Association between Total Antioxidant Capacity in Breast Milk and Postnatal Age in Days in Premature Infants

Shoichi Ezaki1, Tomoo Ito, Keiji Suzuki

  • 1Division of Neonatal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, 1981 Kamoda-Tujido, Kawagoe, Saitama 350-8550, Japan.

Insights

Breast milk offers superior antioxidant protection for premature infants compared to formula. Early breastfeeding is crucial for combating oxidative stress in vulnerable newborns.

Area of Science:

  • Neonatal Nutrition
  • Biochemistry
  • Pediatrics

Background:

  • Premature infants are susceptible to oxidative stress due to immature antioxidant systems.
  • Oxidative stress can lead to serious complications in preterm neonates.
  • Breast milk is known to contain various bioactive components, including antioxidants.

Purpose of the Study:

  • To compare the total antioxidant capacity (TAC) of breast milk versus formula milk for premature infants.
  • To investigate the relationship between TAC in breast milk and the infant's postnatal age.
  • To highlight the role of breast milk in mitigating oxidative stress in preterm neonates.

Main Methods:

  • Utilized the biological anti-oxidant potential (BAP) test, a novel method for TAC measurement.
  • Collected and stored breast milk samples from premature infants at -20°C.
  • Measured TAC in two types of commercially available formula milk using the same methodology.

Main Results:

  • Total antioxidant capacity (TAC) was significantly higher in breast milk compared to formula milk.
  • A negative correlation was observed between breast milk TAC and postnatal age.
  • Despite the correlation, breast milk TAC consistently exceeded the average TAC found in formula milk.

Conclusions:

  • Breast milk possesses a higher total antioxidant capacity than formula milk, offering crucial protection against oxidative stress for premature infants.
  • Early initiation of breastfeeding is recommended to leverage these protective antioxidant properties.
  • The findings underscore the importance of breast milk in the neonatal intensive care setting.

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