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Nutrients 2015, 7(2), 1174-1183; doi:10.3390/nu7021174

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

1
Department of Bioengineering, Rice University, 6100 Main St., Houston, TX 77005, USA
2
Department of Bioengineering, University of Pittsburgh, 4200 Fifth Ave., Pittsburgh, PA 15260, USA
3
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
*
Author to whom correspondence should be addressed.
Received: 27 November 2014 / Accepted: 26 January 2015 / Published: 11 February 2015
(This article belongs to the Special Issue Recent Advances in Enteral Nutrition)
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Abstract

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 epumpTM and the MedFusionTM 2010 pump. Comparisons in fat loss were made between HM, HM supplemented with donor HM-derived fortifier Prolacta + H2MFTM (H2MF), and HM supplemented with H2MF and donor HM-derived cream ProlactCRTM (cream). When using the Kangaroo epumpTM, 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 MedFusionTM 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. View Full-Text
Keywords: enteral nutrition; breast milk; human milk-derived fortifier; human milk-derived cream supplement; very low birth weight; neonates; Kangaroo ePumpTM; MedFusionTM pump; neonatal intensive care units enteral nutrition; breast milk; human milk-derived fortifier; human milk-derived cream supplement; very low birth weight; neonates; Kangaroo ePumpTM; MedFusionTM pump; neonatal intensive care units
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Tabata, M.; Abdelrahman, K.; Hair, A.B.; Hawthorne, K.M.; Chen, Z.; Abrams, S.A. Fortifier and Cream Improve Fat Delivery in Continuous Enteral Infant Feeding of Breast Milk. Nutrients 2015, 7, 1174-1183.

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