Evidence map›Paper›PMID 36698214›Full record

ArticleOrphanet journal of rare diseases2023

Phenylalanine free infant formula in the dietary management of phenylketonuria.

Ozlem Yilmaz, Barbara Cochrane, Jo Wildgoose, Alex Pinto, Sharon Evans, Anne Daly, Catherine Ashmore, Anita MacDonald

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Review
  3. Current state of the treatment landscape of phenylketonuria.Orphanet journal of rare diseases · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Article
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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

8 authors at 3 institutions in 2 countries.

Ozlem YilmazBirmingham Women's and Children's Hospital, Birmingham, B4 6NH, UK. o.yilmaz@nhs.net.ORCID 0000-0002-2941-9505
Barbara CochraneDietetic Department, Royal Hospital for Children, Queen Elizabeth Hospital, Glasgow, 51 4TF, UK.
Jo WildgooseBradford Children's Hospital, Bradford, BD5 0NA, UK.
Alex PintoBirmingham Women's and Children's Hospital, Birmingham, B4 6NH, UK.
Sharon EvansBirmingham Women's and Children's Hospital, Birmingham, B4 6NH, UK.
Anne DalyBirmingham Women's and Children's Hospital, Birmingham, B4 6NH, UK.
Catherine AshmoreBirmingham Women's and Children's Hospital, Birmingham, B4 6NH, UK.
Anita MacDonaldBirmingham Women's and Children's Hospital, Birmingham, B4 6NH, UK.
Birmingham Children's Hospital · GBBirmingham Women's Hospital · GBRoyal Hospital for Children · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhenylalanine-free infant formula is an essential source of safe protein in a phenylalanine restricted diet, but its efficacy is rarely studied. We report a multicentre, open, longitudinal, prospective intervention study on a phenylalanine-free infant formula (PKU Start: Vitaflo International Ltd.).

resultsThis was a 2-part study: part I (28 days short term evaluation) and part II (12 months extension). Data was collected on infant blood phenylalanine concentrations, dietary intake, growth, and gastrointestinal tolerance. Ten infants (n = 8 males, 80%), with a median age of 14 weeks (range 4-36 weeks) were recruited from 3 treatment centres in the UK. Nine of ten infants completed the 28-day follow-up (one caregiver preferred the usual phenylalanine-free formula and discontinued the study formula after day 14) and 7/9 participated in study part II. The phenylalanine-free infant formula contributed a median of 57% (IQR 50-62%) energy and 53% (IQR 33-66%) of total protein intake from baseline to the end of the part II extension study. During the 12-month follow-up, infants maintained normal growth and satisfactory blood phenylalanine control. Any early gastrointestinal symptoms (constipation, colic, vomiting and poor feeding) improved with time.

conclusionThe study formula was well tolerated, helped maintain good metabolic control, and normal growth in infants with PKU. The long-term efficacy of phenylalanine-free infant formula should continue to be observed and monitored.

Indexed as

Infant FormulaPhenylketonuriasHumansInfantMalePhenylalanineProspective StudiesProteinsPhenylalanineProteinsAcceptabilityFormulaGrowthInfancyInfant protein substitutePhenylketonuria

Identifiers

PMID36698214
PMCPMC9878783
OpenAlexW4317951998

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.