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婴儿配方奶粉补充与神经发育结局:系统评价。

Supplementation of Infant Formula and Neurodevelopmental Outcomes: a Systematic Review.

机构信息

Faculty of Medicine and Health Science, Rovira I Virgili University, Tarragona, Spain.

Nutrition and Mental Health Research Group (NUTRISAM), URV, Reus, Spain.

出版信息

Curr Nutr Rep. 2022 Jun;11(2):283-300. doi: 10.1007/s13668-022-00410-7. Epub 2022 Mar 25.

DOI:10.1007/s13668-022-00410-7
PMID:35334102
Abstract

PURPOSE OF THE REVIEW

The aim is to examine data from clinical trials and prospective longitudinal studies that evaluate the effect of infant formula supplements on the cognitive function of children.

RECENT FINDINGS

A total of 300 articles from 2000 to 2021 were selected. The most researched IF supplements were initially long-chain polyunsaturated fatty acids (LC-PUFA), some proteins and, recently, milk fat globule membrane (MFGM). Supplementation of IF with LC-PUFA led to some positive effects on specific cognitive functions or no effect; however, there was no consistent benefit for cognitive function. Modifying the amount of proteins did not affect the children's neuropsychological tests. Supplementation of IF with MFGM and its components had beneficial effects on child cognitive development in the short term, but no effect was observed in the long term. Further studies are needed to confirm the safety of supplementation on the development of cognitive function in children fed with infant formula.

摘要

目的

本次综述旨在研究临床试验和前瞻性纵向研究的数据,评估婴儿配方奶粉补充剂对儿童认知功能的影响。

最新发现

从 2000 年至 2021 年共选取了 300 篇文章。最初研究最多的 IF 补充剂是长链多不饱和脂肪酸(LC-PUFA)、一些蛋白质,最近则是乳脂肪球膜(MFGM)。IF 补充 LC-PUFA 对特定认知功能有一些积极影响或没有影响;但是,对认知功能没有一致的益处。改变蛋白质的数量不会影响儿童的神经心理学测试。IF 补充 MFGM 及其成分对儿童短期认知发展有有益影响,但长期观察则没有效果。需要进一步研究来确认补充 MFGM 及其成分对婴儿配方喂养的儿童认知功能发展的安全性。

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引用本文的文献

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Infant formula supplemented with milk fat globule membrane compared with standard infant formula for the cognitive development of healthy term-born formula-fed infants: protocol for a randomised controlled trial.添加乳脂肪球膜的配方奶对比标准配方奶对健康足月配方奶喂养婴儿认知发育的影响:一项随机对照试验方案。
BMJ Open. 2024 Jul 1;14(6):e083399. doi: 10.1136/bmjopen-2023-083399.
2
Plasma Sphingomyelins and Carnitine Esters of Infants Consuming Whole Goat or Cow Milk-Based Infant Formulas or Human Milk.食用全羊奶或牛奶基婴儿配方奶粉或人乳的婴儿的血浆神经鞘磷脂和肉碱酯。
J Nutr. 2024 Jun;154(6):1781-1789. doi: 10.1016/j.tjnut.2024.04.020. Epub 2024 Apr 12.
3

