NZ621230B2 - Use of infant formula with large lipid globules - Google Patents
Use of infant formula with large lipid globules Download PDFInfo
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- NZ621230B2 NZ621230B2 NZ621230A NZ62123012A NZ621230B2 NZ 621230 B2 NZ621230 B2 NZ 621230B2 NZ 621230 A NZ621230 A NZ 621230A NZ 62123012 A NZ62123012 A NZ 62123012A NZ 621230 B2 NZ621230 B2 NZ 621230B2
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- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
- A23C—DAIRY PRODUCTS, e.g. MILK, BUTTER OR CHEESE; MILK OR CHEESE SUBSTITUTES; MAKING THEREOF
- A23C23/00—Other dairy products
-
- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
- A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
- A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
-
- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
- A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
- A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
- A23L33/10—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
- A23L33/115—Fatty acids or derivatives thereof; Fats or oils
-
- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
- A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
- A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
- A23L33/10—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
- A23L33/115—Fatty acids or derivatives thereof; Fats or oils
- A23L33/12—Fatty acids or derivatives thereof
-
- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
- A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
- A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
- A23L33/30—Dietetic or nutritional methods, e.g. for losing weight
-
- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
- A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
- A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
- A23L33/40—Complete food formulations for specific consumer groups or specific purposes, e.g. infant formula
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K2300/00—Mixtures or combinations of active ingredients, wherein at least one active ingredient is fully defined in groups A61K31/00 - A61K41/00
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/20—Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/20—Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids
- A61K31/201—Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids having one or two double bonds, e.g. oleic, linoleic acids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0087—Galenical forms not covered by A61K9/02 - A61K9/7023
- A61K9/0095—Drinks; Beverages; Syrups; Compositions for reconstitution thereof, e.g. powders or tablets to be dispersed in a glass of water; Veterinary drenches
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/10—Dispersions; Emulsions
- A61K9/127—Liposomes
- A61K9/1276—Globules of milk or constituents thereof
Abstract
Disclosed herein are infant nutrition compositions comprising large lipid globules with a size of greater than 1 micron. Also disclosed is the use of the compositions as an infant to reduce cholesterol levels later in life. Also disclosed is the use of lipid for the preparation of a nutritional composition wherein the lipid is present in the form of lipid globules, said lipid globules having a volume weighted mode diameter above 1.0 µm and comprising triglycerides derived from vegetable origin, for feeding a human subject having an age of 0 to 36 months, for a) reducing blood cholesterol levels, and/or b) reducing levels of blood LDL and/or VLDL, c) preventing hypercholesterolaemia and/or hyperlipoproteinemia, and/or d) preventing atherosclerosis, when said human subject has reached an age above 36 months. omposition wherein the lipid is present in the form of lipid globules, said lipid globules having a volume weighted mode diameter above 1.0 µm and comprising triglycerides derived from vegetable origin, for feeding a human subject having an age of 0 to 36 months, for a) reducing blood cholesterol levels, and/or b) reducing levels of blood LDL and/or VLDL, c) preventing hypercholesterolaemia and/or hyperlipoproteinemia, and/or d) preventing atherosclerosis, when said human subject has reached an age above 36 months.
Description
USE OF H‘IFANT FORMULA WITH LARGE LIPID GLOBULES
FIELD OF THE INVENTION
The present invention is in the field of infant ion and especially in the field of later-in-life
health effects of early-in-life nutrition.
BACKGROUND OF THE INVENTION
Breast-feeding is the preferred method of feeding infants. However, there are circumstances that
make breast-feeding impossible or less desirable. In those cases infant formulae are a good
alternative. The composition of modern infant formulae is adapted in such a way that it meets
many of the special ional requirements of the fast g and developing . Still it
seems that improvements can be made towards the constitution of infant milk formulae.
In contrast to infant milk formula, breast milk contains lipid droplets that are up to 10-fold larger
in size. Later in life it appears that subjects who were breast fed early in life, have lower blood
terol levels compared to bottle fed infants during adulthood. (Marmot, 1980, J Epid.
Comm Health 34:164-167, Owen, 2006 Pediatrics 110:597-608). This may eXplain the increased
risk on atherosclerosis and related vascular diseases later in life in subjects who were bottle fed
compared to breast fed.
Non communicable diseases (NCD) like vascular disease, including atherosclerosis, heart
disease and high blood pressure are sible for 35 million deaths/year today, which amounts
to 60% of all deaths globally. Irrespective of income level, high cholesterol level is a top-10
leading risk factor for death. Yet a large contribution to the increase in NCDs is made by low-
and middle income countries, especially as they undergo socio-economic improvement following
ions in infectious disease. The WHO ts an increase of 17% in NCDs over next
decade globally.
The present invention relates to such future health effects of infant ae, in particular to
blood cholesterol levels and vascular diseases later in life.
EP 2305049 relates to a composition to be administered to an infant with the age below 36
months said composition comprising lipid, protein, digestible carbohydrate and cholesterol for
use in the prevention of cardiovascular disease, atherosclerosis, and/or high blood cholesterol
levels later in life.
ses the use of milk fat for infant nutrition for use in several purposes
including regulation of blood cholesterol.
WO 54192 discloses the use of IMF with a specific fatty acid profile for preventing
dyslipidaemia later in life.
Standard infant milk formulae have vegetable fat as lipid component. The lipid is homogenized
in order to create a stable emulsion and the lipid globules are small, with a volume-weighted
mode diameter of about 0.3 — 0.6 mm. Less than 55 volume % based on total lipid, typically less
than 35 vol.%, has a size between 2 and 12 mm. The lipid globules are for a large part covered
with milk proteins, in particular casein. Michalski et al, 2005, J Dairy Sci 88:1927-1940
discloses the size distribution of lipid globules in human milk and infant formula.
W0 2010/0027258 relates to infant nutrition with large lipid globules for preventing obesity later
in life.
However, these documents do not address the role of the size of the lipid globule early in life on
the reducing s on blood cholesterol later in life.
SUlVIMARY OF THE INVENTION
The inventors employed an animal model which is representative of the logical
programming s of the diet taken early in life. In this model animals are fed with different
diets early in life and subsequently they are eXposed to the same Western style, high fat, high
cholesterol diet. This model allows to examine how the early-in-life diet, via body programming
s, have a health effect later in life and how the early-in-life diet influences the way the body
s a n style, high fat and cholesterol rich diet later on.
