Serum phenylalanine in preterm newborns fed different diets of human milk

Objective: To evaluate phenylalanine plasma profile in preterm newborns fed different human milk diets. Methods: Twenty‐four very‐low weight preterm newborns were distributed randomly in three groups with different feeding types: Group I: banked human milk plus 5% commercial fortifier with bovine pr...

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Bibliographic Details
Main Authors: Débora M. Thomaz, Paula O. Serafin, Durval B. Palhares, Luciana V.M. Tavares, Thayana R.S. Grance
Format: Article
Language:Portuguese
Published: Brazilian Society of Pediatrics 2014-09-01
Series:Jornal de Pediatria (Versão em Português)
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Online Access:http://www.sciencedirect.com/science/article/pii/S2255553614000949
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Summary:Objective: To evaluate phenylalanine plasma profile in preterm newborns fed different human milk diets. Methods: Twenty‐four very‐low weight preterm newborns were distributed randomly in three groups with different feeding types: Group I: banked human milk plus 5% commercial fortifier with bovine protein, Group II: banked human milk plus evaporated fortifier derived from modified human milk, Group III: banked human milk plus lyophilized fortifier derived from modified human milk. The newborns received the group diet when full diet was attained at 15 ± 2 days. Plasma amino acid analysis was performed on the first and last day of feeding. Comparison among groups was performed by statistical tests: one way ANOVA with Tukey's post‐test using SPSS software, version 20.0 (IBM Corp, NY, USA), considering a significance level of 5%. Results: Phenylalanine levels in the first and second analysis were, respectively, in Group I: 11.9 ± 1.22 and 29.72 ± 0.73; in Group II: 11.72 ± 1.04 and 13.44 ± 0.61; and in Group III: 11.3 ± 1.18 and 15.42 ± 0.83 μmol/L. Conclusion: The observed results demonstrated that human milk with fortifiers derived from human milk acted as a good substratum for preterm infant feeding both in the evaporated or the lyophilized form, without significant increases in plasma phenylalanine levels in comparison to human milk with commercial fortifier.
ISSN:2255-5536