Effect of bovine lactoferrin from iron-fortified formulas on diarrhea and respiratory tract infections of weaned infants in a randomized controlled trial

Nutrition. 2016 Feb;32(2):222-7. doi: 10.1016/j.nut.2015.08.010. Epub 2015 Sep 3.

Abstract

Objective: The aim of this study was to evaluate the effect of supplementation with bovine lactoferrin (bLf) from iron-fortified formulas on diarrhea and respiratory tract infections (RTIs) in weaned infants.

Methods: In this prospective, multicenter, controlled intervention study, 260 infants ages 4 to 6 mo who previously were exclusively breastfed but weaned were randomized into two groups: a lactoferrin-fortified formula milk group (fortified group, FG, containing lactoferrin 38 mg/100 g milk) and a no lactoferrin-fortified milk (control group, CG); breastfed infants were enrolled and served as a reference group (breastfed group, BG). The intervention duration was 3 mo. The morbidity of diarrhea and RTIs were collected during supplementation.

Results: The results of the study demonstrated evidence of a lower incidence rate of respiratory-related illnesses and fewer symptoms of running nose, cough, and wheezing for infants in the FG and BG groups compared with those in the CG (P < 0.05). Despite the undistinguished incidence rate of vomiting, nausea, and colic, the occurrences of diarrhea-related illnesses were significantly lower for children in the FG and BG than for those in CG (P < 0.05).

Conclusion: The beneficial effects on infectious morbidity over 3 mo highlighted the potential of bLF supplementation for previously weaned infants; these findings may be applicable to other infants living in similar socioeconomic districts.

Keywords: Formula; Infant; Infectious morbidity; Lactoferrin; Supplementation.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Breast Feeding
  • C-Reactive Protein / metabolism
  • China / epidemiology
  • Diarrhea / epidemiology*
  • Diarrhea / prevention & control
  • Female
  • Food, Fortified*
  • Hemoglobins / metabolism
  • Humans
  • Incidence
  • Infant
  • Infant Formula / chemistry*
  • Iron, Dietary / administration & dosage
  • Iron, Dietary / analysis
  • Lactoferrin / administration & dosage*
  • Lactoferrin / analysis
  • Linear Models
  • Male
  • Morbidity
  • Patient Compliance
  • Prospective Studies
  • Respiratory Tract Infections / epidemiology*
  • Respiratory Tract Infections / prevention & control
  • Treatment Outcome
  • Weaning

Substances

  • Hemoglobins
  • Iron, Dietary
  • C-Reactive Protein
  • Lactoferrin