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Table 1 General characteristics of infant formulas for CMA

From: Cow’s milk allergy: towards an update of DRACMA guidelines

CMA infant formula composition

 

Energy

Similar to HM

Proteins

Within normal recommended ranges, but CMP are hydrolysate, or whole proteins different than human milk proteins; some supplemented with lysine, threonine or tryptophan

Fats

Only 15 % have α-linolenic acid in similar amounts than HM; 31 % have more linoleic acid than HM; 46 % do not include DHA; one includes 25 % palmitic acid in beta position.

Carbohydrates

70 % of special formulae are without lactose; all have a content of carbohydrates higher than HM

Micronutrients

Fe ≤ than in HM (risk of iron-deficiency). Content of other minerals should be reviewed considering other factors.

Vitamins A, E, D

Need to be reviewed the doses depending on other factors (>25 % of children consumed <2/3 of the RDI of Ca, Vitamins D and E).

Nucleotides

77 % have nucleotides

Choline

Big variability in choline levels between different formulae.

Taurine

92 % have taurine

Carnitine

92 % have carnitine

Prebiotics

15 % include FOS/GOS

Probiotics

8 % include probiotics