Formula vs Breastfeeding

Formula feeding is growing in popularity, with more and more mothers stopping breastfeeding early or not breastfeeding at all, and using formula to feed their babies. Formulations for baby...
formula vs breastfeeding

Formula feeding is growing in popularity, with more and more mothers stopping breastfeeding early or not breastfeeding at all, and using formula to feed their babies. Formulations for baby milk has made exceptional developments alongside research with regards to the nutritional needs of infants, but how does it stand up to natural breast milk today? This article will compare the nutritional value of breast milk with formula milk, and explain the differences.

All quantities in this article are representative of the formula milk designed for new born, and nutritional make up of mothers milk in the week after birth. Early nutrition has been chosen for this comparison for this article as this is the most important stage of baby nutrition, and will have the greatest impact its development. It is worth noting that nutritional quality of mothers milk does vary dramatically based on the nutrition of the mother, and the values used in this article are averages.

 

Macro-nutrients

Bellow is a table comparing the macro-nutrient content of formula milk and breast milk.

Macro-nutrient Amount in formula milkAmount in breast milk
Energy 275kj (66kcal)293kj (70kcal)
Protein 1.3g1.1g
Whey (from cow milk)0.8gn/a
Casein 0.5g0.3g
lactoferrinn/a0.2g
a-lactalbuminn/a0.3g
IgGn/a0.001g
IgAn/a0.1g
lysozymen/a0.05g
albuminn/a0.05g
Carbohydrates 7.4g6.9-7.2g
of which are sugar 7.3g7g
of which are lactose7.0g6.4-6.7g
Fibre/ oligosaccharides 0.0006g0.5g
Total Fat 3.4g4.2g
-of which are saturates1.5g2.27g
-of which are unsaturated1.9g1.93g (~0.152g being CLA)
-of which is arachidonic acid (AA) 6.4mg15mg
-of which is doscosahexaenoic (DHA) 6.4mg13.4mg

The protein and carbohydrate content of both formula milk and breast milk is similar, with the formula providing slightly more protein and carbohydrates than breast milk. The quality of breast milk protein is slightly higher than that of formula milk, because the amino acid ratios in breast milk more accurately represent the amino acid requirements for the baby. In order to compensate for this, formula milk contains slightly more protein to ensure the baby obtains all the amino acids it requires. Breast milk also contains immune supporting proteins such as IgA and IgG which formula milk doesn’t contain. These antibodies will support the immune system of the new born baby and offer protection, which is not found in formula milk.

The carbohydrate content is quite comparable in in both sources, however, breast milk does contain much more oligosaccharides, which are prebiotics, and help to populate the digestive system of the baby with beneficial bacteria, which offer a range of benefits. Breast milk contains more fatty acids then formula milk, which provides more calories for the baby and more essential fatty acids. Breast milk contains much more essential omega-3 fatty acids (EPA and DHA), which are essential for brain development.

From the table it is clear that breast milk, contains a much more desirable composition of all the macro-nutrients for the growth and development of the child.

 

Vitamins

Bellow is a table comparing the vitamin content of formula milk designed for new born babies, and the average vitamin content of breast milk in the first week after birth.

VitaminQuantity in formula milkQuantity in breast milk
Vitamin A54µg164µg
Vitamin D31.2µg1.125-1.875µg (including various metabolites)
Vitamin E 1.1mg (alpha-tocopherol)0.134 (mixed tocopherols and tocotreinols)
Vitamin K 4.4µg (as vitamin K1)0.11µg (as vitamin K2)
Vitamin C (ascorbic acid)9.2mg4mg
Vitamin B1 (thiamin) 50µg21µg
Vitamin B2 (riboflavin) 116µg35µg
Vitamin B3 (niacin)430µg180µg
Vitamin B5 (panthenoic acid)330µg67µg
Vitamin B6 53µg (as folic acid)14µg (as folate)
Vitamin B12 (cobalamin) 0.18µg0.1µg
Vitamin B7 (biotin)1.5µg0.6µg

From the table it is clear that formula milk does contain a much greater proportion of all vitamins than breast milk. The majority of vitamins in the formula milk are synthetic, and there is much evidence to show that synthetic vitamins (with the exception of foate/ folic acid) are not absorbed as well as vitamins in their natural forms. In order to compensate for this reduction in absorbance formula milk is fortified with a greater concentration of synthetic vitamins to ensure a significant amount is absorbed.

