Evidence map›Paper›PMID 40901284›Full record

ArticleFrontiers in nutrition2025

Enhanced versus standard fortification of pasteurized donor human milk for growth in very low birth weight infants: a randomized controlled trial.

Chengsi Ong, Anng Anng Wong, Siew Tin Wong, Ying Zheng, Cynthia Pui Chan Pang, Pooja Agarwal Jayagobi, Joo Guan Yeo, Kee Thai Yeo, Mei Chien Chua

Abstract read
In one paragraph

Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–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

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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. Article
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.

Chengsi OngDepartment of Nutrition and Dietetics, KK Women's and Children's Hospital, Singapore, Singapore.
Anng Anng WongKK Human Milk Bank, Singapore, Singapore.
Siew Tin WongKK Human Milk Bank, Singapore, Singapore.
Ying ZhengKK Human Milk Bank, Singapore, Singapore.
Cynthia Pui Chan PangKK Human Milk Bank, Singapore, Singapore.
Pooja Agarwal JayagobiKK Human Milk Bank, Singapore, Singapore.
Joo Guan YeoDuke-NUS Medical School, Singapore, Singapore.
Kee Thai YeoDepartment of Neonatology, KK Women's and Children's Hospital, Singapore, Singapore.
Mei Chien ChuaKK Human Milk Bank, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Very-low-birthweight (VLBW) infants on pasteurized donor human milk (PDHM) have poorer growth compared to infants on fortified mother's milk, suggesting that standard fortification methods for PDHM are inadequate. Methods: We designed a randomized controlled trial to determine whether an enhanced method of fortification (EF) improved growth in VLBW infants compared to standard fortification (SF). VLBW infants admitted to our tertiary-level neonatal intensive care unit were randomized to receive a bovine powdered human milk fortifier (HMF) added to PDHM (SF), or specially selected high-fat PDHM (fat concentration ≥3.8 g/dL) with bovine powdered HMF and a liquid protein fortifier providing an additional 0.67 g/dL protein (EF). Primary outcome was impaired weight gain defined as weight z-score drop of ≥0.8 from birth at 37 weeks or hospital discharge, whichever earlier. Secondary outcomes included change in length and head circumference (HC) z-scores from birth, requirement for high calorie formula, and rates of bronchopulmonary dysplasia (BPD) and retinopathy of prematurity (ROP). Results: A total of 61 infants were randomized (31 SF, 30 EF). Impaired weight gain was not significantly different (SF 83.9% vs. EF 73.3%, p = 0.347), with similar declines in weight z-scores from birth in both groups SF -1.27 [interquartile range (IQR) -1.71, -0.87] vs. EF -1.13 (IQR -1.46, -0.78), Conclusion: Among VLBW infants, EF did not improve weight gain, but reduced declines in HC and linear growth compared to SF.

Indexed as

donor breast milkfortificationgrowthpretermvery low birth weight

Identifiers

PMID40901284
PMCPMC12400863

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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.