Breast milk additives and infant formula
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Breast milk is recommended for very preterm infants but fortification is required to increase its nutrient density in order to promote growth and development. Even with fortification, those born extremely preterm and those who are fluid restricted may not achieve intrauterine growth targets. Thus, fortification beyond routine amounts may be necessary for some infants. Further study is necessary to determine optimal methods, types and amounts of fortification, as well as upper limits of osmolality, so as to ensure avoidance of feeding intolerance and necrotizing enterocolitis whilst achieving appropriate rate of weight gain and accretion of nutrients. The efficacy of new formulations of fortifiers and infant formulae needs further study.
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Folate status in Aboriginal people before and after mandatory fortification of flour for bread-making in AustraliaBower, C.; Maxwell, S.; Hickling, S.; D'Antoine, H.; O'Leary, Peter (2015)Background: Mandatory fortification of wheat flour for bread-making was introduced in Australia in September 2009, to assist in the prevention of neural tube defects (NTD). NTD are twice as common in Aboriginal compared ...
Comparing different methods of human breast milk fortification using measured v. assumed macronutrient composition to target reference growth: a randomised controlled trialMcLeod, G.; Sherriff, Jill; Hartmann, P.; Nathan, E.; Geddes, D.; Simmer, K. (2015)The variable content of human breast milk suggests that its routine fortification may result in sub-optimal nutritional intakes and growth. In a pragmatic trial, we randomised infants born below 30 weeks of gestation to ...
McLeod, Gemma; Sherriff, Jill; Nathan, Elizabeth; Hartmann, Peter; Simmer, Karen (2013)Aim: Preterm nutritional audits have previously been conducted using assumed milk composition. We audited protein and energy intakes in the first 28 days of preterm life using both assumed milk composition and milk analysis ...