medigraphic.com
Órgano Oficial del Hospital Angeles Health System

2025, Number 4

<< Back Next >>

Acta Med 2025; 23 (4)

Changes of infant formula in infants with gastrointestinal symptoms

Méndez NCM, Zárate MFE, Casas GL, Ramírez-Mayans JA

Language: Spanish
References: 18
Page: 329-333
PDF size: 208.95 Kb.


ABSTRACT

Introduction: persistent gastrointestinal symptoms have led to the use and change from one infant formula to another. Objective: to describe the reason, formula, and changes in the first months of life before a consultation in pediatric gastroenterology. Material and methods: the study included 300 patients under 24 weeks of age who were fed infant formula and attended pediatric gastroenterology consultations. The age at the first formula change, the reason, the person who prescribed the change, and the number of changes before attending said consultation were asked. The qualitative variables were analyzed using frequency and percentages, and a Spearman correlation was performed between the variables. Results: the leading cause of the formula change was irritability, which a pediatrician prescribed. The younger the age at the time of the first formula change, the greater the number of changes at the time of consultation in pediatric gastroenterology. The most common change was for the same formula, but a different brand, and most patients went to the pediatric gastroenterology specialist based on their own decisions. Conclusions: continuous medical updating will prevent the indiscriminate change of formulas and a timely referral to pediatric gastroenterology.


REFERENCES

  1. Romero-Martínez M, Shamah-Levy T, Vielma-Orozco E, Heredia-Hernández O, Mojica-Cuevas J, Cuevas-Nasu L et al. Encuesta Nacional de Salud y Nutrición 2018-19: metodología y perspectivas. Salud Publica Mex. 2019; 61 (6): 917-923. Disponible en: https://doi.org/10.21149/11095

  2. Munblit D, Perkin MR, Palmer DJ, Allen KJ, Boyle RJ. Assessment of evidence about common infant symptoms and Cow's Milk allergy. JAMA Pediatr. 2020; 174 (6): 599-608. doi: 10.1001/jamapediatrics.2020.0153.

  3. Uribe-Leitz T, Barrero-Castillero A, Cervantes-Trejo A, Santos JM, de la Rosa-Rabago A, Lipsitz SR et al. Trends of caesarean delivery from 2008 to 2017, Mexico. Bull World Health Organ. 2019; 97 (7): 502-512. doi: 10.2471/BLT.18.224303.

  4. Velasco-Benítez CA, Saps M, Chanís R, Játiva E, Mejía M, Moreno J et al. Desórdenes gastrointestinales funcionales en lactantes y preescolares latinoamericanos. Acta Gastroenterol Latinoam. 2018; 48 (1): 56-64.

  5. Nevo N, Rubin L, Tamir A, Levine A, Shaoul R. Infant feeding patterns in the first 6 months: an assessment in full-term infants. J Pediatr Gastroenterol Nutr. 2007; 45 (2): 234-239. doi: 10.1097/MPG.0b013e31803e1706.

  6. Rego C, Pereira-da-Silva L, Ferreira R. CoFI - Consenso sobre fórmulas infantis: a opinião de peritos portugueses sobre a sua composição e indicações [CoFI - Consensus on infant formulas: the opinion of portuguese experts on their composition and indications]. Acta Med Port. 2018; 31 (12): 754-765.

  7. Hong SJ. Types of special infant formulas marketed in Korea and their indications. Pediatr Gastroenterol Hepatol Nutr. 2018; 21 (3): 155-162. doi: 10.5223/pghn.2018.21.3.155.

  8. Heyman MB; Committee on Nutrition. Lactose intolerance in infants, children, and adolescents. Pediatrics. 2006; 118 (3): 1279-1286. doi: 10.1542/peds.2006-1721.

  9. Bocquet A, Dupont C, Chouraqui JP, Darmaun D, Feillet F, Frelut ML et al. Efficacy and safety of hydrolyzed rice-protein formulas for the treatment of cow's milk protein allergy. Arch Pediatr. 2019; 26 (4): 238-246. doi: 10.1016/j.arcped.2019.03.001.

  10. Vandenplas Y, De Greef E, Hauser B; Paradice Study Group; Paradice Study Group. An extensively hydrolysed rice protein-based formula in the management of infants with cow's milk protein allergy: preliminary results after 1 month. Arch Dis Child. 2014; 99 (10): 933-936. doi: 10.1136/archdischild-2013-304727.

  11. Gonzalez AJI, Hauser B, Salvatore S, Vandenplas Y. Diagnosis and management of gastroesophageal reflux disease in infants and children: from guidelines to clinical practice. Pediatr Gastroenterol Hepatol Nutr. 2019; 22 (2): 107-121. doi: 10.5223/pghn.2019.22.2.107.

  12. Vandenplas Y, Salvatore S. Infant formula with partially hydrolyzed proteins in functional gastrointestinal disorders. Nestle Nutr Inst Workshop Ser. 2016; 86: 29-37. doi: 10.1159/000442723.

  13. Layman DK, Lonnerdal B, Fernstrom JD. Applications for α-lactalbumin in human nutrition. Nutr Rev. 2018; 76 (6): 444-460. doi: 10.1093/nutrit/nuy004.

  14. Nowacki J, Lee HC, Lien R, Cheng SW, Li ST, Yao M et al. Stool fatty acid soaps, stool consistency and gastrointestinal tolerance in term infants fed infant formulas containing high sn-2 palmitate with or without oligofructose: a double-blind, randomized clinical trial. Nutr J. 2014; 13: 105. doi: 10.1186/1475-2891-13-105.

  15. Koletzko S, Niggemann B, Arato A, Dias JA, Heuschkel R, Husby S et al. Diagnostic approach and management of cow's-milk protein allergy in infants and children: ESPGHAN GI Committee practical guidelines. J Pediatr Gastroenterol Nutr. 2012; 55 (2): 221-229. doi: 10.1097/MPG.0b013e31825c9482.

  16. Espín JB, Díaz MJJ, Blesa BLC, Claver MÁ, Hernández HA, García BJI et al. Alergia a las proteínas de leche de vaca no mediada por IgE: documento de consenso de la Sociedad Española de Gastroenterología, Hepatología y Nutrición Pediátrica (SEGHNP), la Asociación Española de Pediatría de Atención Primaria (AEPAP), la Sociedad Española de Pediatría Extrahospitalaria y Atención Primaria (SEPEAP) y la Sociedad Española de Inmunología Clínica, Alergología y Asma Pediátrica (SEICAP) [Non-IgE-mediated cow's milk allergy: Consensus document of the Spanish Society of Paediatric Gastroenterology, Hepatology, and Nutrition (SEGHNP), the Spanish Association of Paediatric Primary Care (AEPAP), the Spanish Society of Extra-hospital Paediatrics and Primary Health Care (SEPEAP), and the Spanish Society of Paediatric ClinicaL Immunology, Allergy, and Asthma (SEICAP)]. An Pediatr (Engl Ed). 2019; 90 (3): 193.e1-193.e11. Spanish. doi: 10.1016/j.anpedi.2018.11.007.

  17. Joeckel RJ, Phillips SK. Overview of infant and pediatric formulas. Nutr Clin Pract. 2009; 24 (3): 356-362. doi: 10.1177/0884533609335309.

  18. Zeevenhooven J, Koppen IJ, Benninga MA. The new Rome IV criteria for functional gastrointestinal disorders in infants and toddlers. Pediatr Gastroenterol Hepatol Nutr. 2017; 20 (1): 1-13. doi: 10.5223/pghn.2017.20.1.1.




2020     |     www.medigraphic.com