Evidence map›Paper›PMID 36171356›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2022

Neurodevelopmental outcomes of extremely preterm infants fed an exclusive human milk-based diet versus a mixed human milk + bovine milk-based diet: a multi-center study.

Amy B Hair, Aloka L Patel, Ursula Kiechl-Kohlendorfer, Jae H Kim, Richard J Schanler, Keli M Hawthorne, Elena Itriago, Steven A Abrams, Cynthia L Blanco

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Exclusive human milk diet is associated with lower risk of motor function impairment at three years of corrected age.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  7. Review
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  9. Article
  10. Article
  11. Article
  12. Review
  13. Human milk fortification and use of infant formulas to support growth in the neonatal intensive care unit.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 3 countries.

Amy B HairDepartment of Pediatrics, Division of Neonatology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA. abhair@texaschildrens.org.ORCID http://orcid.org/0000-0001-7570-0667
Aloka L PatelDepartment of Pediatrics, Neonatology, Rush University Medical Center, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-1751-0421
Ursula Kiechl-KohlendorferDepartment of Pediatrics II (Neonatology), Medical University of Innsbruck, Innsbruck, Austria.ORCID http://orcid.org/0000-0003-0433-6196
Jae H KimDepartment of Pediatrics, Perinatal Institute, Division of Neonatology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0001-6321-2594
Richard J SchanlerDepartment of Pediatrics, Neonatal Perinatal Medicine, Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY, USA.
Keli M HawthorneDepartment of Pediatrics, Dell Medical School, University of Texas at Austin, Austin, TX, USA.
Elena ItriagoDepartment of Pediatrics, Division of Neonatology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Steven A AbramsDepartment of Pediatrics, Dell Medical School, University of Texas at Austin, Austin, TX, USA.ORCID http://orcid.org/0000-0003-4972-9233
Cynthia L BlancoDepartment of Pediatrics, University of Texas Health Science Center, San Antonio, TX, USA.ORCID http://orcid.org/0000-0001-7496-8709
Baylor College of Medicine · USThe University of Texas at Austin · USCincinnati Children's Hospital Medical Center · USHofstra University · USInnsbruck Medical University · ATRush University Medical Center · USThe University of Texas Health Science Center at San Antonio · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this multi-center study was to compare, in infants ≤1250 g birth weight (BW) with neurodevelopmental assessment at 18-22 months of corrected age (CA), whether their neurodevelopmental outcomes differed based on exposure to an exclusive human milk-based (HUM) or to a bovine milk-based fortifier and/or preterm formula (BOV). STUDY

designRetrospective multi-center cohort study of infants undergoing neurodevelopmental assessment as to whether HUM or BOV exposure related to differences in outcomes of infants at 18-22 months CA, using the Bayley Scales of Infant Development III (BSID-III). BSID-III cognitive, language, and motor scores were adjusted for BW, sex, study site, and necrotizing enterocolitis.

results252 infants from 6 centers were included. BSID-III cognitive scores were higher in the HUM group (96.5 ± 15.1 vs 89.6 ± 14.1, adjusted p = 0.0001). Mean BSID-III language scores were 85.5 ± 15.0 in HUM and 82.2 ± 14.1 in BOV (adjusted p = 0.09). Mean BSID-III motor scores were 92.9 ± 11.7 in HUM and 91.4 ± 14.6 in BOV (adjusted p = 0.32).

conclusionIn this cohort of infants undergoing neurodevelopmental assessment, infants receiving HUM diet had significantly higher cognitive BSID-III scores at 18-22 months CA. Further investigation is needed of this potential for HUM to positively influence infant cognitive outcomes.

Indexed as

Enterocolitis, NecrotizingMilk, HumanBirth WeightChildCohort StudiesDietHumansInfantInfant, Extremely PrematureInfant, NewbornInfant, Very Low Birth Weight

Identifiers

PMID36171356
PMCPMC9616714
OpenAlexW4297539439

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.