Factors Influencing Breast Milk Fat Loss during Administration in the Neonatal Intensive Care Unit
The objective of this study was to investigate factors influencing fat loss during tube feeding of breast milk to preterm infants. An experimental study with 81 feeding simulations was performed, with nine continuous infusions in each of six modalities: Horizontal Higher, Horizontal Matched, Horizon...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-06-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/13/6/1939 |
| _version_ | 1797531304348090368 |
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| author | Mattias Paulsson Lena Jacobsson Fredrik Ahlsson |
| author_facet | Mattias Paulsson Lena Jacobsson Fredrik Ahlsson |
| author_sort | Mattias Paulsson |
| collection | DOAJ |
| description | The objective of this study was to investigate factors influencing fat loss during tube feeding of breast milk to preterm infants. An experimental study with 81 feeding simulations was performed, with nine continuous infusions in each of six modalities: Horizontal Higher, Horizontal Matched, Horizontal Lower, Tilted Higher, Tilted Matched, and Tilted Lower, and for comparison, 27 bolus feedings: nine flushed with air, nine with water, and nine that were not flushed, done at matched height. Each simulation utilized 16 mL of breast milk given over four hours. Continuous infusions were given with a flow rate of 4 mL/h. Bolus was given as 8 mL over the course of 15–20 min every other hour. Analysis for fat, true protein, carbohydrate, total solids, and energy was performed before and after each simulation. The percent of macronutrient loss was compared between all simulations. Continuous infusion resulted in an average fat loss of 40%. Bolus feedings resulted in an average fat loss of 11% (<i>p</i> ≤ 0.001). Considerable fat loss is seen during continuous tube feeding. Neither height in relation to the infant nor tilting of the pump reduce fat loss. To limit fat loss, the bolus feeding method should be utilized. |
| first_indexed | 2024-03-10T10:41:52Z |
| format | Article |
| id | doaj.art-4dda80334d7a4b8392508ac09c8bf020 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T10:41:52Z |
| publishDate | 2021-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-4dda80334d7a4b8392508ac09c8bf0202023-11-21T22:54:27ZengMDPI AGNutrients2072-66432021-06-01136193910.3390/nu13061939Factors Influencing Breast Milk Fat Loss during Administration in the Neonatal Intensive Care UnitMattias Paulsson0Lena Jacobsson1Fredrik Ahlsson2Department of Children’s and Women’s Health, Uppsala University Hospital, SE 751 85 Uppsala, SwedenDepartment of Children’s and Women’s Health, Uppsala University Hospital, SE 751 85 Uppsala, SwedenDepartment of Children’s and Women’s Health, Uppsala University Hospital, SE 751 85 Uppsala, SwedenThe objective of this study was to investigate factors influencing fat loss during tube feeding of breast milk to preterm infants. An experimental study with 81 feeding simulations was performed, with nine continuous infusions in each of six modalities: Horizontal Higher, Horizontal Matched, Horizontal Lower, Tilted Higher, Tilted Matched, and Tilted Lower, and for comparison, 27 bolus feedings: nine flushed with air, nine with water, and nine that were not flushed, done at matched height. Each simulation utilized 16 mL of breast milk given over four hours. Continuous infusions were given with a flow rate of 4 mL/h. Bolus was given as 8 mL over the course of 15–20 min every other hour. Analysis for fat, true protein, carbohydrate, total solids, and energy was performed before and after each simulation. The percent of macronutrient loss was compared between all simulations. Continuous infusion resulted in an average fat loss of 40%. Bolus feedings resulted in an average fat loss of 11% (<i>p</i> ≤ 0.001). Considerable fat loss is seen during continuous tube feeding. Neither height in relation to the infant nor tilting of the pump reduce fat loss. To limit fat loss, the bolus feeding method should be utilized.https://www.mdpi.com/2072-6643/13/6/1939bolus feedingbreast milkcontinuous feedingfat losstube feeding |
| spellingShingle | Mattias Paulsson Lena Jacobsson Fredrik Ahlsson Factors Influencing Breast Milk Fat Loss during Administration in the Neonatal Intensive Care Unit Nutrients bolus feeding breast milk continuous feeding fat loss tube feeding |
| title | Factors Influencing Breast Milk Fat Loss during Administration in the Neonatal Intensive Care Unit |
| title_full | Factors Influencing Breast Milk Fat Loss during Administration in the Neonatal Intensive Care Unit |
| title_fullStr | Factors Influencing Breast Milk Fat Loss during Administration in the Neonatal Intensive Care Unit |
| title_full_unstemmed | Factors Influencing Breast Milk Fat Loss during Administration in the Neonatal Intensive Care Unit |
| title_short | Factors Influencing Breast Milk Fat Loss during Administration in the Neonatal Intensive Care Unit |
| title_sort | factors influencing breast milk fat loss during administration in the neonatal intensive care unit |
| topic | bolus feeding breast milk continuous feeding fat loss tube feeding |
| url | https://www.mdpi.com/2072-6643/13/6/1939 |
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