Evidence map›Paper›PMID 35831686›Full record

ArticleMolecular and cellular pediatrics2022

Infant formulas with synthetic oligosaccharides and respective marketing practices.

Christoph Bührer, Regina Ensenauer, Frank Jochum, Hermann Kalhoff, Berthold Koletzko, Burkhard Lawrenz, Walter Mihatsch, Carsten Posovszky, Silvia Rudloff

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Molecular and cellular pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

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

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 8 institutions in 2 countries.

Christoph BührerKlinik für NeonatologieCharité - Universitätsmedizin Berlin, Berlin, Germany.
Regina EnsenauerInstitut für Kinderernährung, Max-Rubner-Institut, Karlsruhe, Germany.
Frank JochumEvangelisches Waldkrankenhaus Berlin-Spandau, Berlin, Germany.
Hermann KalhoffKlinik für Kinder- und Jugendmedizin, Klinikum Dortmund, Dortmund, Germany.
Berthold KoletzkoKinderklinik Und Kinderpoliklinik, Dept. of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany. Berthold.Koletzko@med.uni-muenchen.de.
Burkhard LawrenzPraxis für Kinder- und Jugendmedizin, Arnsberg, Germany.
Walter MihatschFakultät Gesundheitsmanagement, Hochschule Neu-Ulm, Neu-Ulm, Germany.
Carsten PosovszkyUniversitäts-Kinderspital Zürich, Zürich, Switzerland.
Silvia RudloffInstitut für Ernährungswissenschaft, Justus-Liebig-Universität Giessen, Giessen, Germany.
Charité - Universitätsmedizin Berlin · DEKlinikum Dortmund · DELudwig-Maximilians-Universität München · DEMax Rubner Institut · DENeu Ulm University of Applied Sciences · DEUniversity Children's Hospital Zurich · CHUniversity of Giessen · DEWaldkrankenhaus Protestant Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human milk contains more than 150 different oligosaccharides, which together are among to the quantitatively predominant solid components of breast milk. The oligosaccharide content and composition of human milk show large inter-individual differences. Oligosaccharide content is mostly influenced by genetic variants of the mother's secretor status. Oligosaccharides in human milk are utilized by infants' intestinal bacteria, affecting bacterial composition and metabolic activity. Maternal secretor status, and respective differing fucosylated oligosaccharide content, has been associated both with reduced and increased risk of infection in different populations of breastfed infants, possibly due to environmental conditions and the infant's genotype. There are no safety concerns regarding the addition of previously approved oligosaccharides to infant formula; however, no firm conclusions can be drawn about clinically relevant benefits either. Therefore, infant formulas with synthetic oligosaccharide additives are currently not preferentially recommended over infant formulas without such additives. We consider the use of terms such as "human milk oligosaccharides" and corresponding abbreviations such as "HMO" in any advertising of infant formula to be an inappropriate idealization of infant formula. Manufacturers should stop this practice, and such marketing practices should be prevented by responsible supervisory authorities. Pediatricians should inform families that infant formulas supplemented with synthetic oligosaccharides do not resemble the complex oligosaccharide composition of human milk.

Indexed as

BreastfeedingFood additivesHealth claimsInfant formulaMarketing of breast milk substitutes

Identifiers

PMID35831686
PMCPMC9279532
OpenAlexW4285086917

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.