2012/050623
The inventors surprisingly found that the level of total cholesterol in the blood later in life after
re to a Western style, high fat and cholesterol rich diet, was dependent on the size of the
lipid globules in the early-in-life diet. When this diet comprised large lipid globules, total blood
cholesterol later in life was advantageously decreased. When, on the other hand, the early-in-life
diet comprised small lipid globules which are typically present in commercial IMF, total blood
cholesterol later in life was increased. The sing effect on blood cholesterol levels later in
life was also present when the large lipid globules were coated with phospholipids. Large lipid
globules coated with phospholipids are known to further se y later in life. In case
phospholipids and cholesterol were present in the diet, it turned out that it was relevant that these
phospholipids and cholesterol were present as a coating on the surface of the lipid globule. If not,
later in life blood cholesterol levels were ely affected. A direct correlation of blood
cholesterol levels later in life and obesity later in life or relative amount of fat mass was not
observed. A direct diet effect on reducing blood cholesterol levels was not observed, instead a
slight increase was observed.
Therefore the present invention relates to a nutritional composition comprising lipid, wherein the
lipid is present in the form of lipid globules, said lipid globules being larger in size than typical
in commercial infant formula for use in feeding humans early in life for use in preventing
hypercholesterolaemia and/or hyperlipoproteinaemia, preventing osclerosis or other
vascular diseases, reducing blood cholesterol levels, blood LDL ensity lipoprotein) and/or
blood VLDL (very low-density lipoprotein), later in life.
ED DESCRIPTION OF THE INVENTION
The present invention ns a method for
a) reducing blood cholesterol levels, and/or
b) reducing levels of blood LDL and/or VLDL,
in a human subject later in life, preferably in a human subject when said human subject has
reached an age above 36 months,
by feeding a nutritional composition comprising lipid, wherein the lipid is t, preferably the
lipid essentially is present, in the form of lipid globules, said lipid globules having a volume
weighted mode diameter above 1.0 mm and comprising triglycerides derived from vegetable
origin,
to the human subject early in life, preferably to the human subject having an age of O to 36
months.
In the context of the present invention, the method for reducing blood cholesterol levels, and/or
reducing levels of blood LDL and/or VLDL, is considered to be a non-medical .
The invention can also be worded as the use of a nutritional composition comprising lipid,
wherein the lipid is present, preferably the lipid essentially is t, in the form of lipid
es, said lipid globules having a volume weighted mode diameter above 1.0 mm and
comprising cerides derived from vegetable origin,
for feeding a human subject early in life, preferably for feeding a human subject having an age of
O to 36 months, for
a) reducing blood cholesterol levels, and/or
b) reducing levels of blood LDL and/or VLDL,
later in life, preferably when said human subject has reached an age above 36 months.
Preferably the use is non-therapeutic.
For some jurisdictions, the invention can also be worded as the use of lipid for the preparation of
a nutritional composition wherein the lipid is present, preferably the lipid essentially is present,
in the form of lipid globules, said lipid globules having a volume weighted mode diameter above
1.0 pm and comprising triglycerides derived from vegetable origin, for feeding a human subject
early in life, preferably for feeding a human subject having an age of O to 36 months, for
a) ng blood terol levels, and/or
b) reducing levels of blood LDL and/or VLDL,
later in life, preferably when said human t has d an age above 36 months.
The invention may even be worded as a ional composition comprising lipid, wherein the
lipid is present, preferably the lipid essentially is t, in the form of lipid globules, said lipid
WO 36122
globules having a volume weighted mode diameter above 1.0 mm and comprising triglycerides
derived from ble origin, for use in feeding a human t early in life, preferably for use
in feeding a human subject having an age of O to 36 months, for use in
a) reducing blood cholesterol levels, and/or
b) reducing levels of blood LDL and/or VLDL,
later in life, preferably when said human subject has reached an age above 36 months.
The invention also concerns a method for
a) preventing hypercholesterolaemia and/or hyperlipoproteinemia, and/or
b) preventing vascular es selected from the group consisting of atherosclerosis,
cardiovascular diseases, cerebrovascular diseases, ischaemia, peripheral vascular disease, and
renal artery disease,
in a human subject later in life, ably in a human subject when said human subject has
reached an age above 36 months,
by feeding a nutritional composition sing lipid, n the lipid is present, preferably the
lipid essentially is present, in the form of lipid globules, said lipid globules having a volume
weighted mode diameter above 1.0 mm and comprising triglycerides derived from vegetable
origin,
to human subject early in life, preferably to the human subject having an age of O to 36 months.
The invention can also be worded as the use of lipid for the preparation of a nutritional
composition wherein the lipid is present, preferably the lipid essentially is present, in the form of
lipid globules, said lipid globules having a volume ed mode diameter above 1.0 mm and
comprising triglycerides derived from vegetable origin, for g a human subject early in life,
preferably for feeding a human t having an age of O to 36 months, for
a) preventing hypercholesterolaemia and/or hyperlipoproteinemia, and/or
b) preventing vascular diseases selected from the group consisting of atherosclerosis,
cardiovascular diseases, cerebrovascular diseases, ischaemia, peripheral vascular disease, and
renal artery disease,
later in life, preferably when said human subject has d an age above 36 months.
The invention can also be worded as a ional composition comprising lipid, wherein the
lipid is present, preferably the lipid essentially is present, in the form of lipid globules, said lipid
globules having a volume weighted mode diameter above 1.0 mm and comprising triglycerides
derived from vegetable origin, for use in feeding a human subject early in life, preferably for
feeding a human subject having an age of 0 to 36 months, for use in
a) preventing holesterolaemia and/or hyperlipoproteinemia, and/or
b) preventing vascular diseases selected from the group consisting of atherosclerosis,
cardiovascular diseases, cerebrovascular diseases, mia, peripheral ar (arterial?)
disease, and renal artery disease,
later in life, preferably when said human subject has reached an age above 36 months.
In the context of this invention, a human subject having an age of 0 to 36 months is also referred
to as an infant.
Lipid component
The present nutritional composition comprises lipid. The lipid provides preferably 30 to 60% of
the total calories of the composition. More preferably the present composition comprises lipid
providing 35 to 55% of the total calories, even more ably the present composition
comprises lipid providing 40 to 50% of the total calories. When in liquid form, e.g. as a ready-to-
feed liquid, the composition preferably comprises 2.1 to 6.5 g lipid per 100 ml, more preferably
3.0 to 4.0 g per 100 ml. Based on dry weight the t composition preferably comprises 10 to
50 wt.%, more ably 12.5 to 40 wt.% lipid, even more preferably 19 to 30 wt.% lipid.
Lipids include polar lipids (such as phospholipids, glycolipids, sphingomyelin, and cholesterol),
monoglycerides, diglycerides, triglycerides and free fatty acids. Preferably the composition
comprises at least 75 wt. %, more preferably at least 85 wt.% cerides based on total lipids.
The lipid of the present invention comprises vegetable lipids. The presence of ble lipids
advantageously enables an optimal fatty acid profile, high in (poly)unsaturated fatty acids and/or
more reminiscent to human milk fat. Using lipids from cow’s milk alone, or other ic
s, does not provide an optimal fatty acid profile. This less optimal fatty acid profile,
such as a large amount of saturated fatty acids, is known to result in increased terol levels.