本文引用的文献

1
Milk Fat Globule Membrane Supplementation in Children: Systematic Review with Meta-Analysis.牛奶脂肪球膜补充剂对儿童的作用:系统评价与荟萃分析。
Nutrients. 2021 Feb 24;13(3):714. doi: 10.3390/nu13030714.
2
Milk fat globule membrane: the role of its various components in infant health and development.牛奶脂肪球膜:其各种成分在婴儿健康和发育中的作用。
J Nutr Biochem. 2020 Nov;85:108465. doi: 10.1016/j.jnutbio.2020.108465. Epub 2020 Aug 3.
3
Influence of a Functional Nutrients-Enriched Infant Formula on Language Development in Healthy Children at Four Years Old.
Monitoring volatile changes in infant formula during long-term storage at room temperature.
监测婴儿配方奶粉在室温下长期储存期间的挥发性变化。
Curr Res Food Sci. 2023 Nov 19;7:100645. doi: 10.1016/j.crfs.2023.100645. eCollection 2023.
4
Impact of a Nutrient Formulation on Longitudinal Myelination, Cognition, and Behavior from Birth to 2 Years: A Randomized Clinical Trial.从出生到 2 岁时营养配方对纵向髓鞘形成、认知和行为的影响:一项随机临床试验。
Nutrients. 2023 Oct 19;15(20):4439. doi: 10.3390/nu15204439.
5
Summary of the Joint National Institutes of Health and the Food and Drug Administration Workshop Titled "Exploring the Science Surrounding the Safe Use of Bioactive Ingredients in Infant Formula: Considerations for an Assessment Framework".美国国立卫生研究院和食品药品监督管理局联合举办的题为“探索婴儿配方奶粉中生物活性成分安全使用的相关科学:评估框架考量”研讨会总结
J Pediatr. 2023 Apr;255:30-41.e1. doi: 10.1016/j.jpeds.2022.11.027. Epub 2022 Dec 2.
富含功能性营养素的婴儿配方对 4 岁健康儿童语言发育的影响。
Nutrients. 2020 Feb 19;12(2):535. doi: 10.3390/nu12020535.
4
Improved Neurodevelopmental Outcomes Associated with Bovine Milk Fat Globule Membrane and Lactoferrin in Infant Formula: A Randomized, Controlled Trial.牛乳铁蛋白和牛奶奶源膜改善配方奶婴儿神经发育结局的随机对照试验。
J Pediatr. 2019 Dec;215:24-31.e8. doi: 10.1016/j.jpeds.2019.08.030. Epub 2019 Oct 24.
5
Mental performance in 8-year-old children fed reduced protein content formula during the 1st year of life: safety analysis of a randomised clinical trial.生命最初 1 年食用低蛋白含量配方奶粉对 8 岁儿童精神运动表现的影响:一项随机临床试验的安全性分析。
Br J Nutr. 2019 Sep;122(s1):S22-S30. doi: 10.1017/S0007114515000768. Epub 2016 Jan 22.
6
Cortical Visual Evoked Potentials and Growth in Infants Fed with Bioactive Compounds-Enriched Infant Formula: Results from COGNIS Randomized Clinical Trial.富含生物活性化合物的婴儿配方奶粉喂养对婴儿皮质视觉诱发电位和生长的影响:COGNIS 随机临床试验结果。
Nutrients. 2019 Oct 14;11(10):2456. doi: 10.3390/nu11102456.
7
Effects of infant formula composition on long-term metabolic health.婴儿配方奶粉成分对长期代谢健康的影响。
J Dev Orig Health Dis. 2018 Dec;9(6):573-589. doi: 10.1017/S2040174417000964. Epub 2018 Feb 5.
8
Social Factors Associated with Non-initiation and Cessation of Predominant Breastfeeding in a Mother-Child Cohort in Spain.西班牙母婴队列中与纯母乳喂养未开始及停止相关的社会因素
Matern Child Health J. 2018 May;22(5):725-734. doi: 10.1007/s10995-018-2441-1.
9
Docosahexaenoic acid (DHA) and arachidonic acid (ARA) balance in developmental outcomes.二十二碳六烯酸(DHA)与花生四烯酸(ARA)的平衡对发育结果的影响。
Prostaglandins Leukot Essent Fatty Acids. 2017 Jun;121:52-56. doi: 10.1016/j.plefa.2017.05.005. Epub 2017 May 31.
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Gut Microbiota: A Potential Regulator of Neurodevelopment.肠道微生物群:神经发育的潜在调节因子。
Front Cell Neurosci. 2017 Feb 7;11:25. doi: 10.3389/fncel.2017.00025. eCollection 2017.