ArticleJournal of perinatology : official journal of the California Perinatal Association2026
Macronutrient and bioactive profiles of donor milk differ in commercial vs non-profit milk banks.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveCharacterize variation of macronutrient and bioactive composition between levels of human milk-derived human milk fortifier (HM-HMF), and between donor human milk (DHM) from commercial vs non-profit banks. STUDY
designMacronutrients, Immunoglobulin A (IgA), and cortisol levels were measured in 10 lots of each HM-HMF product (20, 24, 26, 28, and 30 (n = 5) kcal/oz), including both "ready to feed" products and fortifiers reconstituted in donor milk.
resultsCaloric density, protein, fat, carbohydrate, and total IgA concentration generally increased with the level of HM-HMF labeled caloric density, while cortisol concentration did not. Protein concentration of DHM did not differ between commercial and non-profit milk banks. Carbohydrates, fat, calories, and cortisol were higher, and IgA was lower in DHM from a commercial milk bank. Lot-to-lot variability of all components, besides cortisol, was lower in commercial DHM.
conclusionMacronutrient composition and variability differ in DHM from commercial vs non-profit milk banks.
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