Preferably the present composition comprises at least one, preferably at least two lipid sources
selected from the group consisting of linseed oil (flaxseed oil), rape seed oil (such as colza oil,
low erucic acid rape seed oil and canola oil), sunflower oil, high oleic wer oil, safflower
oil, high oleic safflower oil, olive oil, coconut oil, palm oil and palm kernel oil. Preferably the
present composition comprises at least one, preferably at least two lipid sources selected from
the group consisting of linseed oil, canola oil, coconut oil, sunflower oil and high oleic sunflower
oil. Commercially available vegetable lipids are typically d in the form a continuous oil
phase. When in liquid form, e. g. as a ready-to-feed liquid, the composition preferably comprises
2.1 to 6.5 g ble lipid per 100 ml, more preferably 3.0 to 4.0 g per 100 ml. Based on dry
weight the present composition preferably comprises 10 to 50 wt.%, more preferably 12.5 to 40
wt.% vegetable lipid, even more preferably 19 to 30 wt.%. Preferably the composition ses
45 to 100 wt.% ble lipids based on total lipids, more preferably 70 to 100 wt.%, even more
preferably 75 to 97 wt.%. It is noted therefore that the present composition also may comprise
non-vegetable lipids. le non vegetable lipids include marine oils, microbial oils, egg fat
and milk fat. Suitable and preferred non-vegetable lipids are further specified below.
Lipid globule size
According to the present invention, lipid is present in the composition in the form of lipid
globules. When in liquid form these lipid globules are fied in the s phase.
Alternatively the lipid globules are present in a powder and the powder is suitable for
reconstitution with water or another food grade aqueous phase. The lipid es comprise
vegetable fat and preferably comprises at least 90 wt.% triglycerides and more preferably
essentially consists of triglycerides. Not all vegetable lipids that are present in the composition
need arily be comprised in the lipid globules, or in the core of the lipid globules, but
preferably a major part is, preferably more than 50% wt.%, more preferably more than 70 wt.%,
even more preferably more than 85 wt.%, even more preferably more than 95 wt.%, most
preferably more than 98 wt.% of the vegetable lipids that are present in the composition are
comprised in the core of lipid globules. In one embodiment the lipid globules comprise at least
70 wt.% triglycerides of vegetable origin, more ably the core of the lipid globules
comprises at least 85 wt.%, more preferably at least 95 wt.% triglycerides of vegetable origin.
The lipid globules of the present invention have a volume-weighted mode diameter above 1.0
mm, ably above 2.0 um, more preferably above 3.0 mm, more ably 4.0 mm or above,
preferably between 1.0 and 10 mm, more ably between 2.0 and 8.0 mm, even more
preferably between 3.0 and 8.0 um, most preferably n 4.0 pm and 8.0 pm. ably in
addition the size distribution is in such a way that at least 45 volume %, preferably at least 55
volume %, even more preferably at least 65 volume %, even more preferably at least 75 volume
% has a diameter between 2 and 12 um. More preferably at least 45 volume %, preferably at
least 55 volume %, even more preferably at least 65 volume %, even more preferably at least 75
volume % has a diameter between 2 and 10 um. Even more preferably at least 45 volume %,
preferably at least 55 volume %, even more preferably at least 65 volume %, even more
preferably at least 75 volume % has a diameter between 4 and 10 mm. It was found that large
lipid globules have an improved effect on blood cholesterol levels later in life.
The percentage of lipid globules is based on volume of total lipid. The mode diameter relates to
the er which is the most present based on volume of total lipid, or the peak value in a
graphic representation, having on the X-as the diameter and on the Y-as the volume (%). The
volume of the lipid globule and its size distribution can suitably be determined using a particle
size analyzer such as a Mastersizer (Malvern ments, n, UK), for example by the
method described in Michalski et al, 2001, Lait 81: 6.
Methods for obtaining lipid globules with a coating of phospholipids, and increased size are
disclosed in WC 2010/0027258. The lipid globule size can be lated by adjusting process
steps by which the present composition is manufactured. In standard infant milk formula the
lipid fraction (usually comprising vegetable fat, a small amount of polar lipids and fat soluble
vitamins) is mixed into the aqueous fraction (usually comprising water, d milk, whey,
digestible carbohydrates such as lactose, water soluble vitamins and minerals and optionally non-
digestible carbohydrates) by homogenization under high pressure resulting in small lipid
globules. If no homogenization was to take place, the lipid part would cream very quickly, i.e.
separate from the aqueous part and collect at the top.
Therefore, in standard infant formulae or growing up milks the lipid is homogenized in order to
create a stable emulsion and the lipid globules are small, with a volume-weighted mode diameter
of about 0.3 — 0.6 um, typically less than 0.5 um. Less than 55 volume % based on total lipid,
typically less than 35 vol.%, has a size between 2 and 12 mm. The lipid es are for a large
part covered with milk ns, in particular casein.
Coating with phospholipids
According to the present invention, the nutritional composition preferably comprises
phospholipids. Preferably phospholipids are present as a coating on the surface of the lipid
e. By ‘coating’ is meant that the outer surface layer of the lipid globule comprises polar
lipids, whereas these polar lipids are virtually absent in the core of the lipid globule. Not all
phospholipids and/or glycolipids that are present in the ition need necessarily be
comprised in the coating, but preferably a major part is. Preferably more than 50 wt.%, more
preferably more than 70 wt. %, even more preferably more than 85 wt.%, most preferably more
than 95 wt.% of the phospholipids and/or glycolipids that are present in the ition are
sed in the coating of lipid globules. The phospholipids are located on the surface of the
lipid globule, i.e. as a coating or outer layer. A le way to determine whether the
olipids are located on the surface of the lipid globules is laser scanning microscopy as
given in WC 201 0/0027259.
In standard infant formulae, due to the small size of the lipid globule (resulting in a high lipid
surface) and the very low levels of phospholipids present (typically below 0.15 wt% based on
total fat), the lipid globules are not coated with phospholipids, but are covered for the main part
by protein, such as casein.
Phospholipids
According to the present ion, the nutritional composition preferably comprises
phospholipids. Phospholipids are essential to form the surface layer, coating, of the lipid globules
in which the dietary cholesterol can be located. Phosholipids are polar lipids. Polar lipids are
amphipathic of nature and include glycerophospholipids, glycosphingolipids, sphingomyelin
and/or cholesterol. olipids refer to the sum of ophospholipids and sphingomyelin.
According to the present ion the phospholipids are preferably present as a coating of the
lipid globule. By ng’ is meant that the outer surface layer of the lipid globule comprises
polar , in particular phospholipids, whereas these polar lipids are lly absent in the core
of the lipid globule. The presence of phospholipids as a coating or outer layer of the lipid globule
in the diet stered early in life enables the cholesterol to be located in the surface layer and
this was found to advantageously further reduce the blood cholesterol levels later in life.
