Journal of Perinatology ( IF 2.4 ) Pub Date : 2020-02-18 , DOI: 10.1038/s41372-020-0624-2 Diana B Jo 1 , James I Hagadorn 2, 3 , Kelsey C Smith 4 , Patricia A Esposito 5 , Elizabeth A Brownell 1, 2, 3, 6
Objective
To measure the macronutrient content (MNC) of donor human milk labelled as 24 kcal/oz (“high-calorie DHM,” hcDHM), compare to bank-labelled MNC, and examine variability of hcDHM MNC among milk banks.
Study design
MNC was measured with near-infrared spectroscopy for 75 convenience samples from five milk banks collected during September 2016–July 2017. Concordance of measured MNC with labelled values was evaluated using three different thresholds: within ±20%, similar to FDA labelling standards for class II nutrients in foods; ±10%; and ±5%.
Results
Protein and caloric content differed significantly between measured and labelled values and varied significantly among milk banks. Measured caloric content ranged from 16.50 to 30.27 kcal/oz, with 89.3% of hcDHM samples within ±20%, 58.7% within ±10%, and 18.7% within ±5% of labelled content.
Conclusions
MNC of hcDHM used in clinical practice shows variation that may result in differences from desired diet. The clinical implications of such differences are unexplored.
中文翻译:
标记为 24 kcal/oz 的供体母乳的常量营养素分析
客观的
测量标记为 24 kcal/oz(“高热量 DHM”,hcDHM)的供体母乳的常量营养素含量 (MNC),与银行标记的 MNC 进行比较,并检查牛奶库中 hcDHM MNC 的变异性。
学习规划
使用近红外光谱测量了 2016 年 9 月至 2017 年 7 月期间从五个牛奶库收集的 75 个便利样品的 MNC。使用三个不同的阈值评估测量的 MNC 与标记值的一致性:±20% 以内,类似于 FDA 分类标签标准II 食物中的营养素;±10%;和±5%。
结果
蛋白质和卡路里含量在测量值和标记值之间存在显着差异,并且在牛奶库之间也存在显着差异。测量的卡路里含量范围为 16.50 至 30.27 kcal/oz,89.3% 的 hcDHM 样品在 ±20% 以内,58.7% 在 ±10% 以内,18.7% 在标记含量的 ±5% 以内。
结论
临床实践中使用的 hcDHM 的 MNC 显示出可能导致与所需饮食不同的差异。这种差异的临床意义尚未探索。