COMMITTEE ON NUTRITION

PEDIATRICS ◽  
1959 ◽  
Vol 23 (2) ◽  
pp. 408-412

Treatment of raw cow's milk with pancreatic proteolytic enzymes reduces curd tension to levels comparable to those achieved by many other methods suitable for the preparation of soft-curd milk. No other biologic or nutritional benefits have been shown to result from enzyme treatment of milk. No evidence is available for assigning any benefit in infant nutrition to the proteolytic activity naturally occurring in human milk or persisting in enzyme-treated cow's milk after pasteurization. Argument based on the mere existence of proteolytic enzymes in human milk cannot justify enthusiastic claims for use of enzyme-treated milk in infant feeding. The subject of enzymes in milk and their potential role in infant feeding has received scant attention; further study may reveal information which will call for reappraisal in the future.

2021 ◽  
pp. 241-246
Author(s):  
Michael Obladen

This chapter traces the decline of milk from a heavenly elixir to a tradeable food. Early cultures regarded milk not as a simple nutrient, but a living fluid. Heroes and gods were believed to have been nurtured by animals after being abandoned. Character traits were assumed to be transmitted by milk, infantile diseases were attributed to ‘bad milk’, whereas ‘good milk’ was used as a remedy. With chemical methods developed at the end of the 18th century, it became known that human milk was higher in sugar and lower in protein than cow’s milk. During the 19th century, ‘scientific’ feeding emerged which meant modifying cow’s milk to imitate the proportion of nutrients in human milk. In Paris from 1894, Budin sterilized bottled infant milk. In Berlin in 1898, Rubner measured oxygen and energy uptake by calorimetry. These activities ignored the emotional dimension of infant nutrition and the anti-infective properties of human milk and may have enhanced the decline in breastfeeding, which reached an all-time low in 1971. Milk’s demystification made artificial nutrition safer, but paved the way for commercially produced infant formula.


2002 ◽  
Vol 87 (S2) ◽  
pp. S293-S296 ◽  
Author(s):  
Y. Vandenplas

Breast-feeding is the golden standard for infant feeding. However, the majority of a few week old infants are fed with a second choice infant feeding, cow's milk based formula. Amongst the multiple differences between human and cow's milk regards the development of the gastro-intestinal flora: the flora of the breast-fed infant being richer in bifidobacteria and lactobacilli. Both species are known to be potentially beneficial for the health of the host. The absence of oligosaccharides, the third largest component in human milk, in cow's milk is likely to account for the differences in colonic flora. The oligosaccharide content and concentration in breast milk is — just as for the other macronutrients — a dynamic process, making it impossible for industry to mimic nature. However, if the composition cannot be mimicked, the effect and function can be imitated. The addition of two oligosaccharides, galacto-oligosaccharides and inulin, to cow's milk based infant formula has been shown to have a bifidogenic effect, and to stimulate the growth of bifidi and lactobacilli. In conclusion, the addition of oligosaccharides to cow's milk based infant formula brings this alternative, second choice infant feeding one step closer to the golden standard of human milk. But, prolonged breast-feeding should still be promoted with maximum effort.


PEDIATRICS ◽  
1987 ◽  
Vol 80 (3) ◽  
pp. 434-438
Author(s):  
T. Tomomasa ◽  
P. E. Hyman ◽  
K. Itoh ◽  
J. Y. Hsu ◽  
T. Koizumi ◽  
...  

It is known that breast milk empties more quickly from the stomach than does infant formula. We studied the difference in gastroduodenal motility between neonates fed with human milk and those fed with infant formula. Twenty-four five-to 36-day-old neonates were fed with mother's breast milk or with a cow's milk-based formula. Postprandlial gastroduodenal contractions were recorded manometrically for three hours. Repetitive, high-amplitude nonmigrating contractions were the dominant wave form during the postprandial period. The number of episodes, duration, amplitude, and frequency of nonmigrating contractions were not different following the different feedings. The migrating myoelectric complex, which signals a return to the interdigestive (fasting) state, appeared in 75% of breast milk-fed infants but only 17% of formula-fed infants (P < .05) within the three-hour recording period. Because contractions were similar following the two meals, but a fasting state recurred more rapidly in breast-fed infants, we conclude that factors other than phasic, nonpropagated antroduodenal contractions were responsible for the differences in gastric emptying between breast milk and formula.


PEDIATRICS ◽  
1991 ◽  
Vol 87 (4) ◽  
pp. 439-444
Author(s):  
Patrick S. Clyne ◽  
Anthony Kulczycki

Previous studies have suggested that an unidentified cow's milk protein, other than β-lactoglobulin and casein, might play a pathogenetic role in infant colic. Therefore, a radioimmunoassay was used to analyze human breast milk and infant formula samples for the presence of bovine IgG. Milk samples from 88 of the 97 mothers tested contained greater than 0.1 µg/mL of bovine IgG. In a study group of 59 mothers with infants in the colic-prone 2- to 17-week age group, the 29 mothers of colicky infants had higher levels of bovine IgG in their breast milk (median 0.42 µg/mL) than the 30 mothers of noncolicky infants (median 0.32 µg/mL) (P < .02). The highest concentrations of bovine IgG observed in human milk were 8.5 and 8.2 µg/mL. Most cow's milk-based infant formulas contained 0.6 to 6.4 µg/mL of bovine IgG, a concentration comparable with levels found in many human milk samples. The results suggest that appreciable quantities of bovine IgG are commonly present in human milk, that significantly higher levels are present in milk from mothers of colicky infants, and that bovine IgG may possibly be involved in the pathogenesis of infant colic.


1947 ◽  
Vol 5 (2-3) ◽  
pp. 177-180 ◽  
Author(s):  
B.S. PLATT ◽  
ALAN MONCRIEFF

Author(s):  
L. Davidsson ◽  
Å. Cederblad ◽  
B. Lönnerdal ◽  
B. Sandström

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