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  • Original Article
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Human milk macronutrient analysis using point-of-care near-infrared spectrophotometry

Abstract

Objective:

To demonstrate that the real-time nutritional analysis of human milk carbohydrate, fat and protein with near-infrared (NIR) spectrophotometric methods is accurate.

Study Design:

A prospective study of the measurement of the macronutrient content of human milk. Milk was first analyzed on the SpectraStar 2400 Near Infrared Analyzer (Unity Scientific, Columbia, MD, USA), and then sent for primary chemical analysis for fat, protein and carbohydrate. Forty-two samples were used to create a calibration file. Ten samples were then used to validate the machine.

Result:

After logistic regression analysis, the validation set had a correlation (r2) of 0.91 for carbohydrates, 0.95 for fat and 0.95 for protein.

Conclusion:

This study demonstrates the feasibility of the use of NIR for nutrient analysis of human milk. NIR offers the potential for analysis and adjustable fortification of human milk to optimize nutrient intake for the high-risk neonate.

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References

  1. Ehrenkranz RA, Younes N, Lemons JA, Fanaroff AA, Donovan EF, Wright LL et al. Longitudinal growth of hospitalized very low birth weight infants. Pediatrics 1999; 104 (2 part 1): 280–289.

    Article  CAS  Google Scholar 

  2. Lemons JA, Bauer CR, Oh W, Korones SB, Papile LA, Stoll BJ et al. Very low birth weight outcomes of the National Institute of Child health and human development neonatal research network, January 1995 through December 1996. NICHD Neonatal Research Network. Pediatrics 2001; 107 (1): E1.

    Article  CAS  Google Scholar 

  3. Ehrenkranz RA, Dusick AM, Vohr BR, Wright LL, Wrage LA, Poole WK . Growth in the neonatal intensive care unit influences neurodevelopmental and growth outcomes of extremely low birth weight infants. Pediatrics 2006; 117 (4): 1253–1261.

    Article  Google Scholar 

  4. Lucas A, Cole TJ . Breast milk and neonatal necrotising enterocolitis. Lancet 1990; 336 (8730): 1519–1523.

    Article  CAS  Google Scholar 

  5. Lucas A, Morley R, Cole TJ . Randomised trial of early diet in preterm babies and later intelligence quotient. BMJ 1998; 317 (7171): 1481–1487.

    Article  CAS  Google Scholar 

  6. Lucas A, Morley R, Cole TJ, Gore SM, Lucas PJ, Crowle P et al. Early diet in preterm babies and developmental status at 18 months. Lancet 1990; 335 (8704): 1477–1481.

    Article  CAS  Google Scholar 

  7. O’Connor DL, Jacobs J, Hall R, Adamkin D, Auestad N, Castillo M et al. Growth and development of premature infants fed predominantly human milk, predominantly premature infant formula, or a combination of human milk and premature formula. J Pediatr Gastroenterol Nutr 2003; 37 (4): 437–446.

    Article  Google Scholar 

  8. Vohr BR, Poindexter BB, Dusick AM, McKinley LT, Higgins RD, Langer JC et al. Persistent beneficial effects of breast milk ingested in the neonatal intensive care unit on outcomes of extremely low birth weight infants at 30 months of age. Pediatrics 2007; 120 (4): e953–e959.

    Article  Google Scholar 

  9. Anderson JW, Johnstone BM, Remley DT . Breast-feeding and cognitive development: a meta-analysis. Am J Clin Nutr 1999; 70 (4): 525–535.

    Article  CAS  Google Scholar 

  10. Bier JA, Oliver T, Ferguson AE, Vohr BR . Human milk improves cognitive and motor development of premature infants during infancy. J Hum Lact 2002; 18 (4): 361–367.

    Article  Google Scholar 

  11. Blaymore Bier JA, Oliver T, Ferguson A, Vohr BR . Human milk reduces outpatient upper respiratory symptoms in premature infants during their first year of life. J Perinatol 2002; 22 (5): 354–359.

    Article  Google Scholar 

  12. Hylander MA, Strobino DM, Pezzullo JC, Dhanireddy R . Association of human milk feedings with a reduction in retinopathy of prematurity among very low birthweight infants. J Perinatol 2001; 21 (6): 356–362.

    Article  CAS  Google Scholar 

  13. Lucas A, Morley R, Cole TJ, Gore SM . A randomised multicentre study of human milk versus formula and later development in preterm infants. Arch Dis Child Fetal Neonatal Ed 1994; 70 (2): F141–F146.

    Article  CAS  Google Scholar 

  14. McGuire W, Anthony MY . Donor human milk versus formula for preventing necrotising enterocolitis in preterm infants: systematic review. Arch Dis Child Fetal Neonatal Ed 2003; 88 (1): F11–F14.

    Article  CAS  Google Scholar 

  15. Schanler RJ, Shulman RJ, Lau C . Feeding strategies for premature infants: beneficial outcomes of feeding fortified human milk versus preterm formula. Pediatrics 1999; 103 (6 part 1): 1150–1157.

    Article  CAS  Google Scholar 

  16. Anderson GH, Atkinson SA, Bryan MH . Energy and macronutrient content of human milk during early lactation from mothers giving birth prematurely and at term. Am J Clin Nutr 1981; 34 (2): 258–265.

