Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, CRESS, Paris, France.
Université Paris-Saclay, UVSQ, Univ. Paris-Sud, Inserm, Équipe d'Épidémiologie respiratoire intégrative, CESP, Villejuif, France.
Matern Child Nutr. 2024 Oct;20(4):e13673. doi: 10.1111/mcn.13673. Epub 2024 May 24.
The evidence regarding the association between infant formula (IF) composition and the prevention of allergy and respiratory diseases remains sparse and inconclusive. This study aimed to evaluate whether some IF characteristics were associated with the risk of allergy or respiratory diseases in childhood. Among 1243 formula-fed children from the EDEN mother-child cohort, IF characteristics concerning long-chain polyunsaturated fatty acids (LCPUFAs) enrichment, prebiotic/probiotic enrichment, and hydrolysis of proteins were identified from the ingredients list. Eczema, wheezing, food allergy, asthma, and allergic rhinitis up to age 8 years were prospectively collected and summarized into four allergic and respiratory multimorbidity clusters. Associations between 4-month IF characteristics and risk of allergy or respiratory diseases were tested using logistic regressions adjusted on main confounders. The consumption of LCPUFA-enriched formula was not linked to allergic and respiratory multimorbidity clusters, but to a lower risk of any allergy, eczema, and wheezing. Probiotic-enriched formula consumption was associated with a lower risk of belonging to the 'Allergy without asthma' cluster (odds ratio [OR] [95% confidence interval, CI] = 0.63 [0.40-0.99]), and consumption of a formula enriched in Bifidobacterium lactis was associated with a lower risk of any allergy (OR [95% CI] = 0.59 [0.41-0.85]). Partially hydrolysed formula (pHF) consumption was associated with a higher risk of belonging to the 'Allergy without asthma' cluster (OR [95% CI] = 2.73 [1.65-4.51]). This study confirms the positive association between pHF consumption and the risk of allergy found in previous observational studies and suggests that consumption of LCPUFA-enriched or probiotic-enriched formula was associated with a lower risk of allergy.
关于婴儿配方奶粉(IF)成分与预防过敏和呼吸道疾病之间的关联,证据仍然稀少且不确定。本研究旨在评估 IF 的某些特征是否与儿童期过敏或呼吸道疾病的风险相关。在 EDEN 母婴队列的 1243 名配方奶喂养的儿童中,从成分表中确定了长链多不饱和脂肪酸(LCPUFA)富集、益生元/益生菌富集和蛋白质水解的 IF 特征。前瞻性收集了 8 岁时的湿疹、喘息、食物过敏、哮喘和过敏性鼻炎,并总结为四个过敏和呼吸道多疾病簇。使用调整主要混杂因素的逻辑回归检验了 4 个月时 IF 特征与过敏或呼吸道疾病风险之间的关联。富含 LCPUFA 的配方奶的消耗与过敏和呼吸道多疾病簇无关,但与任何过敏、湿疹和喘息的风险降低有关。富含益生菌的配方奶的消耗与属于“无哮喘过敏”簇的风险降低相关(比值比[OR] [95%置信区间,CI] = 0.63 [0.40-0.99]),并且富含双歧杆菌的配方奶的消耗与任何过敏的风险降低相关(OR [95% CI] = 0.59 [0.41-0.85])。部分水解配方(pHF)的消耗与属于“无哮喘过敏”簇的风险增加相关(OR [95% CI] = 2.73 [1.65-4.51])。本研究证实了先前观察性研究中发现的 pHF 消耗与过敏风险之间的正相关,并表明富含 LCPUFA 或富含益生菌的配方奶的消耗与过敏风险降低相关。