Enhancing human milk studies: Introducing a less invasive human milk collection technique for the measurement of fatty acids

Author:

Morniroli Daniela1ORCID,Vizzari Giulia2,Turolo Stefano3,Syren Eva M. L.1,Mazzocchi Alessandra1,Milani Gregorio P.14,Fumagalli Monica12,Giannì Maria L.12,Agostoni Carlo14ORCID

Affiliation:

1. Department of Clinical Sciences and Community Health University of Milan Milan Italy

2. Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU Milan Italy

3. Dialysis and Transplant Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Pediatric Nephrology Milan Italy

4. Pediatric Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy

Abstract

AbstractObjectivesThe fatty acid supply of human milk (HM) contributes to health outcomes. Sampling fresh human milk to analyze its fatty acid content is challenging because of its ever‐changing nature. Also, obtaining samples from lactating mothers is challenging. Facilitating HM collection and analysis is therefore an advantage.MethodsWe have conducted a study to validate a new method for obtaining HM samples for fatty acid analysis, using biological fluid sample collection pretreated sheets to adsorb drops of milk (Whatman 903 BHT‐pretreated biological fluid collection sheet) as an alternative approach to collecting expressed milk. The study population included lactating mothers, enrolled between 24 and 96 h after delivery.ResultsA total of 124 breastmilk samples were analyzed using the two distinct approaches. The results of the free milk analysis were comparable to the analysis of adsorbed milk samples. The fatty acid families saturated fatty acids (SFA), monounsaturated fatty acids (MUFA), polyunsaturated fatty acids (PUFA), omega‐3, and omega‐6 had r2 values of 0.93, 0.91, 0.91, 0.86, and 0.90, respectively. Bland‐Altman plots showed a high agreement between fresh and adsorbed milk samples for SFA, MUFA, PUFA, omega‐3, and omega‐6 with a mean bias <2% and 95% limits of agreement within −5% and +5%.ConclusionsThe results show no significant differences in fatty acid composition between fresh and adsorbed milk samples, suggesting the new method is equally effective in collecting representative samples for analysis.

Publisher

Wiley

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