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When should we use partially hydrolysed formulae for frequent gastrointestinal symptoms and allergy prevention?
Author(s) -
Vandenplas Y,
Cruchet S,
Faure C,
Lee HC,
Di Lorenzo C,
Staiano A,
Chundi Xu,
Aw MM,
GutiérrezCastrellón P,
Asery A,
Spolidoro J,
Heine RG,
Miqdady M,
Arancibia ME,
Alarcón P
Publication year - 2014
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12637
Subject(s) - medicine , allergy , dermatology , intensive care medicine , gastroenterology , immunology
Experts reviewed the literature to determine whether partially whey hydrolysed formulas ( HF ) offer benefits in the dietary management of frequent gastrointestinal symptoms and allergy prevention. Compared with standard cow's milk‐based formulas, partially whey HF confer a limited protective effect against allergic disease in high‐risk infants, particularly atopic dermatitis, but not respiratory allergies. No randomised clinical trials have been published on partially whey HF in infants with colicky symptoms. The group did not find sufficient evidence to support the use of partially whey HF in regurgitation, although recent data suggest that a thickened partially whey HF may be more effective. Partially whey HF , fortified with prebiotics and/or probiotics, with high levels of sn‐2 palmitate in the fat blend or without palm oil, provide some benefit in functional constipation. Conclusion Overall, partially whey HF may offer a useful alternative to intact protein in the dietary management of common functional gastrointestinal symptoms.