    Article  CAS  Google Scholar 

  17. Gross SJ, Geller J, Tomarelli RM . Composition of breast milk from mothers of preterm infants. Pediatrics 1981; 68 (4): 490–493.

    CAS  PubMed  Google Scholar 

  18. Weber A, Loui A, Jochum F, Buhrer C, Obladen M . Breast milk from mothers of very low birthweight infants: variability in fat and protein content. Acta Paediatr 2001; 90 (7): 772–775.

    Article  CAS  Google Scholar 

  19. Corvaglia L, Battistini B, Paoletti V, Aceti A, Capretti MG, Faldella G . Near-infrared reflectance analysis to evaluate the nitrogen and fat content of human milk in neonatal intensive care units. Arch Dis Child Fetal Neonatal Ed 2008; 93 (5): F372–F375.

    Article  CAS  Google Scholar 

  20. Meier PP, Engstrom JL, Zuleger JL, Motykowski JE, Vasan U, Meier WA et al. Accuracy of a user-friendly centrifuge for measuring creamatocrits on mothers’ milk in the clinical setting. Breastfeed Med 2006; 1 (2): 79–87.

    Article  Google Scholar 

  21. Michaelsen KF, Pedersen SB, Skafte L, Jaeger P, Peitersen B . Infrared analysis for determining macronutrients in human milk. J Pediatr Gastroenterol Nutr 1988; 7 (2): 229–235.

    Article  CAS  Google Scholar 

  22. Laporte MF, Paquin P . Near-infrared analysis of fat, protein, and casein in cow's milk. J Agric Food Chem 1999; 47 (7): 2600–2605.

    Article  CAS  Google Scholar 

  23. Sasic S, Ozaki Y . Short-wave near-infrared spectroscopy of biological fluids. 1. Quantitative analysis of fat, protein, and lactose in raw milk by partial least-squares regression and band assignment. Anal Chem 2001; 73 (1): 64–71.

    Article  CAS  Google Scholar 

  24. Tsenkova R, Atanassova S, Itoh K, Ozaki Y, Toyoda K . Near infrared spectroscopy for biomonitoring: cow milk composition measurement in a spectral region from 1,100 to 2,400 nanometers. J Anim Sci 2000; 78 (3): 515–522.

    Article  CAS  Google Scholar 

  25. Tsenkova R, Atanassova S, Kawano S, Toyoda K . Somatic cell count determination in cow's milk by near-infrared spectroscopy: a new diagnostic tool. J Anim Sci 2001; 79 (10): 2550–2557.

    Article  CAS  Google Scholar 

  26. Tsenkova R, Atanassova S, Toyoda K, Ozaki Y, Itoh K, Fearn T . Near-infrared spectroscopy for dairy management: measurement of unhomogenized milk composition. J Dairy Sci 1999; 82 (11): 2344–2351.

    Article  CAS  Google Scholar 

  27. Albanell E, Caceres P, Caja G, Molina E, Gargouri A . Determination of fat, protein, and total solids in ovine milk by near-infrared spectroscopy. J AOAC Int 1999; 82 (3): 753–758.

    CAS  PubMed  Google Scholar 

  28. Albanell E, Caja G, Such X, Rovai M, Salama AA, Casals R . Determination of fat, protein, casein, total solids, and somatic cell count in goat's milk by near-infrared reflectance spectroscopy. J AOAC Int 2003; 86 (4): 746–752.

    CAS  PubMed  Google Scholar 

  29. Zheng LM, Zhang LD, Guo HY, Pang K, Zhang WJ, Ren FZ . Optimizing spectral region in using near-infrared spectroscopy for donkey milk analysis. Guang Pu Xue Yu Guang Pu Fen Xi 2007; 27 (11): 2224–2227.

    CAS  PubMed  Google Scholar 

  30. Ziegler EE . Breast-milk fortification. Acta Paediatr 2001; 90 (7): 720–723.

    Article  CAS  Google Scholar 

  31. Polberger S, Raiha NC, Juvonen P, Moro GE, Minoli I, Warm A . Individualized protein fortification of human milk for preterm infants: comparison of ultrafiltrated human milk protein and a bovine whey fortifier. J Pediatr Gastroenterol Nutr 1999; 29 (3): 332–338.

    Article  CAS  Google Scholar 

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Acknowledgements

We thank all the dedicated mothers who participated in this study. We thank Thomas Brown (Unity Scientific) and Unity Scientific Inc. for assisting in creating the calibration file. This study was funded in part by a fellowship research grant from MedImmune, LLC.

Author contributions

All co-authors have read, approved and concurred with the submitted manuscript. All persons designated as authors who made substantial contributions to the conception and design, execution or analysis and interpretation of data were involved in the drafting of the manuscript, and approved the manuscript as submitted. None of the original material contained in the manuscript has been previously published nor is currently under review for publication elsewhere.

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Correspondence to J H Kim.

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Sauer, C., Kim, J. Human milk macronutrient analysis using point-of-care near-infrared spectrophotometry. J Perinatol 31, 339–343 (2011). https://doi.org/10.1038/jp.2010.123

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