Evidence map›Paper›PMID 36357574›Full record

ArticlePediatric research2023

Effects of human milk on body composition and growth in very low birthweight infants.

Carina B Ramirez, Karli L McCoy, Rachel Jacob, Elizabeth Lavender, Krista Bonagurio, Diana Anzueto Guerra, Simon Karottakuttu, Jonathon Gelfond, Donald McCurnin, Cynthia L Blanco and 1 more

Open access · greenAbstract read
In one paragraph

Article in Pediatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 41% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

11 authors at 3 institutions in 1 country.

Carina B Ramirez *Department of Pediatrics, Division of Neonatology, University of Texas Health San Antonio, San Antonio, TX, USA. ramirezcb@uthscsa.edu.
Karli L McCoy *Department of Pediatrics, Division of Neonatology, University of Texas Health San Antonio, San Antonio, TX, USA.
Rachel JacobDepartment of Pediatrics, Division of Neonatology, University Health System, San Antonio, TX, USA.
Elizabeth LavenderDepartment of Pediatrics, Division of Neonatology, University Health System, San Antonio, TX, USA.
Krista BonagurioDepartment of Pediatrics, Division of Neonatology, University Health System, San Antonio, TX, USA.
Diana Anzueto GuerraDepartment of Pediatrics, Division of Neonatology, University of Texas Health San Antonio, San Antonio, TX, USA.
Simon KarottakuttuUniversity of Texas at San Antonio, San Antonio, TX, USA.
Jonathon GelfondDepartment of Epidemiology and Biostatistics, University of Texas Health San Antonio, San Antonio, TX, USA.
Donald McCurninDepartment of Pediatrics, Division of Neonatology, University of Texas Health San Antonio, San Antonio, TX, USA.
Cynthia L BlancoDepartment of Pediatrics, Division of Neonatology, University of Texas Health San Antonio, San Antonio, TX, USA.
Alvaro G MoreiraDepartment of Pediatrics, Division of Neonatology, University of Texas Health San Antonio, San Antonio, TX, USA.
University Health System · USThe University of Texas Health Science Center at San Antonio · USThe University of Texas at San Antonio · US

Funding

Genomic determinants of bronchopulmonary dysplasia development in humans and an animal modelK23HD101701 · NICHD · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI MOREIRA, ALVARO G · 2021 to 2024
$652k
NICHD NIH HHS K23 HD101701
6 · The paper itself

Abstract

objectiveTo compare body composition and growth in very low birthweight infants according to their source of human milk: maternal expressed breast milk (MEBM) versus donor breast milk (DBM). We hypothesized that infants fed predominately MEBM would exhibit reduced body fat percentage compared to those fed predominately DBM.

methodsPremature infants weighing ≤1500 g on an exclusive human milk diet were enrolled in a single-center study between 2017 and 2021. Demographic data and anthropometric measurements were collected. All infants underwent body composition analysis via dual energy x-ray absorptiometry at 36 weeks corrected post menstrual age.

resultsA total of 60 infants were enrolled and 48 were included in the primary analysis. No differences were detected in percent body fat (14 vs. 12%, p = 0.7) or fat-free mass (2050 vs. 2130 g, p = 0.7). Both groups displayed similar growth and anthropometric measurements. Caloric and macronutrient intake between groups was similar.

conclusionIn the cohort of patients studied, no differences were observed in percent body fat based on primary human milk type intake in the first 28 postnatal days. Further investigation is required in a larger population of exclusive human milk fed preterm infants to determine if body composition differences exist based on an infant's primary human milk source. IMPACT: Premature infants are at risk for altered body composition at term corrected age, specifically increased body fat percentage, which may have implications for the future. To our knowledge this is the first study exploring body composition outcomes based on an infant's primary human milk source. Infants fed exclusive human milk (e.g., donor vs. maternal) displayed similar percent body fat and growth outcomes.

Indexed as

Infant, PrematureMilk, HumanBody CompositionFemaleHumansInfantInfant, NewbornInfant Nutritional Physiological PhenomenaInfant, Very Low Birth Weight

Identifiers

PMID36357574
PMCPMC10169533
OpenAlexW4308713535

What OpenQuestion holds

Textmetadata
LicenceTDM
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.