Lactose, a disaccharide made of glucose and galactose, is present in milk and milk products. As the major carbohydrate in human milk (55–70 g/L), it is also a main component of infant formulas with minimum recommendations of 4.5 g/100 kcal . Analytically, such high concentrations can easily be determined by multi-component methods such as ISO 22184 or lower sensitivity methods like refractive index detection. In some cases, infants can suffer from lactose malabsorption. Here, the lactase enzymatic activity is either limited or absent from birth, impairing lactose metabolization. The lactose cannot be hydrolyzed into glucose and galactose in the small intestine, impeding the absorption of digestible carbohydrates as monosaccharides. Consequently, numerous gastrointestinal and extra-intestinal symptoms and complaints appear (e.g. diarrhea) [1–3]. Glucose-galactose malabsorption also affects a very small subset of the population. For all malabsorption types, it is critical to eliminate any dietary sources of lactose. Lactose-free nutritional sources are especially crucial for infants, and these foodstuffs must properly meet the regulation requirements (lactose <10 mg/100 kcal) [1,3–5]. To analyze such low lactose contents in complex matrices like infant formula, ion chromatography with pulsed amperometric detection (IC-PAD) offers a robust and sensitive solution.
Lactose determination was performed for a broad spectrum of low lactose sample matrices, comprised of infant formulas and follow-up baby food such as the reference materials NIST 2383a (baby food composite) and NIST 1869 (infant formula powder), an infant formula from HiPP (HiPP comfort, lactose reduced), and a commercially available lactose-free milk (1.5% fat, Spar Switzerland).
Powdered and liquid materials were homogenized and weighed directly into suitable containers (from 0.1–5 g, 50 mL polypropylene centrifuge tubes). The sample weight (WS in g) was recorded to the nearest 0.001 g for later calculations. An aqueous extract was prepared by adding ultrapure water (UPW) to result in a total volume of 50 mL (WUPW in kg). Afterwards, the vials were capped and mixed vigorously with a vortex mixer for approximately 20 seconds.
Carrez precipitation is a standard method to remove proteins and larger molecules from samples in order to protect the analytical system. Following this common practice, the reagents were added, and the final weight noted (WUPWc in kg). After thorough mixing, the samples were centrifuged (5000×g) for 10 minutes and decanted. The covered vials were placed directly into the autosampler. Increased column protection can be secured by an additional ultrafiltration step.
As an alternative, automated sample preparation by Inline Dialysis with a Low Volume dialysis cell is recommended. For that, samples were prepared identically to the aqueous extracts, shaken well, and covered before placing on the autosampler rack. For dialysis, no Carrez precipitation is necessary prior to the analysis, saving time and chemical reagents. Using the Low Volume dialysis cell requires only 5 mL of sample.
The quantity of lactose in aqueous sample extracts was determined by ion chromatography (IC) on a Metrosep Carb 2 - 250/4.0 column using an isocratic hydroxide eluent (400 mmol/L NaOH) and pulsed amperometric detection (PAD) with the sweep waveform (Figure 1).
Together with the Metrohm Thin-Layer amperometric cell (Au working and Pd reference electrode), a long electrode lifetime with minimal maintenance is obtainable. The sweep mode combined with less turbulent flow in the Thin-Layer cell results in a smooth baseline, a necessary precondition to analyze very low concentrations such as in low lactose products. Flow schemes for direct analysis and analysis after Metrohm Inline Dialysis are shown in Figure 2. Although the setup for the dialysis may look more complex, automation makes the effort worthwhile for the overall analytical process.
Lactose elutes in under 20 minutes (Figure 3), independent of whether direct injection or Inline Dialysis is used. In contrast to previously published chromatographic methods, lactose derivatives (i.e., epilactose, lactulose, allolactose, and galactosyllactose), as from prebiotic additives, were successfully separated from lactose, increasing the selectivity and accuracy of the method. The overall working range of the method is 0.05 to 80 mg/L for liquid lactose standards, with the ability to analyze samples in a range of 0.2–21,000 mg/100g with respective dilution. The sample concentrations are determined from a linear calibration (c(Lactose)S in mg/kg) and are calculated based on the sample weight to give the final lactose content (c(Lactose)FIN in g/100 g):
Validation results are shown for infant formula, baby food, and milk (Table 1). These display the compliance with the overall acceptance criteria of AOAC for a full single laboratory validation (RSDr and variability ≤10% and ≤7%, spike recoveries 85–115% and 90–110% for an analytical range of 10–100 mg/100 g and >100 mg/100 g, respectively).
