Pediatr Gastroenterol Hepatol Nutr.  2020 Nov;23(6):511-520. 10.5223/pghn.2020.23.6.511.

Effectiveness and Tolerance of a Locust Bean Gum-Thickened Formula: A Real-Life Study

• Tounian P
• Meunier L
• Speijers G
• Oozeer R
• Vandenplas Y

• KMID: 2508523
• DOI: http://doi.org/10.5223/pghn.2020.23.6.511

Abstract

Purpose
Thickened infant formulas reduce regurgitation frequency and volume. Because the digestive tolerance of locust bean gum-containing formulas is controversial, the effectiveness and tolerance of a locust bean gum-thickened formula in infants presenting with regurgitation was evaluated. No other interventions were allowed during the 1 month follow-up period.
Methods
We conducted an open, prospective, observational study of a locust bean gumthickened formula administered to infants presenting with moderate to severe regurgitation according to parents during 1 month. Effectiveness and tolerance were assessed by evaluating gastrointestinal symptoms and quality of life indicators.
Results
A total of 2,604 infants with an average age of 9.3±4.3 weeks were included in this 1 month trial. Regurgitation frequency and estimated volume decreased significantly (p<0.001) and the episodes were resolved completely in 48% of the infants. A significant decrease in duration of crying and episodes of gas (p<0.001), with improvement in quality of life parameters, was observed. Stool frequency increased and stool consistency softened (p<0.001) to levels within the physiologic range, consistent with the increased fiber load (0.42 g/100 mL).
Conclusion
Locust bean gum-thickened formula decreased infant regurgitation, was well tolerated, and improved parental quality of life. Stool composition and frequency of the infants remained within the physiologic range.

Keyword

Locust bean gum; Quality of life; Gastro-esophageal reflux; Infant formula; Defecation; Diarrhea; Crying