The present composition preferably comprises glycerophospholipids. Glycerophospholipids are a
class of lipids formed from fatty acids esterified at the hydroxyl groups on carbon-l and carbon-
2 of the backbone glycerol moiety and a negatively-charged phosphate group attached to -
3 of the glycerol via an ester bond, and optionally a choline group (in case of
phosphatidylcholine, PC), a serine group (in case of phosphatidylserine, PS), an ethanolamine
group (in case of phosphatidylethanolamine, PE), an inositol group (in case of
phosphatidylinositol, P1) or a glycerol group (in case of phosphatidylglycerol, PG) attached to
the phosphate group. Lysophospholipids are a class of phospholipids with one fatty acyl chain.
Preferably the present composition contains PC, PS, PI and/or PE, more preferably at least PC.
The present composition preferably comprises sphingomyelin. Sphingomyelins have a
phosphorylcholine or phosphorylethanolamine molecule esterified to the l-hydroxy group of a
ceramide. They are classified as olipid as well as sphingolipid, but are not classified as a
glycerophospholipid nor as a glycosphingolipid. Sphingomyelin is especially preferred, since it
interacts with cholesterol. Preferably the phospholipids are derived from milk lipids. A preferred
source for phospholipids, particularly PC, is soy lecithin and/or wer lecithin.
The present composition preferably further comprises glycosphingolipids. The term
glycosphingolipids as in the present invention particularly refers to glycolipids with an amino
alcohol sphingosine. The sphingosine backbone is O-linked to a charged headgroup such as
lamine, serine or choline backbone. The ne is also amide linked to a fatty acyl
group. Glycosphingolipids are ceramides with one or more sugar residues joined in a B-
glycosidic linkage at the l-hydroxyl position. Preferably the t composition contains
gangliosides, more preferably at least one ganglioside ed from the group consisting of GM3
and GD3.
2012/050623
Preferably the weight ratio of phospholipids : glycosphingolipids is from 2:1 to 10:1, more
preferably 2:1 to 5:1.
Preferably the present composition comprises 0.5 to 20 wt.% phospholipids based on total lipid,
more preferably 0.5 to 10 wt.%, more preferably 1 to 10 wt.%, even more preferably 2 to 10
wt.% even more preferably 3 to 8 wt.% phospholipids based on total lipid.
Preferably the present composition comprises at least 5 wt.% sphingomyelin based on total
phospholipids, more ably at least 10 wt.%, even more preferably at least 15 wt.%,
preferably no more than 60 wt.%.
Dietary cholesterol
The present composition preferably comprises cholesterol. The present composition preferably
comprises at least 0.01 wt.% cholesterol based on total lipid, more ably at least 0.02 wt.%,
more preferably at least 0.04 wt.%, even more preferably at least 0.1 wt.% based on total lipid.
Since the cholesterol level lowering effects later in life were already observed with no or very
low terol levels, preferably the amount of cholesterol does not exceed 5 wt.% based on
total lipid, more preferably does not exceed 2 wt.%, more preferably does not exceed 1 wt.% of
total lipid, even more preferably does not exceed 0.3wt% based on total lipid. If present, the
cholesterol ably is present in the phospholipid layer that coats the lipid globules.
Preferred sources for providing the phospholipids and/or cholesterol are egg lipids, milk fat,
buttermilk fat and butter serum fat (such as beta serum fat). Preferably the phospholipid and/or
terol are derived from cow’s milk. Preferably the phospholipid and cholesterol are from
the same source. This will enhance the presence of dietary cholesterol in a layer of phospholipid
in the final nutritional product. Derived from milk includes milk lipid, cream lipid, butter serum
lipid, whey lipid, cheese lipid and/or buttermilk lipid and isolated therefore. The buttermilk lipid
is lly obtained during the cture of buttermilk. The butter serum lipid or beta serum
lipid is typically obtained during the cture of anhydrous milk fat from . Preferably
the phospholipids, glycosphingolipids and/or cholesterol are obtained from milk cream. The
composition preferably comprises phospholipids, glycosphingolipids and/or cholesterol from
milk of cows, mares, sheep, goats, buffalos, horses and camels. It is most preferred to use a lipid
t isolated from cow’s milk. The use of phospholipids from milk fat advantageously
ses the milk fat globule membranes, which are more reminiscent to the situation in human
milk. The concomitant use of phospholipids derived from ic animals milk and
trigycerides derived from vegetable lipids therefore enables to manufacture coated lipid globules
with a coating more similar to human milk, while at the same time providing an optimal fatty
acid profile. Suitable commercially available sources for milk phospholipids, including
sphingomyelin, and/or cholesterol are BAEF, SM2, SM3 and SM4 powder of Corman, Salibra of
Glanbia, and LacProdan MFGM-lO or PL20 from Arla. Preferably the source of milk
phospholipids comprises at least 4 wt.% phospholipids based on total lipid, more ably 7 to
75 wt.%, most preferably 20 to 70 wt.% phospholipids based on total lipid. Preferably the
weight ratio phospholipids to protein is above 0.10, more preferably above 0.20, even more
preferably above 0.3. Preferably at least 25 wt.%, more ably at least 40 wt.%, most
preferably at least 75 wt.% of the olipids is derived from milk phospholipids.
Fatty acid composition
Herein LA refers to linoleic acid and/or acyl chain (18:2 n6); ALA refers to oc-linolenic acid
and/or acyl chain (18:3 n3); LC-PUFA refers to long chain polyunsaturated fatty acids and/or
acyl chains comprising at least 20 carbon atoms in the fatty acyl chain and with 2 or more
unsaturated bonds; DHA refers to docosahexaenoic acid and/or acyl chain (22:6, n3), EPA refers
to eicosapentaenoic acid and/or acyl chain (20:5 n3); ARA refers to arachidonic acid and/or acyl
chain (20:4 n6); DPA refers to docosapentaenoic acid and/or acyl chain (22:5 n3). Medium chain
fatty acids (MCFA) refer to fatty acids and/or acyl chains with a chain length of 6, 8 or 10 carbon
atoms.
LA preferably is present in a sufficient amount in order to promote a healthy growth and
development, yet in an amount as low as possible to prevent occurrence of obesity later in life.
The composition therefore preferably comprises less than 15 wt.% LA based on total fatty acids,
preferably of 5 to 14.5 wt.%, more preferably of 6 to 10 wt.%. Preferably the composition
ses over 5 wt.% LA based on fatty acids. Preferably ALA is present in a sufficient amount
to e a healthy growth and pment of the infant. The present composition therefore
ably comprises at least 1.0 wt.% ALA based on total fatty acids. Preferably the
composition comprises at least 1.5 wt.% ALA based on total fatty acids, more preferably at least
2.0 wt.%. Preferably the composition comprises less than 10 wt.% ALA, more preferably less
than 5.0 wt.% based on total fatty acids. The weight ratio LA/ALA should be well balanced in
order to prevent obesity and hypertriglyceridaemia later in life, while at the same time ensuring a
normal growth and development. Therefore, the present composition preferably comprises a
weight ratio of LA/ALA of 2 to 15, more ably of 2 to 7, more preferably of 4 to 7, more
preferably of 3 to 6, even more preferably of 4 to 5.5, even more preferably of 4 to 5.
