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Partly fermented formula with scGOS/lcFOS may prevent infantile colic in infants

Results of the LIFE study presented at the 2017 Excellence in Pediatrics conference

A new infant formula, combining a specific fermented milk powder (unique fermentation process; LactofidusTM) with prebiotic oligosaccharides scGOS/lcFOS (0.8 g/100 ml, 9:1) results in a lower incidence of investigator-reported infantile colic in healthy term-born infants.

That was one of the findings of the LIFE study, presented by drs. H. Bouritius, senior scientific program leader at Danone Research & Innovation at the EIP conference in Vienna. The investigators reported fewer cases of infantile colic in these healthy term-born infants receiving the partly fermented infant formula combined with scGOS/lcFOS (1.1%) compared to the control group (8.7%) (P=0.020, Fisher’s exact test). Infantile colic was reported 1.0% in the breastfed reference group (Figure).

LIFE study

The LIFE (Prebiotic oLIgosaccharides and FEmented formula study) is a prospective randomised, double blind, controlled multicentre trial in which we investigate the effects of an infant formula combining a specific fermented milk powder (unique fermentation process; LactofidusTM) with prebiotic oligosaccharides scGOS/lcFOS (0.8 g/100 ml, 9:1) on gastrointestinal related parameters. Previously, stool data (showing softer, more frequent stools in the intervention group) was published by Herrera et al.1Herrera AR, Ludwig T, Bouritius H, et al. OP-18 THE COMBINATION OF SCGOS/LCFOS AND FERMENTED INFANT FORMULA SOFTENS STOOLS OF INFANTS COMPARED TO UNFERMENTED INFANT FORMULA WITHOUT SCGOS/LCFOS. J. … Continue reading,2Rodriguez-Herrera A, Ludwig T, Swinkels S, The systematic effect of infant formulas on stool consistency proven by longitudinal statistical models. JPGN.. Published on 2016;62:422  Furthermore, a partly fermented formula with scGOS/lcFOS has also been reported to prevent infantile colic (derived from parent-reported crying duration) at 4 weeks of age.3Vandenplas Y, Ludwig T, Bouritius H, del. Randomised controlled trial demonstrates that fermented infant formula with short-chain galacto-oligosaccharides and long-chain fructo-oligosaccharides … Continue reading

Study set up

Healthy formula fed infants aged ≤ 28 days (n=200) were randomised to receive either the partly fermented formula with scGOS/lcFOS (active) or a non-fermented IF without scGOS/lcFOS until 17 weeks of age (control). An exclusively breastfed group (n=100) was included as reference. The incidence of adverse events including infantile colic was reported by the investigators. Crying duration and frequency data were collected daily with a modified Baby Day Diary for the entire intervention period (Trial registration number NTR3455).

All abstracts from EIP, including this one, can be found here.

View References

View References
1 Herrera AR, Ludwig T, Bouritius H, et al. OP-18 THE COMBINATION OF SCGOS/LCFOS AND FERMENTED INFANT FORMULA SOFTENS STOOLS OF INFANTS COMPARED TO UNFERMENTED INFANT FORMULA WITHOUT SCGOS/LCFOS. J. Published on 2015;61(4):516-517. doi 10.1097/01.mpg.0000472222.09292.b9
2 Rodriguez-Herrera A, Ludwig T, Swinkels S, The systematic effect of infant formulas on stool consistency proven by longitudinal statistical models. JPGN.. Published on 2016;62:422
3 Vandenplas Y, Ludwig T, Bouritius H, del. Randomised controlled trial demonstrates that fermented infant formula with short-chain galacto-oligosaccharides and long-chain fructo-oligosaccharides reduces the incidence of infantile colic. Published on 2017;106(7):1150-1158. doi 10.1111/apa.13844