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It has been established that the consumption of a diet that causes a low rise in blood insulin levels is beneficial in terms of risk for diabetes and heart disease. Furthermore, it is known that certain nutrients contained within a food play an important role in the insulin response of that food. For example, the type and quantity of protein has been shown to affect the insulin response to particular foods.
Different types of infant formula exist, containing different levels and types of protein, yet the impact of these different infant formulas on blood insulin levels is not known.
Using a randomized, double blind, cross-over study design, the insulin response to four test milks was compared in healthy adults. The four test milks were as follows: i) infant formula containing partially hydrolyzed protein; ii) infant formula with intact protein; (iii) infant formula with a higher energy and protein content compared to (i) and (ii); and (iv) human breast milk (in a small sub-group). The aim of the study was to show that the insulin response to the partially hydrolyzed formula is similar to that of an infant formula with intact protein.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Infant milk 1 | Experimental |
| |
| Infant milk 2 | Experimental |
| |
| Infant milk 3 | Experimental |
| |
| Infant milk 4 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intact formula | Other | 600 ml of infant formula with intact protein |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Insulin response to infant formulas containing partially hydrolyzed or intact protein | To show that the insulin Cmax response to a partially hydrolyzed formula is similar to that of an infant formula with intact protein | 0, 15, 30, 45, 60, 90, 120, 150, 180 mins |
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Inclusion Criteria:
Exclusion Criteria:
Chronic or acute diseases affecting metabolism (diabetes, renal insufficiency, CVD, liver disease), dyslipidemia, as checked using the medical questionnaire and based on a biochemical blood analysis (glucose, triglycerides, cholesterol, transaminases and Gamma-GT, CRP in fasting
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33859173 | Derived | Shahkhalili Y, Monnard C, Grathwohl D, Sauser J, Beaumont M, Zufferey CA, Mace K. Comparison of the acute metabolic effect of different infant formulas and human milk in healthy adults: a randomized trial. Nutr Diabetes. 2021 Apr 15;11(1):13. doi: 10.1038/s41387-021-00154-3. |
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| ID | Term |
|---|---|
| D007333 | Insulin Resistance |
| ID | Term |
|---|---|
| D006946 | Hyperinsulinism |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D008895 | Milk, Human |
| ID | Term |
|---|---|
| D008892 | Milk |
| D001628 | Beverages |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
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**Note: Human breast milk samples were not blinded for the care provider as they were supplied in different containers to the other milks.
| Partially hydrolyzed formula |
| Other |
600 ml of infant formula with partially hydrolyzed protein |
|
| High protein formula | Other | 600 ml of infant formula with high protein level |
|
| Human breast milk | Other | 600 ml of breast milk, safe for human consumption |
|
| D003611 |
| Dairy Products |
| D005502 | Food |
| D019602 | Food and Beverages |