title: Tolerance of a standard intact protein formula versus a partially hydrolyzed formula in healthy, term infants.
abstract: BACKGROUND
  Parents who perceive common infant behaviors as formula intolerance-related often switch formulas without consulting a health professional. Up to one-half of formula-fed infants experience a formula change during the first six months of life.
  
  
  METHODS
  The objective of this study was to assess discontinuance due to study physician-assessed formula intolerance in healthy, term infants. Infants (335) were randomized to receive either a standard intact cow milk protein formula (INTACT) or a partially hydrolyzed cow milk protein formula (PH) in a 60 day non-inferiority trial. Discontinuance due to study physician-assessed formula intolerance was the primary outcome. Secondary outcomes included number of infants who discontinued for any reason, including parent-assessed.
  
  
  RESULTS
  Formula intolerance between groups (INTACT, 12.3% vs. PH, 13.7%) was similar for infants who completed the study or discontinued due to study physician-assessed formula intolerance. Overall study discontinuance based on parent- vs. study physician-assessed intolerance for all infants (14.4 vs.11.1%) was significantly different (P = 0.001).
  
  
  CONCLUSIONS
  This study demonstrated no difference in infant tolerance of intact vs. partially hydrolyzed cow milk protein formulas for healthy, term infants over a 60-day feeding trial, suggesting nonstandard partially hydrolyzed formulas are not necessary as a first-choice for healthy infants. Parents frequently perceived infant behavior as formula intolerance, paralleling previous reports of unnecessary formula changes.
  
  
  BACKGROUND
  clinicaltrials.gov: NCT00666120.
authors: Mead Johnson Nutrition, 2400 W, Lloyd Expressway, Evansville, Indiana 47721, USA. carol.berseth@mjn.com
authors: Carol Lynn
authors: CL
authors: Berseth
authors: Susan Hazels
authors: SH
authors: Mitmesser
authors: Ekhard E
authors: EE
authors: Ziegler
authors: John D
authors: JD
authors: Marunycz
authors: Jon
authors: J
authors: Vanderhoof
mesh_terms: D006801:Humans; D018730:Infant Behavior; D041943:Infant Formula / Q000008:administration & dosage*; D007227:Infant Nutritional Physiological Phenomena; D007231:Infant, Newborn; D016269:Milk Hypersensitivity; D010290:Parents; D010465:Perception; D011492:Protein Hydrolysates / Q000008:administration & dosage*
chemical_list: D011492:Protein Hydrolysates