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Table 4.1.2  Nutritional components in breast milk and infant formula milks

Nutrients                                Breast milk                                                        Infant formulas – suitable from birth

Proteins      Whey and casein            Main proteins in breast milk                                       Present in whey-dominant formula in
                                         Whey : casein ratio changes and is 60 : 40 in mature breast milk   the ratio 60 : 40
Fats          Alpha-lactalbumin                                                                             Present in casein-dominant formula in
Carbohydrate  Beta-lactalbumin           Main component of whey protein                                     ratio 20 : 80
                                         Very small proportion of the whey protein                          Added to some
              Lactoferrin                                                                                   Main component of whey protein in
                                         An iron-binding protein. It binds the iron, rendering it           other formula milks
              Immunoglobulins            unavailable to pathogenic gut bacteria. Their growth is thereby    Not present
              (anti-infective proteins)  inhibited, reducing the risk of gastrointestinal infections
                                         Remain relatively constant throughout lactation regardless of      Not present
              Taurine                    the amount of breast milk provided by the mother. This
                                         happens because concentrations increase as total volume            Present
              Total fat                  diminishes
              Long-chain                 An amino acid essential for the myelination of the central         Present at same level
              polyunsaturated fatty      nervous system and brain. In newborns, bile acids are almost       Present
              acids: docosahexaenoic     exclusively conjugated with taurine, which helps excretion
              acid and arachidonic acid  Provides about 50% of the energy content of breast milk
              Lactose                    Important in brain and retina development and in myelination
                                         of the nervous system

                                         This is the sugar in breast milk and is about 7% by weight. It is  Present at same level
                                         digested to the monosaccharides galactose and glucose
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