Fortifier and Cream Improve Fat Delivery in Continuous Enteral Infant Feeding of Breast Milk

Nutrients

Mika Tabata¹  Khaled Abdelrahman²  Amy B. Hair³  Keli M. Hawthorne³  Zhensheng Chen³ 

[1] Department of Bioengineering, Rice University, 6100 Main St., Houston, TX 77005, USA;Department of Bioengineering, University of Pittsburgh, 4200 Fifth Ave., Pittsburgh, PA 15260, USA; E-Mail:;Children’s Nutrition Research Center, Department of Agriculture/Agriculture Research Service, Department of Pediatrics, United States Baylor College of Medicine and Texas Children’s Hospital, 1100 Bates Ave., Houston, TX 77030, USA; E-Mails:

关键词: enteral nutrition;    breast milk;    human milk-derived fortifier;    human milk-derived cream supplement;    very low birth weight;    neonates;    Kangaroo ePump™;    MedFusion™ pump;    neonatal intensive care units;   

DOI  :  10.3390/nu7021174

来源: mdpi

【 摘 要 】

Premature and high-risk infants require accurate delivery of nutrients to promote appropriate growth. Continuous enteral feeding methods may result in significant fat and micronutrient loss. This study evaluated fat loss in enteral nutrition using current strategies for providing high-risk infants fortified human milk (HM). The fat content of HM was measured by IR analyzer in a simulated feeding system using the Kangaroo ePump™ and the MedFusion™ 2010 pump. Comparisons in fat loss were made between HM, HM supplemented with donor HM-derived fortifier Prolacta + H²MF™ (H²MF), and HM supplemented with H²MF and donor HM-derived cream ProlactCR™ (cream). When using the Kangaroo ePump™, the addition of H²MF and cream to HM increased fat delivery efficiency from 75.0% ± 1.2% to 83.7% ± 1.0% (p < 0.0001). When using the MedFusion™ 2010 pump, the addition of H²MF to HM increased fat delivery efficiency from 83.2% ± 2.8% to 88.8% ± 0.8% (p < 0.05), and the addition of H²MF and cream increased fat delivery efficiency to 92.0% ± 0.3% (p < 0.01). The addition of H²MF and cream to HM provides both the benefits of bioactive elements from mother’s milk and increased fat delivery, making the addition of H²MF and cream an appropriate method to improve infant weight gain.

【 授权许可】

CC BY   
© 2015 by the authors; licensee MDPI, Basel, Switzerland.