1. Human milk derived fortifiers are associated with glucose, phosphorus, and calcium derangements.
- Author
-
Ackley D, Yin J, D'Angio C, Meyers J, and Young B
- Subjects
- Humans, Infant, Newborn, Female, Male, Animals, Food, Fortified, Cattle, Infant, Extremely Premature blood, Hyperphosphatemia etiology, Intensive Care Units, Neonatal, Retrospective Studies, Milk, Infant, Premature, Milk, Human chemistry, Phosphorus blood, Blood Glucose analysis, Calcium blood, Hypercalcemia blood, Hypoglycemia
- Abstract
Objective: In 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., Methods: Lab measurements from 402 infants (232 BOV-fort, 170 HM-fort) born between 2015 and 2019 were compared between groups., Results: The 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)., Conclusions: Provision of HM-Fort and DHM to extremely premature infants is associated with metabolic derangements., (© 2024. The Author(s), under exclusive licence to Springer Nature America, Inc.)
- Published
- 2024
- Full Text
- View/download PDF