Public health risks and benefits associated with breast milk and infant formula consumption

• Published in: Critical reviews in food science and nutrition Vol. 58; no. 1; pp. 126 - 145
• Main Authors: Boué, Géraldine, Cummins, Enda, Guillou, Sandrine, Antignac, Jean-Philippe, Le Bizec, Bruno, Membré, Jeanne-Marie
• Format: Journal Article
• Language: English
• Published: United States Taylor & Francis 02.01.2018; Taylor & Francis Ltd
• Subjects: Baby foods; Breast Feeding - statistics & numerical data; Breast milk; Breastfeeding & lactation; Consumption; Europe; Food Contamination; Food engineering; Food Safety; Health risks; Humans; Infant; Infant Formula - chemistry; Infant Formula - legislation & jurisprudence; Infant Formula - microbiology; Infant formulas; Infant Health; infant milk; Infant Nutritional Physiological Phenomena; Infant, Newborn; Infants; Life Sciences; Milk; Milk, Human - chemistry; Nutrition; Nutritional Requirements; Nutritive Value; Parents; Public Health; Risk Assessment; Risk Factors; Risk-benefit assessment; Safety; World Health Organization; food safety; infant milk; nutrition; Risk-benefit assessment; infant health; risk-benefit assessment
• ISSN: 1040-8398; 1549-7852; 1549-7852
• DOI: 10.1080/10408398.2016.1138101

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.