Formula vs Breastfeeding

Image courtesy of Ambernectar 13

Aside from being synthetic, there are other factors which affect the bio-availability and biological value of nutrients. Looking at vitamin K, it can be seen that formula milk contains the vitamin in the K1 form, where as it is in the K2 form in breast milk. The K1 form is the plant form, which is abundant in dark leafy greens such as kale, and the human body cannot use the vitamin in this form. Vitamin K1 must be converted into the K2 form inside the body by the resident probiotics before it can be utilized by the body. K2 is the animal form, and can be found in a number of fermented foods such as cheese and fermented soya. The conversion from K1 into K2 in the body is not very efficient, and is very variable depending on the probiotic population in the digestive system. This means that obtaining vitamin K as K2 is much more desirable and biologically valuable than the K1 form.

Vitamins in breast milk come with a number of co-factors and metabolites, and this has been demonstrated to be true at least with vitamin D3. Co-factors and metabolites increase the bio-availability of of vitamins, and can be utilized by the body in various metabolic pathways without the need for conversion, making vitamins and metabolites more valuable than the vitamin in a single state.

The comparison of vitamin E in breast milk and formula is of great interest. The term ‘vitamin E’ refers to 8 different compounds – 4 tocopherols and 4 tocotreinols; all of which are needed for optimum health. Formula milk only contains alpha-tocopherol, which is the most abundant of the vitamin E molecules in our body and diet, whereas breast milk contains a much lower amount of vitamin E, but it is made up of all eight molecules – providing a broader spectrum of benefits. Tocotreinols have demonstrated much more potent antioxidant properties than tocopherols, and are associated more with the protection of nerves, in particularly the brain, whereas tocopherols protect all other cells. The large amount of alpha-tocopherol in formula milk may be to try and compensate for the lack of tocotrienols. It is very common for synthetic vitamin E to only contain alpha-tocopherol as other forms are extremely hard to synthesise.

 

Minerals

Bellow is a table comparing the mineral content of formula milk designed for new born babies, and the average vitamin content of breast milk in the first week after birth.

MineralAmount in formula milk (per 100ml)Amount in breast milk (per 100ml)
Potassium65mg (as citrates, chlorides, and iodides) 58.7mg
Chloride41mgVariable due to diet. Approx 3x higher than blood concentration of mother.
Calcium 50mg (as phosphates, citrates, hydroxides)22.3mg
Phosphorus26mg4mg-25.2mg (very variable)
Magnesium5.1mg (as chlorde) 3.1mg
Iron0.53mg (as sulphate)0.47mg
Zinc 0.5mg as sulpate)0.2mg
Copper 40µg (as sulphate)32µg
Manganese 7.5µg (as sulphate)0.11µg
Flouride less than 0.3µg0.17µg
Selenium1.5mg0.0104µg
Iodine12µg0.54mg to 217mg (median average 6.2mg)
Sodium17mg16.2mg
Should I breastfeed or use formula?

Image courtesy of mgstyer

From the table it is clear that the mineral content of both breast milk and formula milk is quite comparable, but generally formula milk contains slightly more – this, again, is likely to be due to bio-availability. The minerals in breast milk will be bonded to amino acids of other nutrients which the body readily can absorb and utilize, where as formula milk contains minerals in a mixture of forms from oxides to chelates (chelates being amino acid bonded minerals). Oxides and sulphates are not as readily absorbed by the digestive system, and so a higher concentration of these mineral compounds is required to ensure enough is absorbed.

Iodine is the only mineral which is contained in much higher quantities in breast milk than formula milk. Iodine is essential for brain development, and it is very important for babies to obtain enough iodine, but it can be very toxic and cause severe damage in high concentrations. Formula milk contains a safe amount of iodine, which cannot cause damage to new born babies but the concentrations of iodine are quite low for the babies requirements. Mothers milk, although very variable, provides a more optimal amount for proper development, and will not be toxic to the child. The great difference between formula concentration of iodine and breast milk is will be to ensure the safety of the baby, not to ensure optimum nutrition.

