Growth Benefits of Own Mother's Milk in Preterm Infants Fed Daily Individualized Fortified Human Milk

The influence of types of human milk (HM)-raw own mother's milk (OMM), pasteurized OMM, and donor milk (DM)-was evaluated for growth in premature infants fed exclusively HM with controlled nutritional intakes using daily individualized HM fortification (IHMF). Growth and nutritional intakes wer...

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Bibliographic Details
Published in:	Nutrients Vol. 11; no. 4; p. 772
Main Authors:	de Halleux, Virginie, Pieltain, Catherine, Senterre, Thibault, Studzinski, Frédéric, Kessen, Catheline, Rigo, Vincent, Rigo, Jacques
Format:	Journal Article Web Resource
Language:	English
Published:	Switzerland MDPI AG 03-04-2019 Multidisciplinary Digital Publishing Institute (MDPI) MDPI
Subjects:	Babies Baby foods Bioavailability Birth Weight Body mass Breast Feeding Breast milk Breast Milk Expression Breastfeeding & lactation Child Development Deposition donor milk Endocrinologie, métabolisme & nutrition Endocrinology, metabolism & nutrition Energy Intake Energy requirements Female Fetuses Food, Fortified fortification Gestational Age growth Human health sciences human milk Humans Infant Infant Nutritional Physiological Phenomena Infant, Newborn Infant, Premature - growth & development Infant, Very Low Birth Weight - growth & development Infants Intensive care Lean body mass Male Menstruation Milk Milk Proteins - administration & dosage Milk, Human Mothers Newborn babies Nutrition Nutritional Status Nutritive Value own mother's milk Parenteral nutrition Pasteurization Pediatrics Pregnancy Premature babies preterm Prospective Studies Proteins Pédiatrie Sciences de la santé humaine Time Factors Weight Gain Belgium preterm donor milk growth human milk fortification own mother’s milk
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Summary:	The influence of types of human milk (HM)-raw own mother's milk (OMM), pasteurized OMM, and donor milk (DM)-was evaluated for growth in premature infants fed exclusively HM with controlled nutritional intakes using daily individualized HM fortification (IHMF). Growth and nutritional intakes were prospectively collected in preterm infants (<32 weeks) fed IHMF and compared in infants fed predominantly (≥75%) OMM and DM. The influence of HM types (raw OMM, pasteurized OMM, and DM) on growth were also evaluated in the whole population. One-hundred and one preterm infants (birth weight 970 ± 255 g, gestational age 27.8 ± 1.9 weeks) were included. Energy (143 ± 8 vs. 141 ± 6 kcal/kg/day; = 0.15) and protein intakes (4.17 ± 0.15 vs. 4.15 ± 0.14 g/kg/day; = 0.51) were similar in both groups. Infants receiving predominantly OMM ( = 37), gained significantly more weight (19.8 ± 2.0 vs. 18.2 ± 2.2 g/kg/day; = 0.002) and length (1.17 ± 0.26 vs. 0.99 ± 0.36 cm/week; = 0.020) than those fed predominantly DM ( = 33). Stepwise multivariate analysis ( = 101) suggests that raw OMM was the major determinant of growth, contributing 22.7% of weight gain. Length gain was also related to OMM (raw + pasteurized) intakes, explaining 4.0% of length gain. In conclusion, at daily controlled similar protein and energy intakes, OMM had significant beneficial effects on weight and length versus DM in VLBW infants. This difference could be partially explained by the use of raw OMM.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 scopus-id:2-s2.0-85064928057
ISSN:	2072-6643 2072-6643
DOI:	10.3390/nu11040772