Evidence map›Paper›PMID 28410612›Full record

Trial reportLipids in health and disease2017

Milk protein-based formulas containing different oils affect fatty acids balance in term infants: A randomized blinded crossover clinical trial.

Carolina Oliveira de Souza, Maria Efigênia Q Leite, John Lasekan, Geraldine Baggs, Lorena Silva Pinho, Janice Izabel Druzian, Tereza Cristina M Ribeiro, Ângela P Mattos, José A Menezes-Filho, Hugo Costa-Ribeiro

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Lipids in health and disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00941564 ("Comparative Calcium Absorption and Gastrointestinal Tolerance in Healthy Term Infants Fed Milk-based Formulas With Different Fat Blends"), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00941564 phase4completednot on this map

"Comparative Calcium Absorption and Gastrointestinal Tolerance in Healthy Term Infants Fed Milk-based Formulas With Different Fat Blends"

TypeinterventionalSponsorAbbott NutritionRan2010 to 2010Enrolled33ConditionsInfantArmsInfant Formula milk based, Infant formula milk based
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Carolina Oliveira de SouzaPostgraduate Programme in Medicine and Health, Federal University of Bahia, Augusto Viana, s/n, Canela, Salvador, Bahia, 40110-060, Brazil. carolinaods@hotmail.com.
Maria Efigênia Q LeiteFima Lifshitz Research Center at CHUPES, Federal University of Bahia, Augusto Viana, s/n, Canela, Salvador, Bahia, 40110-060, Brazil.
John LasekanPediatric Nutrition R&D, Abbott Nutrition, Abbott Laboratories, Cleveland Avenue, Columbus, OH, 43215-1724, USA.
Geraldine BaggsPediatric Nutrition R&D, Abbott Nutrition, Abbott Laboratories, Cleveland Avenue, Columbus, OH, 43215-1724, USA.
Lorena Silva PinhoCollege of Pharmacy, Federal University of Bahia, Postgraduate Programme in Food Science, Barão de Jeremoabo, s/n, Ondina, Salvador, Bahia, 40170-110, Brazil.
Janice Izabel DruzianCollege of Pharmacy, Federal University of Bahia, Postgraduate Programme in Food Science, Barão de Jeremoabo, s/n, Ondina, Salvador, Bahia, 40170-110, Brazil.
Tereza Cristina M RibeiroFima Lifshitz Research Center at CHUPES, Federal University of Bahia, Augusto Viana, s/n, Canela, Salvador, Bahia, 40110-060, Brazil.
Ângela P MattosFima Lifshitz Research Center at CHUPES, Federal University of Bahia, Augusto Viana, s/n, Canela, Salvador, Bahia, 40110-060, Brazil.
José A Menezes-FilhoCollege of Pharmacy, Federal University of Bahia, Postgraduate Programme in Food Science, Barão de Jeremoabo, s/n, Ondina, Salvador, Bahia, 40170-110, Brazil.
Hugo Costa-RibeiroFima Lifshitz Research Center at CHUPES, Federal University of Bahia, Augusto Viana, s/n, Canela, Salvador, Bahia, 40110-060, Brazil.
Universidade Federal da Bahia · BRAbbott (United States) · USComplexo Hospitalar Universitário Professor Edgard Santos · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPalm olein is used in infant formula fat blends in order to match the fatty acid profile of human milk. While the effects on fatty acid balance have been evaluated, the use of palm olein in combination with palm kernel oil and supplementation with docosahexaenoic acid (DHA) and arachidonic acid (ARA) has not been similarly assessed in infants. This study evaluated the effects of infant formulas containing different fat compositions on the balance of fat, fatty acids, and calcium.

methodsIn this randomized, crossover, double-blinded study, 33 healthy term infants (68-159 ± 3 days of age at enrollment) were fed two formulas for 14 days in a tolerance period, followed by a 4-day metabolic balance period in 17 of the male subjects. The study compared two commercially available milk-based powdered formulas in Brazil; the PALM formula contained palm olein (44%), kernel palm oil (21.7%), and canola oil (18.5%) as the predominant fats, whereas the NoPALM formula contained other fat sources.

resultsFat absorption (%) was greater for NoPALM versus PALM-fed infants (96.55 and 95.50%, respectively; p = 0.023). The absorption percentage of palmitic acid (C16:0) did not differ significantly between formulas (p > 0.05), but this acid was excreted at significantly higher concentrations in the PALM (29.42 mg/kg/day) than in the NoPALM (12.28 mg/kg/day) formula groups. DHA and ARA absorption percentages were also higher in NoPALM-fed infants. Calcium absorption was higher in NoPALM-fed infants (58.00%) compared to those fed PALM (40.90%), but the difference was not significant (p = 0.104) when calcium intake was used as a covariate. However, calcium retention was higher in NoPALM-fed infants compared to that in PALM-fed infants with or without calcium intake as a covariate. Adverse events did not differ between groups (p > 0.05).

conclusionsThe absorption of essential fatty acids was similar for both formulas; however, long-chain polyunsaturated fatty acids (DHA and ARA) were better absorbed from the NoPALM formula. Fat absorption and calcium retention were lower in term infants fed the PALM-based formula. CLINICAL

trial registrationClinicaltrial.gov # NCT00941564 .

Indexed as

Arachidonic AcidBrazilCalciumCross-Over StudiesDietary FatsDocosahexaenoic AcidsDouble-Blind MethodFecesGastrointestinal AbsorptionGlyceridesHumansInfantInfant FormulaInfant, NewbornMaleMilk, HumanArachidonic AcidCalciumDietary FatsDocosahexaenoic AcidsGlyceridesPalmitic Acidpalm kernel oilPalm OilPlant OilsRapeseed OilBrazilian infantsFatty acid balanceInfant formulaKernel palm oilPalm olein

Identifiers

PMID28410612
PMCPMC5391586
OpenAlexW2606703109

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.