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Factors Influencing the Composition of Human Milk

Completed
Conditions
Breast Milk Collection
Interventions
Device: Analysis of human milk composition by mid-infrared spectrophotometry
Registration Number
NCT04382989
Lead Sponsor
Vilnius University
Brief Summary

This study aims for characterization of different maternal, infant and environmental factors (e.g. maternal age, pregnancy duration, lactation period, baby gender, circadian rhythm, Holder pasteurisation, etc.) that influence human milk composition.

Detailed Description

The study consists of three parts. In the first part the investigators aim to evaluate human milk macronutrient composition depending on the time after delivery and pregnancy duration.

In the second part the investigators aim to evaluate the circadian variation of human milk macronutrient and energy content depending on pregnancy duration.

In the third part the investigators aim to evaluate the influence of Holder pasteurisation on human milk macronutrient, metabolome and bioactive protein (lysozyme and lactoferrin) content.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
174
Inclusion Criteria

having obtained informed consent; after a single-birth pregnancy; women who were not on a special diet; lactating mothers who could not breastfeed their newborns due to the baby's medical condition (either prematurity or disease) but who expressed milk.

Exclusion Criteria

breastfeeding mothers; history of maternal diabetes, hepatitis B or C, HIV, tuberculosis, mastitis, or oncological disease; drug addicted.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Mothers of term infantsAnalysis of human milk composition by mid-infrared spectrophotometry(gestational age ≥ 37 weeks)
Mothers of moderate and late preterm infantsAnalysis of human milk composition by mid-infrared spectrophotometry(gestational age 32 - 36 weeks)
Mothers of extremely preterm infantsAnalysis of human milk composition by mid-infrared spectrophotometry(gestational age \< 28 weeks)
Mothers of very preterm infantsAnalysis of human milk composition by mid-infrared spectrophotometry(gestational age 28 - 31 weeks)
Primary Outcome Measures
NameTimeMethod
Quantification of total protein concentration in human milkfrom the 2nd week, up to 2 months after delivery

Mid-infrared spectrophotometry

Secondary Outcome Measures
NameTimeMethod
Quantification of lysozyme in human milk14-16 days after delivery

An immune-enzymatic ELISA assay

Quantification of lactoferrin in human milk14-16 days after delivery

An immune-enzymatic ELISA assay

Quantification of total lipids and carbohydrate in human milkfrom the 2nd week, up to 2 months after delivery

Mid-infrared spectrophotometry

Human milk metabolome analysis15-17 days after delivery

Nuclear Magnetic Resonance (NMR) analysis

Trial Locations

Locations (1)

Neonatal centre of Vilnius University Hospital Santaros Klinikos

🇱🇹

Vilnius, Lithuania

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