, Pickering, LK & Prieto, PA (2000) Variability of human milk oligosaccharides in a diverse population. Journal of Paediatric Gastroenterology and Nutrition 30, 131133.CrossRefGoogle Scholar
Flickinger, EA, Wolf, BW, Galeb, KA, Chow, J, Leyer, GJ, Johns, PW & Fahey, GC (2000) Glucose-based oligosaccharides exhibit different in vitro fermentation patterns and affect in vivo apparent nutrient digestibility and microbial population in dogs. Journal of Nutrition 130, 12671273.CrossRefGoogle ScholarPubMed
German, B, Schiffrin, EJ, Reniero, R, Mollet, B, Pfeifer, A & Neeser, JR (1999) The development of functional foods: lessons from the gut. Trends in Biotechnology 17, 492499.CrossRefGoogle ScholarPubMed
Harmsen, HJ, Wildeboer-Veloo, AC, Raangs, GC, Wagendorp, AA, Klijn, N, Bindels, JG & Welling, GW (2000) Analysis of intestinal flora development in breast-fed and formula-fed infants by using molecular identification and detection methods. Journal of Pediatric Gastroenterology and Nutrition 30, 6167.CrossRefGoogle ScholarPubMed
He, F, Ouwehand, AC, Isolauri, E, Hashimoto, H, Benno, Y & Salminen, S (2001) Comparison of mucosal adhesion and species identification of bifidobacteria isolated from healthy and allergic infants. FEMS Immunology Medicine and Microbiology 30, 4347.CrossRefGoogle ScholarPubMed
Howard, MD, Gordon, DT, Pace, LW, garleb, KA & Kerley, MS (1995) Effects of dietary supplementation with fructo-oligosaccharides on colonic microbiota populations and epithelial cell proliferation in neonatal pigs. Journal of Pediatric Gastroenterology and Nutrition 21, 297303.Google Scholar
Jenkins, DJ, Kendall, CW & Vuksan, V (1999) Inulin, oligofructose and intestinal function. Journal of Nutrition 129, suppl 7, 14311433.CrossRefGoogle ScholarPubMed
Kalliomaki, M, Kirjavainen, P, Eerola, E, Kero, P, Salminen, S & Isolauri, E (2001) Distinct patterns of neonatal gut microflora in infants in whom atopy was and was not developing. Journal of Allergy and Clinical Immunology 107, 129134.CrossRefGoogle Scholar
Knol, J, Poellwijk, ES, van der Linde, EGM, Wells, JCK, Brönstrup, A, Kohlschmid, N, Wirth, S, Schmitz, B, Skopnik, H, Schmelzle, H & Fusch, C (2001) Stimulation of endogenous bifidobacteria in term infants by an infant formula containing prebiotics. Journal of Pediatric Gastroenterology and Nutrition 32, 399.Google Scholar
Kudoh, K, Shimizu, J, Wada, M, Takita, T, Kanke, Y & Innami, S (1998) Effect of indigestible saccharides on B lymphocyte response of intestinal mucosa and cecal fermentation in rats. Journal of Nutrition Science and Vitaminology 44, 103112.CrossRefGoogle Scholar
Langhendries, JP, Detry, J, Van Hees, J, Lamboray, JM, Darimont, J, Mozin, MJ, Secretin, MC & Senterre, J (1995) Effect of a fermented infant formula containing viable bifidobacteria on the fecal flora composition and pH of healthy full-term infants. Journal of Pediatric Gastroenterology and Nutrition 21, 125129.Google ScholarPubMed
Hamosh, M (2001) Bioactive factors in human milk. Pediatric Clinics in North America 48, 6986.CrossRefGoogle ScholarPubMed
Midtvedt, T (1999) Microbial functional activities In Probiotics, Other Nutritional Factors and Intestinal Microflora, volume 42, pp. 7997 [Hanson, LA and Yolken, RH, editors]. Nestlé Nutrition Workshop Series Philadelphia: Lippincott-Raven Publishers.Google Scholar
Moro, G, Minoli, I, Mosca, F, Jalinek, J, Stahl, B & Boehm, G (2001) Dosage effect of oligosaccharides on faecal flora and stool characteristics in term infants. Journal of Pediatric Gastroenterology and Nutrition 32, 401.Google Scholar
Nakhla, T, Fu, D, Brodsky, NL & Hurt, H (1999) Natural oligosaccharide content of preterm human milk. British Journal of Nutrition 82, 333335.CrossRefGoogle Scholar
Newburg, DS (1996) Oligosaccharides and glycoconjugates in human milk: their role in host defence. Journal of Mammary Gland Biology and Neoplasia 1, 271283.CrossRefGoogle Scholar
Picciano, MF (2001) Nutrient composition of human milk. Pediatric Clinics in North America 48, 5367.CrossRefGoogle ScholarPubMed
Rigo, J, Pielman, C, Studzinski, F, Knol, J & Bindels, JG (2001) Clinical evaluation in term infants of a new formula based on prebiotics β-palmitate and hydrolysed proteins. Journal of Pediatric Gastroenterology and Nutrition 32, 402.Google Scholar
Saavedra, J (2000) Probiotics and infectious diarrhea. American Journal of Gastroenterology 95, suppl 1, S16S18.CrossRefGoogle ScholarPubMed
Saavedra, JM, Tschernia, A, Moore, N, Abi-Hanna, A, Coletta, F, Emenhiser, C & Yolken, RH (1999) Gastro-intestinal function in infants consuming a weaning food supplemented with oligo-fructose, a prebiotic. Journal of Pediatric Gastroenterology and Nutrition 29, A95.CrossRefGoogle Scholar
Sabharwal, H, Sjoblad, S & Lundblad, A (1991) Sialyted oligosaccharides in human milk and feces of pretrem, full-term, and weaning infants. Journal of Pediatric Gastroenterology and Nutrition 12, 480484.Google Scholar
Taranto, MP, Medici, M, Perdigon, G, Ruiz Holgado, AP & Valdez, GF (2000) Effect of Lactobacillus reuteri on the prevention of hypercholesterolemia in mice. Journal of Dairy Science 83, 401403.CrossRefGoogle ScholarPubMed
Tschernia, A, Moore, N, Abi-Hanna, A, Yolken, RH, Coletta, F, Emenhiser, C & Saavedra, JM (1999) Effects of long-term consumption of a weaning food supplemented with oligofructose, a prebiotic, on general infant health status. Journal of Pediatric Gastroenterology and Nutrition 29, A58.CrossRefGoogle Scholar
Young, J (1998) European market developments in prebiotic-and probiotic-containing foodstuffs. British Journal of Nutrition 80, suppl, 231233.CrossRefGoogle ScholarPubMed