Evidence map›Paper›PMID 38658693›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2024

Human milk derived fortifiers are associated with glucose, phosphorus, and calcium derangements.

Danielle Ackley, Jiamin Yin, Carl D'Angio, Jeffrey Meyers, Bridget Young

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Impact of fortifiers on donor milk nutrient composition: An experimental study.JPEN. Journal of parenteral and enteral nutrition · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Danielle AckleyDivision of Neonatology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA. danielle_ackley@urmc.rochester.edu.ORCID 0000-0001-7461-5938
Jiamin YinDepartment of Pediatrics, Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.ORCID 0009-0000-6079-2052
Carl D'AngioDivision of Neonatology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Jeffrey MeyersDivision of Neonatology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Bridget YoungDivision of Breastfeeding & Lactation Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.ORCID 0000-0002-3257-8179
University of Rochester · USUniversity of Rochester Medical Center · US

Funding

The University of Rochester's Clinical and Translational Science InstituteUL1TR002001 · NCATS · UNIVERSITY OF ROCHESTER · PI WILSON, KAREN M., ZAND, MARTIN S · 2016 to 2024
$34.6M
Developmental Infant Effects of Exposure to High Doses of Oral Insulin in Human Milk (HM)R03DK131219 · NIDDK · UNIVERSITY OF ROCHESTER · PI YOUNG, BRIDGET VICTORIA · 2022 to 2023
$231k
NCATS NIH HHS UL1 TR002001NIDDK NIH HHS R03 DK131219
6 · The paper itself

Abstract

objectiveIn 2017, our Level IV NICU switched from providing bovine-derived (BOV-fort) to human milk-derived fortifiers (HM-fort) and donor human milk (DHM) to premature infants born ≤ 30 weeks or ≤1250 g. Following this change, providers anecdotally observed increased hypoglycemia, hypercalcemia, and hyperphosphatemia. This study investigated potential laboratory differences between infants fed Bovine vs. Human milk derived fortifier.

methodsLab measurements from 402 infants (232 BOV-fort, 170 HM-fort) born between 2015 and 2019 were compared between groups.

resultsThe proportion of infants ever having a blood glucose ≤ 45 mg/dL (p < 0.0001) was higher in the HM-fort group. The proportion of infants ever experiencing a phosphorus > 8.0 mg/dL were higher in the HM-fort group (p < 0.0001). The proportion of infants ever experiencing calcium > 11.4 mg/dL was higher in the HM-Fort group (p = 0.019).

conclusionsProvision of HM-Fort and DHM to extremely premature infants is associated with metabolic derangements.

Indexed as

Blood GlucoseCalciumHypercalcemiaHypoglycemiaMilk, HumanPhosphorusAnimalsCattleFemaleFood, FortifiedHumansHyperphosphatemiaInfant, Extremely PrematureInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalBlood GlucoseCalciumPhosphorus

Identifiers

PMID38658693
OpenAlexW4395069406

What OpenQuestion holds

Textmetadata
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.