Pasteurization of mother's own milk reduces fat absorption and growth in preterm infants

被引:102
|
作者
Andersson, Y.
Savman, K.
Blackberg, L.
Hernell, O. [1 ]
机构
[1] Umea Univ, Dept Clin Sci, Dept Pediat, S-90187 Umea, Sweden
[2] Queen Silvia Childrens Hosp, Perinatal Ctr, S-41685 Gothenburg, Sweden
[3] Umea Univ, Dept Med Biosci, Dept Physiol Chem, S-90187 Umea, Sweden
关键词
bile salt-stimulated lipase; fat absorption; human milk; pasteurization; preterm infant;
D O I
10.1111/j.1651-2227.2007.00450.x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Aim: A randomized study was conducted to evaluate whether pasteurized milk (Holder pasteurization 62.5 degrees C, 30 min) reduces fat absorption and growth in preterm infants. Methods: Preterm infants (825-1325 g) born with gestational age <= 30 weeks were randomized into two groups, of which one started with pasteurized own mother's milk for 1 week and continued with raw milk the following week, and a second group was fed in reverse order. By using this design the infants served as their own controls. At the end of each week, a 72-h fat balance was performed and growth was monitored. Results: We found, on an average, 17% higher fat absorption with raw as compared to pasteurized milk. Infants gained more weight and linear growth assessed as knee-heel length was also greater during the week they were fed raw milk as compared to the week they were fed pasteurized milk. Conclusion: Feeding preterm infants pasteurized as compared to raw own mother's milk reduced fat absorption. When the infants were fed raw milk, they gained more in knee-heel length compared to when they were fed pasteurized milk.
引用
收藏
页码:1445 / 1449
页数:5
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