Abstract
AbstractClinicians caring for small, vulnerable newborns increasingly have access to specific nutritional information about human milk through point-of-care analyzers and labeled products. It is critical for clinicians to recognize that there is considerable variability in how human milk nutritional data are derived and reported, which impacts the interpretation of nutritional values, comparison of nutritional data between products, and ultimately the ability to deliver optimal nutritional care. This article distills key issues that will enable clinicians to interpret human milk nutritional labels/analysis more effectively, ultimately allowing them to make better decisions about dietary strategies. We aim to empower clinicians to ask questions about milk sampling techniques, reported nutrient values, analysis techniques, and milk bank pooling practices. This knowledge can put human milk nutrient values in context, improve clinical care, and help to drive more rigorous research for exploring the impact of human milk feeding on infant outcomes.
Publisher
Springer Science and Business Media LLC
Reference47 articles.
1. McGuire M, O’Connor DL, editors. Human Milk: Sampling and Measurement of Energy-Yielding Nutrients and Other Macromolecules. 1st ed. Amsterdam: Academic Press; 2020.
2. Lönnerdal B. Bioactive proteins in breast milk. J Paediatr Child Health. 2013;49:1–7.
3. Gidrewicz DA, Fenton TR. A systematic review and meta-analysis of the nutrient content of preterm and term breast milk. BMC Pediatr. 2014;14:216.
4. Italianer, Naninck MF, Roelants EFG, van der Horst JA, Reiss GTJ, Goudoever IKM, et al. Circadian variation in human milk composition, a systematic review. Nutrients. 2020;12:2328.
5. Leghi GE, Middleton PF, Netting MJ, Wlodek ME, Geddes DT, Muhlhausler BS. A Systematic review of collection and analysis of human milk for macronutrient composition. J Nutr. 2020;150:1652–70.