title: Public health risks and benefits associated with breast milk and infant formula consumption.
abstract: The safety and quality of infant milk, whether it is breast milk (BM) or infant formula (IF), are a major concern for parents and public health authorities. BM is recommended as the gold standard at WHO level. However, nowadays IF appears as an essential alternative in Western countries, challenging producers to optimize nutritional quality and safety of IF. The aim of the present article is to give an overview on the assessment and comparison of risks and benefits associated with BM and IF consumption. To date, this intensively debated subject has been mainly investigated. It has been shown that both diets could be sources of beneficial health effects in terms of nutrition and also risks in terms of chemical safety. Moreover, microbiologists have demonstrated that IF consumption can cause illness due to product contamination or inappropriate milk preparation. The article concludes on the bottlenecks and gaps that should be investigated to further progress the quantification of the impact of early diet on infant health. Performing a multi-disciplinary risk-benefit assessment with DALY as endpoint might be a future option to help prioritize management options.
authors: a Oniris, UMR1014 Sécurité des Aliments et Microbiologie, LUNAM University , Nantes , France.|b INRA , Nantes , France.
authors: Géraldine
authors: G
authors: Boué
authors: c UCD School of Biosystems and Food Engineering , Dublin , Ireland.
authors: Enda
authors: E
authors: Cummins
authors: a Oniris, UMR1014 Sécurité des Aliments et Microbiologie, LUNAM University , Nantes , France.|b INRA , Nantes , France.
authors: Sandrine
authors: S
authors: Guillou
authors: b INRA , Nantes , France.|d Oniris, USC 1329 Laboratoire d'Etude des Résidus et Contaminants dans les Aliments , LUNAM University , Nantes , France.
authors: Jean-Philippe
authors: JP
authors: Antignac
authors: d Oniris, USC 1329 Laboratoire d'Etude des Résidus et Contaminants dans les Aliments , LUNAM University , Nantes , France.
authors: Bruno
authors: B
authors: Le Bizec
authors: a Oniris, UMR1014 Sécurité des Aliments et Microbiologie, LUNAM University , Nantes , France.|b INRA , Nantes , France.
authors: Jeanne-Marie
authors: JM
authors: Membré
mesh_terms: D001942:Breast Feeding / Q000706:statistics & numerical data; D005060:Europe; D005506:Food Contamination; D059022:Food Safety; D006801:Humans; D007223:Infant; D041943:Infant Formula / Q000737:chemistry / Q000331:legislation & jurisprudence / Q000382:microbiology; D000068104:Infant Health; D007227:Infant Nutritional Physiological Phenomena; D007231:Infant, Newborn; D008895:Milk, Human / Q000737:chemistry; D009751:Nutritional Requirements; D009753:Nutritive Value; D011634:Public Health; D018570:Risk Assessment; D012307:Risk Factors; D014944:World Health Organization
keywords: Risk-benefit assessment; food safety; infant health; infant milk; nutrition