Since MCFA contribute to a reduced blood cholesterol level, the t composition ably
comprises at least 3 wt.% MCFA based on total fatty acids, more preferably at least 10 wt.%,
even more preferably at least 15 wt.%. Preferably, the present composition advantageously
comprises less than 50 wt.% MCFA based on total fatty acids, more preferably less than 40
wt.%, even more preferably less than 25 wt.%.
Preferably the present ition comprises n-3 LC-PUFA, since n-3 LC-PUFA have a
beneficial effect on cardiovascular disease risk and vascular fatty acid membrane composition.
More preferably, the present composition comprises EPA, DPA and/or DHA, even more
preferably DHA. Since a low concentration of DHA, DPA and/or EPA is already effective and
normal growth and development are ant, the content of n-3 LC-PUFA in the present
composition, preferably does not exceed 15 wt.% of the total fatty acid content, preferably does
not exceed 10 wt.%, even more preferably does not exceed 5 wt.%. Preferably the present
composition comprises at least 0.2 wt.%, preferably at least 0.5 wt.%, more preferably at least
0.75 wt.% n-3 LC-PUFA based on total fatty acid content. Preferably the present composition
comprises at least 0.2 wt.%, ably at least 0.5 wt.%, more ably at least 0.75 wt.% of
the sum of DHA, DPA and EPA based on total fatty acid content.
As the group of n-6 fatty acids, especially arachidonic acid (AA) and LA as its precursor,
counteracts the group of n-3 fatty acids, especially DHA and EPA and ALA as their precursor,
the present composition comprises relatively low amounts of AA. The n-6 LC-PUFA content
preferably does not exceed 5 wt.%, more ably does not exceed 2.0 wt.%, more ably
does not exceed 0.75 wt.%, even more preferably does not exceed 0.5 wt.%, based on total fatty
acids. Since AA is important in infants for l functional membranes, especially membranes
of neurological tissues, the amount of n-6 LC-PUFA is preferably at least 0.02 wt.% more
preferably at least 0.05 wt.%, more preferably at least 0.1 wt.% based on total fatty acids, more
preferably at least 0.2 wt.%. The presence of AA is advantageous in a composition low in LA
since it es LA deficiency. The presence of, preferably low amounts, of AA is beneficial in
nutrition to be administered to infants below the age of 6 months, since for these infants the
infant formulae is lly the only source of nutrition.
Preferably in addition to the vegetable lipid, a lipid selected from fish oil (preferably tuna fish
oil) and single cell oil (such as algal, microbial oil and fungal oil) is present. These sources of oil
are suitable as LC-PUFA sources. Preferably as a source of n-3 LC-PUFA single cell oil,
including algal oil and microbial oil, is used, since these oil sources have a low EPA/DHA ratio..
Thus in one embodiment the present composition further comprises at least one lipid selected
from the group ting of fish oil, marine oil, algal oil, fungal oil and microbial oil.
Digeslible carbohydrate component
The present nutritional composition preferably comprises digestible carbohydrate. The digestible
carbohydrate preferably provides 30 to 80% of the total calories of the composition. Preferably
the digestible carbohydrate provides 40 to 60% of the total calories. When in liquid form, e.g. as
a ready-to-feed liquid, the composition preferably comprises 3.0 to 30 g digestible carbohydrate
per 100 ml, more ably 6.0 to 20, even more ably 7.0 to 10.0 g per 100 ml. Based on
dry weight the present composition preferably comprises 20 to 80 wt.%, more ably 40 to
65 wt.% digestible carbohydrates.
Preferred ible carbohydrate sources are lactose, glucose, sucrose, fructose, galactose,
maltose, starch and maltodextrin. Lactose is the main digestible carbohydrate present in human
milk. The present composition preferably comprises e. The present composition ably
ses digestible carbohydrate, wherein at least 35 wt.%, more preferably at least 50 wt.%,
more preferably at least 75 wt.%, even more preferably at least 90 wt.%, most preferably at least
95 wt.% of the digestible carbohydrate is lactose. Based on dry weight the t composition
preferably comprises at least 25 wt.% lactose, preferably at least 40 wt.%.
Non digestible carbohydrates
Preferably the present nutritional composition comprises non-digestible oligosaccharides.
Preferably the present composition comprises non-digestible oligosaccharides with a degree of
polymerization (DP) between 2 and 250, more preferably 3 and 60. The non-digestible
oligosaccharides, as dietary fiber, may have a beneficial effect on reducing the risk on
cardiovascular diseases.
Preferably the present ional composition comprises fructo-oligosaccharides, galactooligosaccharides
and/or galacturonic acid oligosaccharides, more preferably galacto-
oligosaccharides, most ably transgalacto-oligosaccharides. In a preferred embodiment the
composition comprises a mixture of transgalacto-oligosaccharides and fructo-oligosaccharides.
Suitable non-digestible oligosaccharides are for example Vivinal GOS (Frieslandcampina
DOMO), Raftilin HP or Raftilose i). Transgalacto-oligosaccharide is preferred since it may
increase insulin sensitivity.
Preferably, the nutritional ition comprises of 80 mg to 2 g non-digestible
oligosaccharides per 100 ml, more preferably 150 mg to 1.50 g, even more preferably 300 mg to
1 g per 100 ml. Based on dry weight, the composition preferably comprises 0.25 wt.% to 20
wt.%, more preferably 0.5 wt.% to 10 wt.%, even more preferably 1.5 wt.% to 7.5 wt.%. A lower
amount of non-digestible oligosaccharides will be less effective in reducing cardiovascular
disease risk, whereas a too high amount will result in side-effects of bloating and abdominal
discomfort.
Protein
The present nutritional composition preferably comprises ns. The protein ent
preferably es 5 to 15% of the total calories. Preferably the present composition comprises
a protein component that provides 6 to 12% of the total calories. More preferably protein is
present in the composition at most 9% based on calories, more preferably the composition
ses of 7.2 to 8.0% protein based on total es, even more ably of 7.3 to 7.7%
based on total calories. Human milk comprises a lower amount of protein based on total calories
than cow’s milk. The protein concentration in a nutritional composition is determined by the sum
of protein, peptides and free amino acids. Based on dry weight the composition preferably
comprises at most 12 wt.% protein, more preferably of 9.6 to 12 wt.%, even more preferably 10
to 11 wt.%. Based on a ready-to-drink liquid product the composition preferably comprises at
most 1.5 g protein per 100 ml, more preferably of 1.2 to 1.5 g, even more preferably of 1.25 to
1.35 g.
