Evidence map›Paper›PMID 42363297›Full record

ArticleBMC nutrition2026

Effects of an infant formula containing a whey protein concentrate on feeding tolerance and markers of intestinal immune defense in Chinese infants.

Ying Wang, Min Liu, Shaillay Kumar Dogra, Karine Vidal, Jean-Philippe Godin, Noura Darwish, Xiaona Wei, Lucas Reymond, Qiaoji Li, Jie Dong and 8 more

Registry-linked trialAbstract read
In one paragraph

Article in BMC nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04880083 (Feeding Tolerance and Gut Maturation of Infants Consuming a Formula Rich in Glycoprotein), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT04880083 nacompletednot on this map

Feeding Tolerance and Gut Maturation of Infants Consuming a Formula Rich in Glycoprotein: A Single-arm, Open-label, Prospective Interventional Study Including a Breastfed Reference Group

TypeinterventionalSponsorSociété des Produits Nestlé (SPN)Ran2021 to 2022Enrolled120ConditionsDigestion, Gut MicrobiotaArmsCommercially Available Starter Infant Formula
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

18 authors.

Ying Wang *Division of Pediatric Gastroenterology and Nutrition, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Min Liu *Shanghai Public Health Clinical Centre, Shanghai, China.
Shaillay Kumar Dogra *Nestlé Research, Société Des Produits Nestlé SA, 1000, Lausanne 26, Switzerland.
Karine VidalNestlé Research, Société Des Produits Nestlé SA, 1000, Lausanne 26, Switzerland.
Jean-Philippe GodinNestlé Research, Société Des Produits Nestlé SA, 1000, Lausanne 26, Switzerland.
Noura DarwishClinical Research Unit, Société Des Produits Nestlé SA, 1000, Lausanne, Switzerland.
Xiaona WeiNestlé Research, Société Des Produits Nestlé SA, Singapore, 618802, Singapore.
Lucas ReymondClinical Research Unit, Société Des Produits Nestlé SA, 1000, Lausanne, Switzerland.
Qiaoji LiNestlé R&D (China) Ltd, Beijing, 100016, China.
Jie DongWyeth Nutrition, Shanghai, 200040, China.
Aikaterini Themis VylliotiClinical Research Unit, Société Des Produits Nestlé SA, 1000, Lausanne, Switzerland.
Jodi BettlerNestlé Product Technology Center-Nutrition, Société Des Produits Nestlé SA, 1800, Vevey, Switzerland.
Elaine KennedyNestlé Development Centre Nutrition, Wyeth Nutritionals Ireland Ltd., Askeaton, Co. Limerick, Ireland.
Keqing WangBGI-Shenzhen, Shenzhen, 518083, China.
Qiangrong ZhaiBGI-Shenzhen, Shenzhen, 518083, China.
Jonathan O'ReganNestlé Development Centre Nutrition, Wyeth Nutritionals Ireland Ltd., Askeaton, Co. Limerick, Ireland.
Tinu Mary Samuel *Nestlé Product Technology Center-Nutrition, Société Des Produits Nestlé SA, 1800, Vevey, Switzerland.
Wei CaiDivision of Pediatric Gastroenterology and Nutrition, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. caiw204@sjtu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman milk (HM) bioactive components can have immune modulatory functions, impact the gut microbiome, and may result in functional benefits when added to infant formula (IF). In this single-arm, prospective, intervention study, we tested the effectiveness of an IF with a whey protein concentrate co-enriched in α-lactalbumin, milk fat globule membrane (MFGM), and Sn-2 palmitate resulting in protein and lipid profiles observed in HM. The outcomes tested were feeding tolerance, Bifidobacteria abundance, and intestinal and immune health of Chinese infants.

methodsPredominantly formula-fed (FF) and breastfed (BF) infants were enrolled between 3 and 28 days and assigned to the FF (N = 60) or BF (N = 60) group, per their feeding practice, for 6 weeks. The primary endpoint was Infant Gastrointestinal Symptom Questionnaire (IGSQ) index score assessed using a validated IGSQ-13 questionnaire after 6 weeks of intervention; non-inferiority of FF vs BF was tested. Secondary endpoints included fecal Bifidobacteria abundance assessed using shotgun metagenomics sequencing; fecal short chain fatty acids (SCFAs) analyzed by ultra-performance liquid chromatography-tandem mass spectrometry; fecal markers of immune response, inflammation, intestinal barrier integrity (secretory immunoglobulin A sIgA), cytokines, calprotectin, α1 antitrypsin, lipocalin-2) assessed using enzyme-linked immunosorbent assay; stool consistency assessed using gastrointestinal (GI) diary; anthropometric assessments; quality of life; physician reported adverse events; and use of medications.

resultsGood GI tolerance was observed in both groups at V2 (mean ± SD IGSQ score FF: 19.9 ± 7.4; BF: 16.8 ± 4.2); difference of means 1.35 [95% CI: -1.312, 4.012]). After 6 weeks, Bifidobacterium genus relative abundance was not significantly different between the groups. Total SCFAs were significantly higher (p < 0.05) in the FF versus BF group, driven by increased levels of valeric and propanoic acids (p < 0.05 for both). The IGSQ domain scores, stool consistency, fecal markers of immunity, inflammation, and intestinal barrier integrity (except lipocalin-2 which was significantly higher in BF vs FF), anthropometric Z-scores, common illnesses, antibiotic use, and adverse events were not significantly different between groups at week 6.

conclusionsOur results support the effectiveness of this tested infant formula in supporting good GI tolerance, growth, specific intestinal and immune health markers, and Bifidobacteria abundance similar to that of the BF group.

trial registrationNCT04880083 (2021-05-06).

Indexed as

BifidobacteriaGastrointestinal toleranceGrowthInfant formulaIntestinal and immune healthMFGMSn-2-palmitateα-lactalbumin

Identifiers

PMID42363297
PMCPMC13591888

What OpenQuestion holds

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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.