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Hydrolyzed Rice Protein-Based Formulas, a Vegetal Alternative in Cow’s Milk Allergy

Formulas adapted to infant feeding, although most of the time made from cow’s milk proteins, can be made from hydrolyzed rice protein but they must be classified as “formulas for specific medical needs”, according to European regulations. The nutritional quality of rice proteins is thus suitable to...

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Autores principales: Dupont, Christophe, Bocquet, Alain, Tomé, Daniel, Bernard, Marie, Campeotto, Florence, Dumond, Pascale, Essex, Anna, Frelut, Marie-Laure, Guénard-Bilbault, Lydie, Lack, Gideon, Linglart, Agnès, Payot, François, Taieb, Alain, Kalach, Nicolas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7551844/
https://www.ncbi.nlm.nih.gov/pubmed/32878135
http://dx.doi.org/10.3390/nu12092654
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author Dupont, Christophe
Bocquet, Alain
Tomé, Daniel
Bernard, Marie
Campeotto, Florence
Dumond, Pascale
Essex, Anna
Frelut, Marie-Laure
Guénard-Bilbault, Lydie
Lack, Gideon
Linglart, Agnès
Payot, François
Taieb, Alain
Kalach, Nicolas
author_facet Dupont, Christophe
Bocquet, Alain
Tomé, Daniel
Bernard, Marie
Campeotto, Florence
Dumond, Pascale
Essex, Anna
Frelut, Marie-Laure
Guénard-Bilbault, Lydie
Lack, Gideon
Linglart, Agnès
Payot, François
Taieb, Alain
Kalach, Nicolas
author_sort Dupont, Christophe
collection PubMed
description Formulas adapted to infant feeding, although most of the time made from cow’s milk proteins, can be made from hydrolyzed rice protein but they must be classified as “formulas for specific medical needs”, according to European regulations. The nutritional quality of rice proteins is thus suitable to be used in infant formulas giving that it is supplemented by certain amino acids which can be lacking. Besides, hydrolysis is required to facilitate their water solubility and digestibility. Owing to a low allergenicity of rice and to the absence of the cross-allergy between milk proteins and rice proteins, these formulas are adapted to the diet of children with cow’s milk protein allergy (CMPA), which explains their growing use in some countries. However, CMPA, an expanding disorder, has consequences for growth, bone mineralization, and often has an association with allergy to other foods, including cow’s milk extensive hydrolysate, so that a surveillance of the adaption of hydrolyzed rice protein formulas (HRPF) to CMPA, the absence of unexpected side effects, and the appropriate response to its various health hazards seems mandatory. This paper analyses the health problem deriving from CMPA, the industrial development of hydrolyzed rice protein formulas, and the limited number of clinical studies, which confirms, at the moment, a good allergic tolerance and safety. The goal is to better advise heath care professionals on their use of HRPFs during CMPA.
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spelling pubmed-75518442020-10-14 Hydrolyzed Rice Protein-Based Formulas, a Vegetal Alternative in Cow’s Milk Allergy Dupont, Christophe Bocquet, Alain Tomé, Daniel Bernard, Marie Campeotto, Florence Dumond, Pascale Essex, Anna Frelut, Marie-Laure Guénard-Bilbault, Lydie Lack, Gideon Linglart, Agnès Payot, François Taieb, Alain Kalach, Nicolas Nutrients Review Formulas adapted to infant feeding, although most of the time made from cow’s milk proteins, can be made from hydrolyzed rice protein but they must be classified as “formulas for specific medical needs”, according to European regulations. The nutritional quality of rice proteins is thus suitable to be used in infant formulas giving that it is supplemented by certain amino acids which can be lacking. Besides, hydrolysis is required to facilitate their water solubility and digestibility. Owing to a low allergenicity of rice and to the absence of the cross-allergy between milk proteins and rice proteins, these formulas are adapted to the diet of children with cow’s milk protein allergy (CMPA), which explains their growing use in some countries. However, CMPA, an expanding disorder, has consequences for growth, bone mineralization, and often has an association with allergy to other foods, including cow’s milk extensive hydrolysate, so that a surveillance of the adaption of hydrolyzed rice protein formulas (HRPF) to CMPA, the absence of unexpected side effects, and the appropriate response to its various health hazards seems mandatory. This paper analyses the health problem deriving from CMPA, the industrial development of hydrolyzed rice protein formulas, and the limited number of clinical studies, which confirms, at the moment, a good allergic tolerance and safety. The goal is to better advise heath care professionals on their use of HRPFs during CMPA. MDPI 2020-08-31 /pmc/articles/PMC7551844/ /pubmed/32878135 http://dx.doi.org/10.3390/nu12092654 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Dupont, Christophe
Bocquet, Alain
Tomé, Daniel
Bernard, Marie
Campeotto, Florence
Dumond, Pascale
Essex, Anna
Frelut, Marie-Laure
Guénard-Bilbault, Lydie
Lack, Gideon
Linglart, Agnès
Payot, François
Taieb, Alain
Kalach, Nicolas
Hydrolyzed Rice Protein-Based Formulas, a Vegetal Alternative in Cow’s Milk Allergy
title Hydrolyzed Rice Protein-Based Formulas, a Vegetal Alternative in Cow’s Milk Allergy
title_full Hydrolyzed Rice Protein-Based Formulas, a Vegetal Alternative in Cow’s Milk Allergy
title_fullStr Hydrolyzed Rice Protein-Based Formulas, a Vegetal Alternative in Cow’s Milk Allergy
title_full_unstemmed Hydrolyzed Rice Protein-Based Formulas, a Vegetal Alternative in Cow’s Milk Allergy
title_short Hydrolyzed Rice Protein-Based Formulas, a Vegetal Alternative in Cow’s Milk Allergy
title_sort hydrolyzed rice protein-based formulas, a vegetal alternative in cow’s milk allergy
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7551844/
https://www.ncbi.nlm.nih.gov/pubmed/32878135
http://dx.doi.org/10.3390/nu12092654
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