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Correlations between feeding type and blood ionized magnesium levels in Japanese preterm infants
Akiko Watanabe1, Hiromichi Shoji1, Atsuko Awaji1
1Juntendo University, Faculty of Medicine, Department of Pediatrics, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
Insights
Breast milk feeding in preterm infants is associated with lower serum magnesium and ionized magnesium levels at discharge compared to formula feeding. Further research is needed to understand magnesium
Area of Science:
- Neonatal Medicine
- Pediatric Nutrition
- Biochemistry
Background:
- Magnesium (Mg) content varies between breast milk and formula.
- Limited research exists on blood Mg levels in preterm infants based on feeding type.
- Preterm infants have unique nutritional requirements and are at risk for deficiencies.
Purpose of the Study:
- To investigate the influence of feeding type (breast milk vs. formula) on serum magnesium and whole blood ionized magnesium (iMg) levels in preterm infants.
- To compare Mg and iMg levels at different time points (day 1 and discharge).
- To identify predictors of Mg and iMg levels in this population.
Main Methods:
- Study included 115 preterm infants (gestational weeks 32-35).
- Infants were categorized into breast milk (BM) dominant (≥70% Mg from BM) and mixed-fed (MF) (≥30% Mg from formula) groups.
- Serum Mg, whole blood iMg, Ca, and iCa levels were measured at day 1 and hospital discharge.
Main Results:
- No significant differences in Mg and iMg levels were observed at day 1 between BM and MF groups.
- At discharge, the BM group showed significantly lower Mg and iMg levels compared to the MF group (P < 0.05).
- Percentage of breast milk intake was a significant independent predictor of Mg and iMg levels.
Conclusions:
- Feeding type impacts serum Mg and blood iMg levels in preterm infants shortly after birth.
- Breast milk dominant feeding is associated with lower Mg and iMg levels at discharge.
- Further investigation into the role of Mg in preterm infant growth and optimal blood Mg levels is warranted.
Abstract:
Although magnesium (Mg) contents are different between breast milk and formula, few studies have investigated the blood Mg level in breast fed or formula fed preterm infants. We examined the influence of feeding type on serum Mg and whole blood ionized Mg (iMg) levels in preterm infants soon after birth. We included 115 preterm infants born between gestational weeks 32 and 35. Infants were separated into two groups: breast milk (BM) dominant group (n = 30) receiving ≥70% of Mg intake from BM and mixed-fed (MF) group (n = 85) receiving ≥30% of Mg intake from formula. Blood levels of Mg, iMg, Ca, and iCa at day 1 of age and at discharge from the hospital were compared between the groups. No differences in the Mg and iMg levels at day 1 of age were observed between the two groups. The Mg and iMg levels at discharge were significantly lower (P < 0.05) in the BM group than in the MF group; 0.86 (interquartile range 0.81-0.91) versus 0.91 (0.86-0.99) mmol/L and 0.46 (0.41-0.51) versus 0.52 (0.47-0.57) mmol/L, respectively. There were no differences in the Ca and iCa levels between the two groups. By stepwise multiple regression analysis, the percentage of BM intake was a significant independent predictor of the Mg and iMg levels. The feeding type influenced serum Mg and blood iMg levels in preterm infants soon after birth. Further studies are needed to investigate the influence of Mg on growth and the optimal range of blood Mg levels.
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