The source of the protein should be selected in such a way that the minimum requirements for
essential amino acid content are met and satisfactory growth is ensured. Hence protein sources
based on cows' milk proteins such as whey, casein and mixtures thereof and ns based on
soy, potato or pea are red. In case whey proteins are used, the n source is preferably
based on acid whey or sweet whey, whey protein isolate or es thereof and may e oc-
bumin and B-lactoglobulin. More ably, the protein source is based on acid whey or
sweet whey from which caseino-glyco-macropeptide (CGMP) has been removed. Preferably the
composition comprises at least 3 wt.% casein based on dry weight. Preferably the casein is intact
and/or non-hydrolyzed. For the present invention protein includes peptides and free amino acids.
Other
The present nutritional composition is preferably particularly suitable for providing the daily
nutritional requirements to a human with an age below 36 months, particularly an infant with the
age below 24 months, even more preferably an infant with the age below 18 months, most
preferably below 12 months of age. Hence, the nutritional composition is for feeding or is used
for feeding a human subject. The present composition preferably comprises lipid, and protein
and ible carbohydrate n the lipid preferably provides 30 to 60 % of total calories, the
protein preferably provides 5 to 20 %, more preferably 5 to 15 wt.%, of the total calories and the
digestible carbohydrate preferably provides 25 to 75% of the total calories. Preferably the present
ional composition comprises lipid providing 35 to 50% of the total calories, protein
providing 6 to 12 % of the total es and digestible carbohydrate providing 40 to 60 % of the
total calories. In one embodiment, the protein provides 5 to 9 % of the total calories. The amount
of total calories is determined by the sum of calories derived from n, lipids and digestible
carbohydrates.
The present composition is not human breast milk. The present composition is not (raw) cow’s or
other (raw) mammalian milk. The present composition comprises vegetable lipids. The
ition of the invention preferably comprises other ingredients, such as vitamins, minerals
ing to international directives for infant formulae.
In one embodiment, the nutritional composition according to the ion or the nutritional
composition for use according to the invention is a preterm formula, infant formula, follow on
formula or growing up milk.
In order to meet the caloric requirements of the infant, the composition preferably comprises 50
to 200 kcal/100 ml liquid, more preferably 60 to 90 kcal/100 ml liquid, even more preferably 60
to 75 kcal/100 ml liquid. This caloric density ensures an optimal ratio n water and calorie
consumption. The osmolarity of the present composition is preferably between 150 and 420
mOsmol/l, more preferably 260 to 320 mOsmol/l.
Preferably the composition is in a liquid form, with a ity below 35 mPa.s, more preferably
below 6 mPa.s as measured in a Brookfield viscometer at 20°C at a shear rate of 100 s'l. In one
embodiment, the present composition is a powder. Suitably, the ition is in a powdered
form, which can be reconstituted with water or other food grade aqueous liquid, to form a liquid,
or in a liquid concentrate form that should be diluted with water. It was found that lipid globules
maintained their size and g when reconstituted.
When the ition is in a liquid form, the preferred volume administered on a daily basis is
in the range of about 80 to 2500 ml, more preferably about 450 to 1000 ml per day.
AQQlication
The inventors singly found that when mice during y and childhood were fed a food
composition comprising large lipid globules, a different and significant effect on blood
cholesterol levels later in life was observed compared to mice which during infancy and
childhood had been fed a food composition having a similar fatty acid composition, but present
in the form of small lipid globule. From day 42 both groups were fed a Western style diet which
was high in fat and cholesterol. Surprisingly at day 98, which is a time point corresponding to
early adulthood in humans, the mice, which had previously consumed the food composition of
the present invention before turning to the Western style diet, had a lower blood cholesterol level
than mice which had received a control composition with small lipid globules. In case
phospholipids and preferably also cholesterol are present, they advantageously are present as a
coating around the lipid globules. If this was not the case the later in life effect on blood
cholesterol levels was reversed. A similar experiment performed in rats, showed the same results
and also indicated that the effects at day 42, directly after the ention diet and a time point
corresponding to childhood in a human setting, had not yet these effects on blood cholesterol.
The blood cholesterol lowering effect thus was mainly due to the effects occurring during
eXposure to the Western style diet, i.e. the way the metabolism deals with the Western style, high
fat, cholesterol rich diet. No one to one correlation with fat mass or ve fat mass or visceral
fat mass was observed. This is also the case in a human setting, wherein sometimes obese
subjects do not necessarily have hypercholesteremia and on the other hand non-obese subjects
can suffer from hypercholestolemia. See for example Rigaud et al (2009) es Metab. 35:57-
63 disclosing high cholesterol levels in anoreXia nervosa patients. Also no one to one correlation
with blood triglyceride levels was observed.
The present composition is administered to the human subject during the first 36 months of life.
This period from birth up to childhood represents a critical timeframe during which ion
programs the metabolism and body composition, still under development at this time, s its
function/setting later in life. The present composition is advantageously administered to a human
of O to 24 months, more ably to a human of O to 18 months, even more preferably to a
human of O to 12 , most preferably to a human of O to 6 months of age. The present
invention particularly aims to reduce blood cholesterol levels later in life and is not a treatment to
reduce eXisting high blood cholesterol levels. Preferably the composition is to be used in infants
having a weight appropriate for gestational age.
The present ition is preferably administered orally to the . The present invention
also aims to t holesterolaemia and/or hyperlipoproteinaemia at the age above 36
months. sed levels of blood cholesterol, hypercholesteroleamia and/or
hyperlipoproteinaemia are an important risk factor and cause for vascular diseases. Blood
WO 36122
terol levels, levels of blood HDL, LDL or VLDL in the present invention also relate to
plasma levels of cholesterol, HDL, LDL or VLDL. In other words, when it stated that nutritional
compositions have an effect on plasma cholesterol, HDL, LDL or VLDL levels, this es
effects on blood cholesterol, HDL, LDL or VLDL levels.
Therefore, in one embodiment the present method is for preventing vascular diseases selected
from the group consisting of sclerosis, cardiovascular e, cerebrovascular disease,
ischaemia, peripheral vascular disease, and renal artery disease, in particular atherosclerosis, of a
human subject when said human subject has an age above 36 months, preferably when said
human subject has an age above 5 years, particularly above 13 years, more particularly above 17
years. The present invention also aims to improve vascular function later in life. The
present invention also aims to reduce blood cholesterol levels and/or to reduce levels of blood
LDL and/or VLDL of a human subject when said human subject has an age above 36 months. In
one embodiment the present method is for reducing blood terol levels and/or reducing
levels of blood LDL and/or VLDL of a human subject when said human subject has an age
above 36 months, preferably when said human subject has an age above 5 years, particularly
above 13 years, more particularly above 17 years. Reduction of blood cholesterol , VLDL
and/or LDL levels means a reduced concentration compared to the concentrations found in
subjects who were bottle fed with rd infant formula during infancy. In one embodiment
reduction of blood cholesterol levels, VLDL and/or LDL levels means a reduced concentration
compared to the concentrations found in subjects who were bottle fed with standard infant
formula during infancy and more similar to the values found in subjects who were breast fed for
at least 3 months.
