Specialized Infant Formulas

1. Tracy P. Milbrandt, MD* 1. *Southern Illinois University School of Medicine, Springfield, IL 1. 1. Martinez JA, 2. Ballew MP Infant Formulas. Martinez JA, Ballew MP. Pediatr Rev. 2011;32(5):179–189 [OpenUrl][1][FREE Full Text][2] 2. 1. Bhatia J, 2. Greer F Use of Soy Protein-Based Formulas in Infant Feeding. Bhatia J, Greer F. Pediatrics. 2008;121(5):1062–1068 [OpenUrl][3][Abstract/FREE Full Text][4] 3. 1. Lucassen PL, 2. Assendelft WJ, 3. Gubbels JW, 4. van Eijk JT, 5. Douwes AC Infantile Colic: Crying Time Reduction with a Whey Hydrosylate: A Double-Blind, Randomized, Placebo-Controlled Trial. Lucassen PL, Assendelft WJ, Gubbels JW, van Eijk JT, Douwes AC. Pediatrics. 2000;106(6):1349–1354 [OpenUrl][5][Abstract/FREE Full Text][6] 4. Questions and Answers for Consumers Concerning Infant Formula. US Food and Drug Administration. US FDA website. Available at: https://www.fda.gov:80/FDAgov/ForConsumers/ConsumerUpdates/ucm048694.htm As reported in a previous In Brief on standard infant formulas, there are many choices for both standard (cow milk protein formulas) and specialized infant formula products available on the market. It is, therefore, incumbent on the pediatrician to have a good working knowledge of the indications for and benefits of the use of specialized formulas. This In Brief addresses the topic of specialized infant formulas. The first soy formula was marketed in the 1920s, and soy formula currently makes up most of the nonstandard infant formulas sold, which includes approximately 20% of the US formula market. Soy formulas contain soy as the protein, and the primary carbohydrate sources are glucose polymers, corn syrup, maltodextrin, and sucrose. Hence, all soy formulas are lactose free. Although the American Academy of Pediatrics generally supports the use of standard cow milk protein infant formulas as the formula of choice for those who choose not to breastfeed, there are a few circumstances in which soy formulas should be selected. Children with galactosemia and hereditary lactase deficiency need to eliminate lactose intake from their diet, and families seeking a vegan alternative want to avoid the cow milk protein. It is rare for infants to have significant lactose intolerance before 2 years of age, hence … [1]: {openurl}?query=rft.jtitle%253DPediatrics%2Bin%2BReview%26rft.stitle%253DPediatr.%2BRev.%26rft.aulast%253DMartinez%26rft.auinit1%253DJ.%2BA.%26rft.volume%253D32%26rft.issue%253D5%26rft.spage%253D179%26rft.epage%253D189%26rft.atitle%253DInfant%2BFormulas%26rft_id%253Dinfo%253Adoi%252F10.1542%252Fpir.32-5-179%26rft_id%253Dinfo%253Apmid%252F21536776%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/ijlink?linkType=FULL&journalCode=pedsinreview&resid=32/5/179&atom=%2Fpedsinreview%2F38%2F5%2F241.atom [3]: {openurl}?query=rft.jtitle%253DPediatrics%26rft.stitle%253DPediatrics%26rft.aulast%253DBhatia%26rft.auinit1%253DJ.%26rft.volume%253D121%26rft.issue%253D5%26rft.spage%253D1062%26rft.epage%253D1068%26rft.atitle%253DUse%2Bof%2BSoy%2BProtein-Based%2BFormulas%2Bin%2BInfant%2BFeeding%26rft_id%253Dinfo%253Adoi%252F10.1542%252Fpeds.2008-0564%26rft_id%253Dinfo%253Apmid%252F18450914%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [4]: /lookup/ijlink?linkType=ABST&journalCode=pediatrics&resid=121/5/1062&atom=%2Fpedsinreview%2F38%2F5%2F241.atom [5]: {openurl}?query=rft.jtitle%253DPediatrics%26rft.stitle%253DPediatrics%26rft.aulast%253DLucassen%26rft.auinit1%253DP.%2BL.%2BB.%2BJ.%26rft.volume%253D106%26rft.issue%253D6%26rft.spage%253D1349%26rft.epage%253D1354%26rft.atitle%253DInfantile%2BColic%253A%2BCrying%2BTime%2BReduction%2BWith%2Ba%2BWhey%2BHydrolysate%253A%2BA%2BDouble-Blind%252C%2BRandomized%252C%2BPlacebo-Controlled%2BTrial%26rft_id%253Dinfo%253Adoi%252F10.1542%252Fpeds.106.6.1349%26rft_id%253Dinfo%253Apmid%252F11099588%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [6]: /lookup/ijlink?linkType=ABST&journalCode=pediatrics&resid=106/6/1349&atom=%2Fpedsinreview%2F38%2F5%2F241.atom