Palatability of hypoallergenic formulas for cow's milk allergy and healthcare professional recommendation

Kate Maslin; Adam T. Fox; Marleen Chambault; Rosan Meyer

doi:10.1111/pai.12979

Palatability of hypoallergenic formulas for cow's milk allergy and healthcare professional recommendation

Kate Maslin, Adam T. Fox, Marleen Chambault, Rosan Meyer^*

^*Corresponding author for this work

School of Nursing and Midwifery

Research output: Contribution to journal › Article › peer-review

Abstract

AbstractBackgroundCows ‘milk protein allergy (CMPA) is the most common food allergy in infants in the United Kingdom. Infants with CMPA who are not exclusively breastfed require a substitute hypoallergenic formula, which are perceived as having a poor palatability. This study compares the palatability of different extensively hydrolysed formulas (EHFs) and explores healthcare professional (HCP) expectations of how palatability impacts infants and their families.MethodsHealthcare professional with experience of CMPA were recruited to take part in a home palatability test of four EHFs [Aptamil Pepti 1, Nutricia Ltd. (EHF W1); Althera, Nestle Health Science (EHF W2); Similac Alimentum, Abbott (EHF C1); Nutramigen LGG 1, Mead Johnson (EHF C2)] using a blind taste procedure. A randomised, complete block design was used to minimise order and carry‐over biases. Participants completed a questionnaire about the impact of formula palatability on infants and their families.ResultsA total of 100 HCPs took part (51 dietitians and 49 general practitioners). Overall, whey‐based lactose‐containing EHFs were ranked the most palatable: EHF W1 by 77% of participants and EHF W2 by 20%. EHF W1 was liked significantly more (P < 0.0001) than the other formulas. The vast majority of participants agreed that better palatability would result in an increased chance of non‐rejection (96%), more content families (92%) and decreased healthcare costs (90%).ConclusionAmongst HCPs who manage infants with CMPA, whey‐based lactose‐containing EHFs were ranked the most palatable. HCPs expected that good palatability would result in better acceptance, more content infants and families, alongside decreased wastage and healthcare costs.

Original language	English
Pages (from-to)	857-862
Number of pages	0
Journal	Pediatric Allergy and Immunology
Volume	29
Issue number	8
DOIs	https://doi.org/10.1111/pai.12979
Publication status	Published - Dec 2018

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10.1111/pai.12979

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title = "Palatability of hypoallergenic formulas for cow's milk allergy and healthcare professional recommendation",

abstract = "AbstractBackgroundCows {\textquoteleft}milk protein allergy (CMPA) is the most common food allergy in infants in the United Kingdom. Infants with CMPA who are not exclusively breastfed require a substitute hypoallergenic formula, which are perceived as having a poor palatability. This study compares the palatability of different extensively hydrolysed formulas (EHFs) and explores healthcare professional (HCP) expectations of how palatability impacts infants and their families.MethodsHealthcare professional with experience of CMPA were recruited to take part in a home palatability test of four EHFs [Aptamil Pepti 1, Nutricia Ltd. (EHF W1); Althera, Nestle Health Science (EHF W2); Similac Alimentum, Abbott (EHF C1); Nutramigen LGG 1, Mead Johnson (EHF C2)] using a blind taste procedure. A randomised, complete block design was used to minimise order and carry‐over biases. Participants completed a questionnaire about the impact of formula palatability on infants and their families.ResultsA total of 100 HCPs took part (51 dietitians and 49 general practitioners). Overall, whey‐based lactose‐containing EHFs were ranked the most palatable: EHF W1 by 77% of participants and EHF W2 by 20%. EHF W1 was liked significantly more (P < 0.0001) than the other formulas. The vast majority of participants agreed that better palatability would result in an increased chance of non‐rejection (96%), more content families (92%) and decreased healthcare costs (90%).ConclusionAmongst HCPs who manage infants with CMPA, whey‐based lactose‐containing EHFs were ranked the most palatable. HCPs expected that good palatability would result in better acceptance, more content infants and families, alongside decreased wastage and healthcare costs.",

author = "Kate Maslin and Fox, {Adam T.} and Marleen Chambault and Rosan Meyer",

year = "2018",

month = dec,

doi = "10.1111/pai.12979",

language = "English",

volume = "29",

pages = "857--862",

journal = "Pediatric Allergy and Immunology",

issn = "0905-6157",

publisher = "Blackwell Munksgaard",

number = "8",

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AU - Maslin, Kate

AU - Fox, Adam T.

