Evidence map›Paper›PMID 36029771›Full record

Trial reportCell reports. Medicine2022

Source of human milk (mother or donor) is more important than fortifier type (human or bovine) in shaping the preterm infant microbiome.

Shreyas V Kumbhare, William-Diehl Jones, Sharla Fast, Christine Bonner, Geert 't Jong, Gary Van Domselaar, Morag Graham, Michael Narvey, Meghan B Azad

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cell reports. Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03214822 nacompletednot on this map

The Impact of Human-derived Human Milk Fortifiers (H2MF) on Gut Microbiota Development and Oxidative Stress in Premature Infants

TypeinterventionalSponsorUniversity of ManitobaRan2017 to 2019Enrolled30ConditionsVery Low Birth Weight Baby, Premature Birth, Microbial Colonization, Oxidative StressArmsH2MF
NCT06072976 narecruitingnot on this mapstarted 2023, after this paper: background citation

The Influence of Feeding Source on the Gut Microbiome and Time to Full Feeds in Neonates With Congenital Gastrointestinal Pathologies

TypeinterventionalSponsorSeattle Children's HospitalRan2023 to 2027Enrolled116ConditionsGastrointestinal Complication, Intestinal Obstruction, Gastroschisis, Hirschsprung DiseaseArmsStandard of Care, Exclusive Human Milk
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Article
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  14. Observational
  15. Article
  16. Impact of mother's own milkMicrobiome research reports · 2025
    Review
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Shreyas V KumbhareManitoba Interdisciplinary Lactation Centre (MILC), Winnipeg, MB, Canada; Children's Hospital Research Institute of Manitoba (CHRIM), Winnipeg, MB, Canada; Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, MB, Canada.
William-Diehl JonesChildren's Hospital Research Institute of Manitoba (CHRIM), Winnipeg, MB, Canada; Faculty of Health Disciplines, Athabasca University, Athabasca, AB, Canada.
Sharla FastDepartment of Nutrition and Food Services, Health Sciences Centre, Winnipeg, MB, Canada.
Christine BonnerNational Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, MB, Canada.
Geert 't JongChildren's Hospital Research Institute of Manitoba (CHRIM), Winnipeg, MB, Canada; Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, MB, Canada.
Gary Van DomselaarNational Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, MB, Canada; Department of Medical Microbiology, University of Manitoba, Winnipeg, MB, Canada.
Morag GrahamNational Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, MB, Canada; Department of Medical Microbiology, University of Manitoba, Winnipeg, MB, Canada.
Michael NarveyChildren's Hospital Research Institute of Manitoba (CHRIM), Winnipeg, MB, Canada; Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, MB, Canada.
Meghan B AzadManitoba Interdisciplinary Lactation Centre (MILC), Winnipeg, MB, Canada; Children's Hospital Research Institute of Manitoba (CHRIM), Winnipeg, MB, Canada; Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, MB, Canada. Electronic address: meghan.azad@umanitoba.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Milk fortifiers help meet the nutritional needs of preterm infants receiving their mother's own milk (MOM) or donor human milk. We conducted a randomized clinical trial (NCT03214822) in 30 very low birth weight premature neonates comparing bovine-derived human milk fortifier (BHMF) versus human-derived fortifier (H2MF). We found that fortifier type does not affect the overall microbiome, although H2MF infants were less often colonized by an unclassified member of Clostridiales Family XI. Secondary analyses show that MOM intake is strongly associated with weight gain and microbiota composition, including Bifidobacterium, Veillonella, and Propionibacterium enrichment. Finally, we show that while oxidative stress (urinary F2-isoprostanes) is not affected by fortifier type or MOM intake, fecal calprotectin is higher in H2MF infants and lower in those consuming more MOM. Overall, the source of human milk (mother versus donor) appears more important than the type of milk fortifier (human versus bovine) in shaping preterm infant gut microbiota.

Indexed as

Infant FormulaMicrobiotaMilk, HumanAnimalsCattleF2-IsoprostanesFemaleHumansInfantInfant, NewbornInfant, PrematureLeukocyte L1 Antigen ComplexMothersF2-IsoprostanesLeukocyte L1 Antigen Complexcalprotectingut inflammationgut microbiomehuman donor milkhuman milk fortifiersmother’s own milkoxidative stressvery low birth weight infants

Identifiers

PMID36029771
PMCPMC9512671

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.