{"title":"Effect of β-casein A2 cow milk supplementation on physical growth, inflammation, growth, and metabolism hormonal profiles in stunted children.","authors":"Revi Gama Hatta Novika, Atriany Nilam Sari, Siti Nurhidayati, Rufidah Maulina, Luluk Fajria Maulida, Nurul Jannatul Wahidah, Muhana Fawwazy Ilyas, Lanjar Sumarno, Sigit Prastowo, Cecilia M Jevitt","doi":"10.6065/apem.2448158.079","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Previous studies have suggested that milk consumption can promote growth in children. However, limited studies have been done on the effects of various cow milk varieties, especially β-Casein A2 milk. This study aims to investigate the effect of β-Casein A2 cow milk supplementation on physical growth, inflammation, growth, and metabolism hormonal profiles in stunted children.</p><p><strong>Methods: </strong>This is a quasi-experimental study with only one group, pre-and post-test design. This research is divided into three stages: allele testing in the β-casein gene, process into ready-to-drink milk, and clinical trial. The participants studied were children aged 12-36 months who were given 200ml Allele-2 milk supplementation once a day for three months. The outcome assessment included physical growth (body weight and height), inflammation (tumour necrosis factor-alpha [TNF-α] and cortisol levels), and growth and metabolism hormonal profiles (insulin-like growth factor-1 [IGF-1], transferrin, and growth hormone [GH] levels) that were measured during pre, middle (week 6), and post (week 12) of intervention.</p><p><strong>Results: </strong>This study included 30 study participants. Significant body weight and height improvements were observed at week six and post-intervention (week 12) compared to pre-intervention. Inflammation markers showed significant reductions in TNF-α and cortisol levels post-intervention. Additionally, growth hormone profiles exhibited significant increases in IGF-1, transferrin, and GH levels post-intervention.</p><p><strong>Conclusions: </strong>This study highlights the potential of β-Casein A2 milk as a dietary intervention to address stunting in low- and middle-income countries. Additionally, β-Casein A2 milk reduces the risk of several diseases due to lower BCM-7 metabolite production than β-Casein A1 milk.</p>","PeriodicalId":44915,"journal":{"name":"Annals of Pediatric Endocrinology & Metabolism","volume":" ","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Pediatric Endocrinology & Metabolism","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.6065/apem.2448158.079","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: Previous studies have suggested that milk consumption can promote growth in children. However, limited studies have been done on the effects of various cow milk varieties, especially β-Casein A2 milk. This study aims to investigate the effect of β-Casein A2 cow milk supplementation on physical growth, inflammation, growth, and metabolism hormonal profiles in stunted children.
Methods: This is a quasi-experimental study with only one group, pre-and post-test design. This research is divided into three stages: allele testing in the β-casein gene, process into ready-to-drink milk, and clinical trial. The participants studied were children aged 12-36 months who were given 200ml Allele-2 milk supplementation once a day for three months. The outcome assessment included physical growth (body weight and height), inflammation (tumour necrosis factor-alpha [TNF-α] and cortisol levels), and growth and metabolism hormonal profiles (insulin-like growth factor-1 [IGF-1], transferrin, and growth hormone [GH] levels) that were measured during pre, middle (week 6), and post (week 12) of intervention.
Results: This study included 30 study participants. Significant body weight and height improvements were observed at week six and post-intervention (week 12) compared to pre-intervention. Inflammation markers showed significant reductions in TNF-α and cortisol levels post-intervention. Additionally, growth hormone profiles exhibited significant increases in IGF-1, transferrin, and GH levels post-intervention.
Conclusions: This study highlights the potential of β-Casein A2 milk as a dietary intervention to address stunting in low- and middle-income countries. Additionally, β-Casein A2 milk reduces the risk of several diseases due to lower BCM-7 metabolite production than β-Casein A1 milk.
期刊介绍:
The Annals of Pediatric Endocrinology & Metabolism Journal is the official publication of the Korean Society of Pediatric Endocrinology. Its formal abbreviated title is “Ann Pediatr Endocrinol Metab”. It is a peer-reviewed open access journal of medicine published in English. The journal was launched in 1996 under the title of ‘Journal of Korean Society of Pediatric Endocrinology’ until 2011 (pISSN 1226-2242). Since 2012, the title is now changed to ‘Annals of Pediatric Endocrinology & Metabolism’. The Journal is published four times per year on the last day of March, June, September, and December. It is widely distributed for free to members of the Korean Society of Pediatric Endocrinology, medical schools, libraries, and academic institutions. The journal is indexed/tracked/covered by web sites of PubMed Central, PubMed, Emerging Sources Citation Index (ESCI), Scopus, EBSCO, EMBASE, KoreaMed, KoMCI, KCI, Science Central, DOI/CrossRef, Directory of Open Access Journals(DOAJ), and Google Scholar. The aims of Annals of Pediatric Endocrinology & Metabolism are to contribute to the advancements in the fields of pediatric endocrinology & metabolism through the scientific reviews and interchange of all of pediatric endocrinology and metabolism. It aims to reflect the latest clinical, translational, and basic research trends from worldwide valuable achievements. In addition, genome research, epidemiology, public education and clinical practice guidelines in each country are welcomed for publication. The Journal particularly focuses on research conducted with Asian-Pacific children whose genetic and environmental backgrounds are different from those of the Western. Area of specific interest include the following : Growth, puberty, glucose metabolism including diabetes mellitus, obesity, nutrition, disorders of sexual development, pituitary, thyroid, parathyroid, adrenal cortex, bone or other endocrine and metabolic disorders from infancy through adolescence.