All minerals in the above table are beneficial aside from fluoride. Fluoride concentrations must be measured in formulation milk as it is incredibly toxic, and damages the nervous system. Fluoride is present in the powder as a result of processing, and its concentrations must be carefully regulated. Fluoride levels stated in this formula are considered safe, but a lower concentration is always more desirable, making breast milk much more desirable.

 

Other significant nutrients

Bellow is a table comparing the additional nutritional content of formula milk designed for new born babies, and the average vitamin content of breast milk in the first week after birth.

NutrientAmount in formula (per 100ml)Amount in breast milk (per 100ml)
Choline10mg6.2mg
Taurine5.3mg4.19mg
Inositol3.4mg3.6mg
L-carnitine1.1mg0.1mg
Nucleotides3.2mg1.2mg

The content of these nutrients in breast milk and formula milk is comparable, with formula milk generally containing a higher concentration of these nutrients with the exception of inositol. Formula milk does contain a significantly higher concentration of L-carnitine, which is an amino acid based compounds required for the metabolism of fatty acids. The nutritional requirement of a new born baby for L-carnitine has not been established.

 

Summary

Breast milk, from healthy mothers who eat a nutritious diet, is much more beneficial for new born babies. The nutrients from this milk will be more bio-available and beneficial for the baby. Breast milk is especially beneficial for brain development, as it provides more essential fats which are required for brain growth and tocopherols which protect the brain from radical damage. Breast milk also contains unique prebiotics and proteins which support the immune system and digestive system. Current data and analysis shows that there are no nutritional advantages to using formula over breast milk.

However, formula milk is comparable to breast milk, and will provide an infant with all the essential nutrients it requires. This makes formulation a suitable replacement for those who cannot breastfeed, or if the diet of the mother is poor.


References

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I hope you enjoy the site, and like what we have worked hard to create, any feedback is very much welcome, after all this site is for you! Graduate of Nutrition & Food Science (Bsc) at Reading Uni.
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  • Nivlac

    This data seem to be supporting formula instead of breast milk. Everyday it’s something new; I thought breast milk was best for the child upon until six months.

    My little boy, who turns one, August 29, is still breastfeeding and loving it. I must say he is quite healthy and not drinking any formula.

    The article states that this is dependent on the nutrition of the mother, so I guess my wife is very healthy.

    It’s something to look into though I hope some new data emanate in this regard.

    • Craig

      Actually Nivlac, the article is in support of breast milk over formula. If you have just looked at the tables it may be misleading, but if you read the content it should explain it in better detail 🙂

      • That’s good to know Craig thanks for the clarification.

  • Marjan

    That is the most extensive comparison I have ever seen! Well done!!
    Breast is still best, as I always believed when nursing my three children but if this is not possible formula is a worthy alternative.

    • Craig

      I fully agree! Glad you liked the article 🙂

  • Great article! I would assume natural would always be a better choice. I am sure it is hard to mimic breast milk exactly. Thanks for sharing this. Carol

  • hannahyuga

    Nature has endowed a powerful gift to breastmilk. I do agree with the comparison and the conclusions made above. Although there are ongoing innovations on formula milk to make it comparable to breastmilk, the ability of breastmilk to provide readily absorbed nutrients remain an advantage. Plus, breastfeeding also creates and strengthens parental bonding between child and mother. It is also good to note that the quality of breastmilk also depends on the nutrition of the motger. This is a good and detailed review. Keep it up. But you might also want to explore on the quality of breastmilk when the mother is undernourished.

    • Craig

      A very good point hannahyuga. The nourishment of the mother does have a very direct impact on the quality of breast milk. An undernourished mother will have a low quality milk, but on the same hand, a well nourished mother will have exceptional milk (better than displayed in the above article, as I have used values from averagely nourished mothers). For undernourished mothers, formula is often the best option for the baby.

      T

  • Casey

    When I had my baby, I had a very difficult time trying to breastfeed and I almost gave up, but I am so glad that I didn’t. Also it is very convenient now with breast pumps so that you can pump enough and store some for later use. This helps so much. I do encourage many new mothers to breastfeed and how important it is. They may not know all the benefits, glad you posted them here, very well-said!

  • zararian

    Agree that breast milk is still best for babies than formula milk. The formula milk is rich with synthetic vitamins and those will be just useless. I always believed that breast milk has something to increase or improve the immune system of babies.

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