Evidence map›Paper›PMID 41470843›Full record

Observational studyNutrients2025

Associations of Lactoferrin-Fortified Formula with Infant Growth and Gut Microbiota: A Real-World Observational Study.

Xiaojin Shi, Biao Liu, Wenhui Ye, Xuanjing Qi, Menglu Xi, Shuqi Liu, Qihan Zhu, Lutong Zheng, Ai Zhao

Abstract readObservational Study
In one paragraph

Observational study in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Xiaojin ShiVanke School of Public Health, Tsinghua University, Beijing 100084, China.ORCID 0000-0002-1738-2856
Biao LiuInner Mongolia Dairy Technology Research Institute Co., Ltd., Hohhot 010110, China.
Wenhui YeInner Mongolia Dairy Technology Research Institute Co., Ltd., Hohhot 010110, China.
Xuanjing QiInner Mongolia Dairy Technology Research Institute Co., Ltd., Hohhot 010110, China.
Menglu XiCollege of Food Science and Engineering, Changchun University, Changchun 130022, China.
Shuqi LiuVanke School of Public Health, Tsinghua University, Beijing 100084, China.
Qihan ZhuVanke School of Public Health, Tsinghua University, Beijing 100084, China.
Lutong ZhengVanke School of Public Health, Tsinghua University, Beijing 100084, China.
Ai ZhaoVanke School of Public Health, Tsinghua University, Beijing 100084, China.ORCID 0000-0002-1679-973X

Funding

National Key Research and Development Program of China 2024YFC2707601National Natural Science Foundation of China 82273619
6 · The paper itself

Abstract

BACKGROUND/

objectivesLactoferrin, a key bioactive component in human milk, may bridge functional gaps in infant formula; however, its long-term effects on growth and the gut microbiota in term infants remain underexplored, particularly in real-world settings.

methodsThis real-world evidence (RWE) study assessed the impact of lactoferrin-fortified formula (LF) on infant growth, the gut microbiota, and feeding tolerance compared with control formula (CF) and exclusive breastfeeding (BF). After propensity score matching (PSM) for maternal education level and infant age, 111 matched Chinese infants (37 per group: LF, CF, and BF; age: 6-12 months) were analyzed. Growth was evaluated using WHO Z-scores (WAZ, LAZ, WLZ, and zBMI). The gut microbiota was profiled via 16S rRNA sequencing (

resultsThe LF group exhibited significantly higher length-for-age Z-scores (LAZ) compared with both the BF and CF groups (

conclusionsLactoferrin-fortified formula was associated with improved linear growth and feeding tolerance while shaping a healthy gut microbiota, showing similarities to breastfed infants' microbiota. These findings support LF fortification as a strategy to improve functional outcomes in formula-fed infants.

Indexed as

Child DevelopmentFood, FortifiedGastrointestinal MicrobiomeInfant FormulaLactoferrinBreast FeedingChinaFemaleHumansInfantInfant Nutritional Physiological PhenomenaMaleLactoferringrowthgut microbiotainfantslactoferrinreal-world study

Identifiers

PMID41470843
PMCPMC12736245

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.