With later in life is meant an age exceeding the age at which the diet is taken, preferably
exceeding said age with at least one year.
Preterm and/or small for gestational age infants often encounter catch up growth early in life.
This is generally seen as a risk factor for later in life high cholesterol levels and vascular
diseases. So the composition of the present invention is ageously used in preterm infants
or small for gestational age (SGA) infants, in particular for feeding a preterm infant or an infant
small for gestational age. A preterm or ure infant relates to an infant born before the
standard period of pregnancy is completed before or on 37 weeks ncy of the mother, i.e.
before or on 37 weeks from the beginning of the last menstrual period of the mother. SGA babies
are those whose birth weight lies below the 10th percentile for that gestational age. Premature
and/or SGA s include low birth weight infants (LBW infants), very low birth weight
infants (VLBW infants), and extremely low birth weight infants (ELBW infants). LBW infants
are d as infants with a weight less than 2500 g. VLBW infants as infants with a weight
which is less than 1500 g, and ELBW infants as infants with a weight less than 1000 g.
In this document and in its claims, the verb "to comprise" and its ations is used in its non-
limiting sense to mean that items following the word are included, but items not specifically
mentioned are not excluded. In addition, reference to an element by the indefinite article "a" or
"an" does not e the possibility that more than one of the element is present, unless the
context clearly requires that there be one and only one of the elements. The indefinite article "a"
or "an" thus usually means "at least one".
EXAMPLES
Example 1: Programming effect of lipid e architecture on plasma cholesterol levels later
in life
Infant milk formulae were prepared similar to example 1B of.
1) a control IMF: This diet comprises 255 g lipid per kg dry weight. Lipid globules were
small. No polar lipids were added. Lipid comprised about 47 % digestible carbohydrates about
45 and protein about 8% of total calories.
2) an IMF of the present ion comprising large lipid globules: No polar lipids were
added.
3) an IMF of the t invention: This diet differed from diet 2 in that it ses
phospholipids which were added to the powdered IMF by dry blending. The phosholipid is not
present as a coating around the lipid globule.
4) an IMF of the present invention: This diet differed from diet 3 in that the phospholipids
were present as a coating around the lipid globule.
Differences in lipid globule size were obtained by differences in homogenization pressure as
described in example 1 of. The pressure of homogenization was 10/5 for diet
2 to 4 and 550/50 for diet 1. The volume mode diameter of the lipid globules of diet 1 was 0.27
um. Less than 10 vol.% had a diameter between 2 and 12 um. The volume mode diameter of the
lipid globules in diet 2 to 4 was 3.0 or higher. More than 50 vol.% had a diameter between 2 and
12 um. The source of phospholipids for diet 2 to 4 was SM2 powder from Corman which was
used at a final concentration of about 1.3 % phospholipid based on total lipid and about 0.045
wt% cholesterol based on total lipid. The amount of sphingomyelin was about 20 wt. % based on
total phospholipids.
The fatty acid composition of the experimental diets was very r in respect of saturated,
nsaturated, poly unsaturated and long chain poly unsaturated fatty acids, with calculated
linoleic acid (LA) of about 14 wt% based on total fatty acids, with alpha-linoleic acid (ALA) of
about 2.6 wt% based on total fatty acids and with LA/ALA weight ratio of about 5.4. The
amount of DHA was 0.2 wt% based on total fatty acids in all 4 diets, and the amount of ARA
was about 0.35 wt% based on total fatty acids. EPA and DPA levels were about 0.04 and 0.01
wt% based on total fatty acids.
Subsequently rodent diets were prepared comprising 282 g IMF 1, 2, 3, 4 per kg. The rest of the
diet was AIN-93G n, carbohydrates and fibre. All lipid (about 72 g per kg rodent diet)
present in the diet was d from the IMF
Offspring of C5 7/BL6 dams were weaned from day 15 on. The experimental weaning diets were
continued until day 42 (n=12 per diet). From day 42 to day 98 all pups were fed the same diet
based on AIN-93G diet with an ed lipid fraction (containing 20 wt% lipid of which 50
wt% lard and 1 % cholesterol, based on total lipid), sing 4520 kJ per 100 g, 52 wt%
ible carbohydrates, 4.75 wt% fibers, and 17.9 wt% protein, which is representative for a
Western style, high fat, high cholesterol diet. In the Western style diet the weight ratio LA/ALA
was 9.15. No LC-PUFA were present.
At the age of 98 days a blood sample was taken and HDL (high-density lipoprotein), VLDL
(very low-density lipoprotein), LDL (low-density lipoprotein), and total cholesterol levels were
determined in blood plasma as known in the art. In short after g, blood samples were
obtained under general anesthesia (isoflurane/N20/O2) by cardiac re. Blood samples were
collected in K3EDTA-coated 1 mL ubes er Bio-one, Germany), centrifuged during
minutes at 4 CC (3500 rpm, Biofuge fresco, Heraeus) and plasma and erythrocytes samples
were stored at -80 0C until further analysis. Plasma cholesterol levels were measured by
colorimetric analysis after enzymatic hydrolysis of cholesterolesters (total) in presence of
selective ent (HDL) and after a precipitation (LDL) to obtain the several cholesterol
fractions (Reinier de Graaf laboratory, Delft, The Netherlands). VLDL fraction was calculated
from total, LDL and HDL terol levels.
Body weight was measured and body composition (% fat mass) was determined by DEXA scan.
Adipose tissue was collected and the sum of ymal fat (EPI), retroperitoneal fat (RP) en
perirenal fat (PR) was taken as the amount of visceral fat.
Table 1: Total Blood cholesterol levels (mmol/l) and fat mass of mice on day 98 eXposed to
different diets from day 15 to day 42.
Diet cholesterol Fat% Visceral fat
mass (g)
1 Small, Mean 3.57 23 .1 1.43
no PL SE. 0.19 1.16 0.11
2 Large, Mean 3.13 24.17 1.38
no PL SE. 0.27 1.49 0.17
3 Large Mean 3.40 22.35 1.30
added PL SE. 0.30 1.31 0.15
4 Large, Mean 3.10 19.77 1.14
PL coating SE. 0.20 1.23 0.16
The results are shown in Table 1. Surprisingly the level of total cholesterol in the blood later in
life was different when the lipid globules administered early in life were present in the diet in a
different size. When present in the diet in the form of small lipid globules, total blood cholesterol
later in life was increased. When present in the diet in the form of large lipid globules the effect
total blood cholesterol later in life was ageously decreased. This decreasing effect was
similar when olipids were present in the diet as a g surrounding the lipid globule.