The results obtained for the analysis using Carrez precipitation prior to injection (Table 1) and using Inline Dialysis were comparable for selected test samples analyzed as shown in Figure 3. The data give an excellent verification for using Inline Dialysis as a time efficient alternative to Carrez precipitation.
Table 1. Lactose expressed as lactose monohydrate (conversion factor 1.05) in lactose-free infant formula and milk samples determined after sample preparation by Carrez precipitation. The table shows the repeatability Rr as RSD from individually prepared samples measured within a short time period (n = 7), the day-to-day variability as RSD over individual prepared samples measured on different days (4–8 d), and spike recovery as the average of all spike experiments analyzed over several days.
Repeatability (mg/100 g) (RSDr, %)
|Day-to-day variability (mg/100g) (%)||Total spike recovery (%)|
|NIST 2383a infant food (average 520 ± 27 mg/100 g (n = 7), target 500 ± 100 mg/100 g, recovery 106±6%)|
|520 ± 27 (5.1)||528 ± 29 (5.5)||103 ± 2|
|NIST 1869 infant formula powder (average 569 ± 33 mg/100 g (n = 7), target 520 ± 120 mg/100 g, target recovery 109 ± 6%)|
|569 ± 33 (5.5)||523 ± 31 (5.9)||98 ± 3|
|HiPP Comfort infant formula (20.8 g/100 g (n = 7), target 22.1 g/100 g, target recovery 97 ± 4%)|
|20751 ± 743 (3.6)||22163 ± 258 (1.2)||102 ± 3|
|Spar aha 1.5% fat, lactose-free milk|
|2.35 ± 0.18 (7.9)||2.10 ± 0.05 (2.2)||111 ± 2|
Infant formula is a very complex and challenging matrix as it contains all kinds of nutrients (e.g., proteins, fats, carbohydrates, vitamins, and minerals). Dedicated sample preparation and analysis methods are needed to guarantee high accuracy, sensitivity, and selectivity for the determination of low lactose concentrations. IC-PAD overcomes such analytical challenges with automated inline sample preparation options and results in excellent separation of lactose from other matrix components and lactose derivatives.
The estimated LOQ of 4 mg lactose/100 g in these sample matrices is lower than the requirements and known thresholds for lactose-free infant formula products. Thus, adequate sensitivity and robustness as shown by long-term analysis and spike experiments is given by this method. Additionally, the flexibility for user adapted applications, optional sample preparation, and/or automation make IC-PAD ideal for routine analytics and a highly valuable addition to the laboratory analytical portfolio.
- EFSA. Scientific Opinion: Essential Composition of Infant and Follow-up Formulae. Eur. Food Saf. Auth. EFSA J. 2014, 12 (7), 3760.
- Facioni, M. S.; Raspini, B.; Pivari, F.; Dogliotti, E.; Cena, H. Nutritional Management of Lactose Intolerance: The Importance of Diet and Food Labelling. J. Transl. Med. 2020, 18 (1), 260.
- EFSA. Scientific Opinion on Lactose Thresholds in Lactose Intolerance and Galactosaemia. Eur. Food Saf. Auth. EFSA J. 2010, 8 (9), 1777.
- European Commission. Comission Delegated Regulation (EU) 2016/127 of 25 September 2015 Supplementing Regulation (EU) No 609/2013 of the European Parliament and of the Council as Regards the Specific Compositional and Information Requirements for Infant Formula and Follow-on Formula and as Regards Requirements on Information Relating to Infant and Young Child Feeding. Off. J. Eur. Union 251 2016, 29.
- FAO/WHO. CODEX Alimentarius - General Standard for the Labelling of Prepacked Foods CXS 1-1985. Int. Food Stand.