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Published on: January 26, 2019
Does Pasteurized Donor Human Milk Efficiently Protect Preterm Infants Against Oxidative Stress?
Anna Parra-Llorca1, María Gormaz2, Ángel Sánchez-Illana1
1Neonatal Research Group, Health Research Institute La Fe, Valencia, Spain.
Insights
Pasteurized donor human milk (DHM) provides preterm infants with nutrition comparable to own mother's milk (OMM). This study found no significant difference in oxidative stress biomarkers between infants fed DHM versus OMM.
Area of Science:
- Neonatology
- Nutritional Science
- Biochemistry
Background:
- Pasteurized donor human milk (DHM) is crucial for infants lacking own mother's milk (OMM).
- The impact of DHM on oxidative stress in preterm infants is not well understood.
- Oxidative stress is a significant concern in preterm infant health.
Purpose of the Study:
- To investigate whether DHM protects preterm infants from oxidative stress.
- To compare oxidative stress levels in preterm infants fed DHM versus OMM.
- To assess the longitudinal changes in oxidative stress biomarkers.
Main Methods:
- Quantified urinary oxidative stress biomarkers in preterm infants (≤32 weeks gestation, ≤1500g birth weight).
- Compared infants receiving ≥80% DHM versus OMM.
- Utilized noninvasive in vivo assessment from full enteral nutrition to hospital discharge.
Main Results:
- No statistically significant difference in urinary oxidative stress biomarkers between DHM and OMM groups.
- Longitudinal assessment showed comparable oxidative stress levels over time.
- This is the first longitudinal study comparing DHM and OMM for oxidative stress in preterm infants.
Conclusions:
- Pasteurized donor human milk (DHM) is a viable alternative to own mother's milk (OMM) for preterm infants.
- DHM appears to protect preterm infants from oxidative stress as effectively as OMM.
- Further research could explore DHM's role in preventing oxidative stress-related diseases.
Abstract:
Pasteurized donor human milk (DHM) is the preferred alternative for infant nutrition when own mother's milk (OMM) is unavailable. Whether DHM is an efficient means for protecting preterm infants from oxidative stress remains unknown. We quantified a panel of oxidative stress biomarkers in urine samples from preterm infants (≤32 weeks of gestation and a birth weight ≤1500 g) receiving ≥80% of feeding volume as either DHM or OMM. The noninvasive in vivo assessment of oxidative stress showed no statistically significant difference between both groups at the time when full enteral nutrition (150 mL/kg body weight) was achieved and until hospital discharge. In addition, the changes of urinary biomarker levels with time were assessed. This is the first longitudinal study on oxidative stress levels in preterm infants fed with DHM in comparison with OMM. There is no statistically significant difference in urinary oxidative stress levels of preterm infants from both groups indicating that despite the effects of pasteurization, DHM is a valid alternative when OMM is not available. Based on the results, we raise the hypothesis that pasteurized DHM protects preterm infants from oxidative stress as good as OMM, and consequently, its use could prevent oxidative stress-related diseases. Antioxid. Redox Signal. 31, 791-799.
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