However, if the phospholipids were added by dry blending, less decrease in total blood
cholesterol later in life was observed. So, if phospholipids are to be added to the diet (for
instance because it ses obesity later in life) it should be present as a coating surrounding
the lipid globule. The same effects were observed for HDL, LDL and VLDL with very little
overall effect on the ratio of total cholesterol/HDL or LDL/HDL (data not shown). A decrease in
total cholesterol, and LDL and VLDL is the most predictive parameter for decreased risk on
atherosclerosis and other vascular es. Mice consuming diet 4 had the lowest relative fat
mass (relative to total body ) later in life, so no clear relationship between blood
cholesterol levels and relative fat mass later in life was ed. Mice consuming diet 3 had a
lower relative fat mass (relative to body weight) later in life than mice consuming diet 2.
However for the cholesterol levels a reverse effect was observed, again indicating that there was
not always a relation between fat mass, visceral fat and cholesterol level.
In an experiment performed with mice wherein direct effects diet effects of similar diets of
example 1 were tested on day 42 only, it could be shown that cholesterol levels due to direct diet
s were slightly higher in diet 4 fed animals, compared to diet 2 fed animals. Diet 3 fed
s on the other hand had a slightly lower cholesterol level. Triglyceride levels on the other
hand were a little higher in diet 3 and able in diet 2 and 4 (data not shown).
Example 2: Programming effect of lipid globule architecture on plasma cholesterol levels later
The experiment of example 1 was repeated with diets similar to diet 1 and 4 of example 1.
Instead of mice, male Wistar rats were used. Instead of day 98, blood was analyzed both at day
42 (direct diet effect) and at day 130 (later in life, programming effect). The amount of
phospholipid in diet 4 was 1.6 wt.% based on total fat (an 0.11 wt% in diet 1). The amount of
cholesterol was 0.03 wt% in diet 4 on total fat. Linoleic acid and linoleinic acid of diet 1
and 4 were the same as for example 1. The volume mode diameter of the lipid globules of diet 1
was 0.5 um. Less than 10 vol.% had a diameter between 2 and 12 mm. The volume mode
diameter of the lipid globules in diet 4 was 1.7 mm. More than 45 vol.% had a diameter between
2 and 12 um.
Table 2: Total Blood cholesterol levels and triglyceride levels (mmol/l) of rats on day 42 and 130
exposed to different diets from day 15 to day 42.
Total TG
cholesterol
Diet 1 Day 42 Mean 2.78 1.28
SE. 0.13 0.37
Day 130 Mean 3.28 2.41
SE. 0.36 0.41
Diet 4 Day 42 Mean 2.83 0.93
SE. 0.18 0.11
Day 130 Mean 3.02 1.76
SE. 0.46 0.35
Results are shown in Table 2. As can be seen at day 42, representing the direct diet effects, the
ences on total blood cholesterol are very small. A small non significant increase with diet 4
was observed. At day 130, representing the programming, later in life effects, a much larger
effect was ed which were similar to that in experiment 1, being a reduced total blood
cholesterol level blood triglyceride levels on the other hand were decreased both ly at day
42 but also later in life in rats having consumed diet 4, a diet of the present invention.
Claims (16)
1) Use of lipid for the preparation of a nutritional composition wherein the lipid is t 5 in the form of lipid globules, said lipid globules having a volume weighted mode diameter above 1.0 µm and comprising triglycerides derived from vegetable , for feeding a human subject having an age of 0 to 36 months, for a) reducing blood cholesterol levels, and/or b) reducing levels of blood LDL and/or VLDL, 10 when said human subject has reached an age above 36 months.
2) Use of lipid for the ation of a nutritional composition wherein the lipid is present in the form of lipid globules, said lipid globules having a volume weighted mode diameter above 1.0 µm and sing triglycerides derived from vegetable origin, for 15 feeding a human subject having an age of 0 to 36 months, for a) preventing hypercholesterolaemia and/or hyperlipoproteinemia, and/or b) ting atherosclerosis, when said human subject has reached an age above 36 months. 20
3) The use according to claim 1 or 2, wherein the lipid globules comprise a core comprising triglycerides derived from vegetable origin and a surface layer comprising phospholipids and preferably cholesterol.
4) The use according to any one of claims 1-3, wherein later in life is at least one year after 25 feeding has stopped.
5) The use according to any one of claims 1-4, wherein the nutritional composition comprises 10 to 50% lipid based on dry weight of the nutritional composition. 30
6) The use according to any one of claims 1-5, wherein at least 45 volume % of the lipid globules have a er between 2 and 12 µm.
7) The use according to any one of claims 1-6, wherein the ional composition comprises at least 0.02 wt.% cholesterol based on total lipid and/or at least 0.5 wt.% phospholipids based on total lipid. 5
8) The use according to any one of claims 1-7, wherein at least 10 wt.% of the phospholipids is omyelin.
9) The use according to any one of claims 1-8, wherein the lipid has a fatty acid composition with linoleic acid to alpha linolenic acid weigth ratio of 2 to 7.
10) The use according to any one of claims 1-9, wherein the nutritional composition further comprises docosahexaenoic acid, eicosapentaenoic acid and/or docosapentaenoic acid and wherein the amount of the sum of hexaenoic acid, eicosapentaenoic acid and docosapentaenoic acid is at least 0.2 wt.% based on total fatty acids.
11) The use according to any one of claims 1-10, wherein the phospholipids are of milk origin and is present also the cholesterol is of milk origin.
12) The use according to any one of claims 1-11, wherein the ional composition 20 comprises lipid, protein and digestible carbohydrates, wherein the lipid provides 30 to 60 % of the total calories, the digestible carbohydrates provide 30 to 80 % of the total calories and the protein provides 5 to 15 % of total calories.
13) The use according to any one of claims 1-12, wherein the nutritional composition is in 25 the form of a ready to drink liquid and ses 50 to 80 kcal per 100 ml.
14) The use according to any one of claims 1-13, wherein the nutritional composition is an infant formula or follow on formula. 30
15) The use according to any one of claims 1-14, n the nutritional composition is a powder, suitable for reconstitution with water.
16. A use ing to claim 1 or 2 substantially as herein described or exemplified.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
NLPCT/NL2011/050614 | 2011-09-08 | ||
PCT/NL2011/050614 WO2013036103A1 (en) | 2011-09-08 | 2011-09-08 | Use of infant formula with large lipid globules |
PCT/NL2012/050623 WO2013036122A1 (en) | 2011-09-08 | 2012-09-07 | Use of infant formula with large lipid globules |
Publications (2)
Publication Number | Publication Date |
---|---|
NZ621230A NZ621230A (en) | 2016-05-27 |
NZ621230B2 true NZ621230B2 (en) | 2016-08-30 |
Family
ID=
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