By Joseph Walker 

Abbott Laboratories continued to struggle in the fourth quarter with challenges in overseas markets, including the continued fallout from a recall that has damaged Abbott's baby-formula products in Asia and a weakened European economy that pressured sales of generic drugs.

Abbott, which also makes medical devices and diagnostics, said sales rose 0.4% to $5.65 billion in the quarter from $5.63 billion in the year-earlier quarter. Net profit fell 44% to $589 million, or 37 cents a share, from $1.05 billion, or 66 cents a share a year earlier. Much of the earnings decline was due to the spinoff of the company's biotechnology drug unit, AbbVie Inc., last year. Through 2013, total sales rose 1.6% to $21.84 billion, or nearly $80 million below the estimates of analysts polled by FactSet Inc.

For 2014, the company forecast per-share earnings in the range of $2.16 to $2.26; analysts polled by Thomson Reuters had expected per-share profit of $2.21.

Chief Executive Miles White separated Abbott from its biotechnology drug business last January with the aim of bolstering Abbott's share price and growth potential. In Abbott's first year since the spinoff, the company has stumbled to meet expectations as it has grappled with difficulties overseas, including the negative effect of foreign currency exchange, which reduced sales growth by 2.9 percentage points in the fourth quarter.

During a conference call with analysts Wednesday, Mr. White faced questions about whether investors should still view Abbott as a growth stock following the announcement that Abbott would buy back more than $2 billion of its stock in 2014, while also repatriating $2 billion in overseas earnings to the U.S.--moves seen as potentially signaling a more conservative outlook.

"In no way do I think we are stepping away from an intention of growth," Mr. White said. "At the same time, we accumulate a fair amount of cash and our investors are looking for a return."

Shares of Abbott fell 2.4% to $38.16 on the New York Stock Exchange in early trading Wednesday. The stock has risen 15.90% over the past year, trailing both the broader market and shares of AbbVie, which rose 35.1% over the same period on the strength of its blockbuster drug Humira and the prospects for its pipeline of hepatitis C treatments.

One of Abbott's biggest challenges last year was a recall by one of its baby-formula suppliers, Fonterra Co-Operative Group Ltd, which led Abbott and competitor Danone SA to take their own products off the market across Asia. The scare was prompted by a Fonterra warning that its powdered milk might contain dangerous bacteria, which ultimately turned out to be a false alarm. The consequences, however, continue to hurt Abbott.

Abbott estimated the recall cost it $90 million in sales during the fourth quarter, reducing its overall revenue growth in 2013 by 1.5%. The company said it expected the negative effect of the recall to carry over into the first half of 2014. Nutrition products are Abbott's largest product category by sales, and represent about a third of its total revenue.

Sales in the company's pharmaceutical business, which includes specialty and branded generic drugs sold overseas, fell 2.9% last year, primarily because of price and volume pressures in Western Europe due to austerity measures by governments there, Abbott's Mr. White said.

Tess Stynes contributed to this article.

Write to Joseph Walker at joseph.walker@wsj.com

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