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American Journal of Clinical Nutrition, Vol. 87, No. 4, 921-928, April 2008
© 2008 American Society for Nutrition


ORIGINAL RESEARCH COMMUNICATION

Effects of {alpha}-lactalbumin–enriched formula containing different concentrations of glycomacropeptide on infant nutrition 1,2,3

Olof Sandström, Bo Lönnerdal, Gitte Graverholt and Olle Hernell

1 From the Department of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden (OS and OH); the Department of Nutrition, University of California, Davis, CA (BL); and Arla Foods Ingredients, Aarhus, Denmark (GG)

Background: Formula-fed infants have growth and plasma amino acid patterns different from those of breastfed infants.

Objective: {alpha}-Lactalbumin is a major protein in human milk, and the addition of bovine {alpha}-lactalbumin to infant formula has been proposed to modify the plasma amino acid pattern of the recipient infant, possibly allowing a reduction in the protein content of the formula, which may affect growth.

Design: We compared breastfed infants and infants fed standard formula or {alpha}-lactalbumin–enriched formulas (25% of protein) with glycomacropeptide accounting for 15% or 10% of the protein. The protein content of each formula was 13.1 g/L. Ninety-six infants aged 6 ± 2 wk were recruited. Anthropometric measures were recorded, and interviews were conducted at enrollment and monthly until 6 mo of age. Blood samples were collected at enrollment and at 4 and 6 mo.

Results: Formula intake did not differ between groups, and weight gain in the {alpha}-lactalbumin–enriched formula groups were similar to that of the breastfed infants. The standard formula group gained significantly more weight than did the breastfed infants. All formula-fed infants had significantly higher plasma concentrations of most essential amino acids at 4 and 6 mo than did the breastfed infants, and serum urea nitrogen was also higher in the formula-fed infants. Insulin and leptin concentrations did not differ between groups.

Conclusions: Compared with standard formula-fed infants, infants fed formula with a modified protein composition had growth patterns more similar to those of breastfed infants. All formula-fed groups had plasma amino acid concentrations similar to or higher than those of breastfed infants. This indicates that the protein content of {alpha}-lactalbumin–enriched formula can be further reduced, which should be evaluated.







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