AU - Chambault, Marleen

AU - Meyer, Rosan

PY - 2018/12

Y1 - 2018/12

N2 - AbstractBackgroundCows ‘milk protein allergy (CMPA) is the most common food allergy in infants in the United Kingdom. Infants with CMPA who are not exclusively breastfed require a substitute hypoallergenic formula, which are perceived as having a poor palatability. This study compares the palatability of different extensively hydrolysed formulas (EHFs) and explores healthcare professional (HCP) expectations of how palatability impacts infants and their families.MethodsHealthcare professional with experience of CMPA were recruited to take part in a home palatability test of four EHFs [Aptamil Pepti 1, Nutricia Ltd. (EHF W1); Althera, Nestle Health Science (EHF W2); Similac Alimentum, Abbott (EHF C1); Nutramigen LGG 1, Mead Johnson (EHF C2)] using a blind taste procedure. A randomised, complete block design was used to minimise order and carry‐over biases. Participants completed a questionnaire about the impact of formula palatability on infants and their families.ResultsA total of 100 HCPs took part (51 dietitians and 49 general practitioners). Overall, whey‐based lactose‐containing EHFs were ranked the most palatable: EHF W1 by 77% of participants and EHF W2 by 20%. EHF W1 was liked significantly more (P < 0.0001) than the other formulas. The vast majority of participants agreed that better palatability would result in an increased chance of non‐rejection (96%), more content families (92%) and decreased healthcare costs (90%).ConclusionAmongst HCPs who manage infants with CMPA, whey‐based lactose‐containing EHFs were ranked the most palatable. HCPs expected that good palatability would result in better acceptance, more content infants and families, alongside decreased wastage and healthcare costs.

AB - AbstractBackgroundCows ‘milk protein allergy (CMPA) is the most common food allergy in infants in the United Kingdom. Infants with CMPA who are not exclusively breastfed require a substitute hypoallergenic formula, which are perceived as having a poor palatability. This study compares the palatability of different extensively hydrolysed formulas (EHFs) and explores healthcare professional (HCP) expectations of how palatability impacts infants and their families.MethodsHealthcare professional with experience of CMPA were recruited to take part in a home palatability test of four EHFs [Aptamil Pepti 1, Nutricia Ltd. (EHF W1); Althera, Nestle Health Science (EHF W2); Similac Alimentum, Abbott (EHF C1); Nutramigen LGG 1, Mead Johnson (EHF C2)] using a blind taste procedure. A randomised, complete block design was used to minimise order and carry‐over biases. Participants completed a questionnaire about the impact of formula palatability on infants and their families.ResultsA total of 100 HCPs took part (51 dietitians and 49 general practitioners). Overall, whey‐based lactose‐containing EHFs were ranked the most palatable: EHF W1 by 77% of participants and EHF W2 by 20%. EHF W1 was liked significantly more (P < 0.0001) than the other formulas. The vast majority of participants agreed that better palatability would result in an increased chance of non‐rejection (96%), more content families (92%) and decreased healthcare costs (90%).ConclusionAmongst HCPs who manage infants with CMPA, whey‐based lactose‐containing EHFs were ranked the most palatable. HCPs expected that good palatability would result in better acceptance, more content infants and families, alongside decreased wastage and healthcare costs.

U2 - 10.1111/pai.12979

DO - 10.1111/pai.12979

M3 - Article

SN - 0905-6157

VL - 29

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EP - 862

JO - Pediatric Allergy and Immunology

JF - Pediatric Allergy and Immunology

IS - 8

ER -

Palatability of hypoallergenic formulas for cow's milk allergy and healthcare professional recommendation

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