Evidence map›Paper›PMID 40962822›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

Distinct gastroesophageal reflux characteristics in preterm-born infants fed human milk versus formula: insights for clinical practice on outcomes.

Erika K Osborn, Zakia Sultana, Faith Bala, Enas Alshaikh, Sudarshan R Jadcherla

Abstract readComparative Study
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Erika K OsbornInnovative Infant Feeding Disorders Research Program, Nationwide Children's Hospital, Columbus, OH, USA.ORCID http://orcid.org/0000-0002-1027-5433
Zakia SultanaInnovative Infant Feeding Disorders Research Program, Nationwide Children's Hospital, Columbus, OH, USA.
Faith BalaInnovative Infant Feeding Disorders Research Program, Nationwide Children's Hospital, Columbus, OH, USA.
Enas AlshaikhInnovative Infant Feeding Disorders Research Program, Nationwide Children's Hospital, Columbus, OH, USA.
Sudarshan R JadcherlaInnovative Infant Feeding Disorders Research Program, Nationwide Children's Hospital, Columbus, OH, USA. Sudarshan.Jadcherla@nationwidechildrens.org.ORCID http://orcid.org/0000-0002-9007-8850

Funding

The OSU Center for Clinical and Translational Science: Advancing Today's Discoveries to Improve HealthUL1TR002733 · NCATS · OHIO STATE UNIVERSITY · PI RINGEL, MATTHEW D · 2018 to 2022
$28.9M
Pathophysiology of Aerodigestive Reflexes in InfantsR01DK068158 · NIDDK · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI JADCHERLA, SUDARSHAN R · 2006 to 2016
$3.7M
Pathophysiological Evidence Driven Management of GERD in Neonatal ICU Infants: Randomized Controlled TrialR01DK136762 · NIDDK · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI Sudarshan R Jadcherla · 2023 to 2026
$2.6M
Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) R01 DK 068158NCATS NIH HHS UL1 TR002733NIDDK NIH HHS R01 DK068158NIDDK NIH HHS R01 DK136762U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS) UL1TR002733
6 · The paper itself

Abstract

objectiveTo compare the characteristics of gastroesophageal reflux (GER) and clinical outcomes among human milk-fed vs. formula-fed infants evaluated for GER disease (GERD).

methodsPreterm-born infants (N = 316, 30.1 ± 3.4 weeks gestation) referred for 24-h pH-impedance testing at 39.8 ± 1.4 weeks postmenstrual age. GER characteristics, short- and long-term outcomes were compared between the human milk- vs. formula-fed infants.

resultsHuman milk-fed infants (vs. formula-fed) had a greater acid reflux index (ARI), and an increased number of acid reflux events, prolonged acid events, and greater proximal acid exposure (P < 0.05). There were no differences (P > 0.05) in symptoms, acid clearance, bolus clearance, distal baseline impedance, and discharge outcomes. Bayley composite scores at 2 years were distinct (P < 0.05) for the distribution (%) of receptive and fine motor skills, favoring human milk-fed infants.

conclusionsDespite the pathophysiology caused by acid-GER events, human milk properties may provide better adaptation and modulation of neurosensory and neuromotor responses upon esophageal provocation.

Indexed as

Gastroesophageal RefluxInfant FormulaInfant, Premature, DiseasesMilk, HumanElectric ImpedanceEsophageal pH MonitoringFemaleGestational AgeHumansInfantInfant, NewbornInfant, PrematureMale

Identifiers

PMID40962822
PMCPMC12716997

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Registered trials

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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.