Clinical and laboratory observationFeeding premature infants banked human milk homogenized by ultrasonic treatment+
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Cited by (18)
The Impact of Homogenization on Donor Human Milk and Human Milk-Based Fortifiers and Implications for Preterm Infant Health
2022, Current Developments in NutritionStructural characteristics of triacylglycerols contribute to the distinct in vitro gastric digestibility of sheep and cow milk fat prior to and after homogenisation
2020, Food Research InternationalCitation Excerpt :Zhao et al. (2019) reported recently that the amounts of FAs released increased considerably during in vitro gastric digestion after homogenisation, especially for the MCFAs. Other clinical studies by Rayol, Martinez, Jorge, Goncalves, and Desai (1993), Thomaz, Goncalves, and Martinez (1999), and de Oliveira et al. (2017) showed that homogenised human milk with smaller globule size increased the gastric digestibility of human milk fat by infants. Other studies have shown that particle size is not the only factor influencing fat digestion; the structural changes at the surface of milk fat globule (MFG) of the processed milk can also affect the fat digestion of milk (Gallier et al., 2013, 2017; Garcia et al., 2014).
Impact of homogenization of pasteurized human milk on gastric digestion in the preterm infant: A randomized controlled trial
2017, Clinical Nutrition ESPENCitation Excerpt :In this context, fortification of human milk is considered as a strategy to ensure adequate postnatal growth rate [7], although this practice remains a source of debate [14–17]. Some authors have suggested the homogenization of banked-PHM as a strategy for improving fat absorption [20] and weight gain [21] in preterm infants fed with PHM. Homogenization fragments the native milk fat globule (MFG, mean diameter of 4 μm) in smaller and uniformly distributed lipid droplets (from 0.1 to 1 μm), and leads to an increase in the surface available for digestive enzymes adsorption [22].
The macronutrients in human milk change after storage in various containers
2012, Pediatrics and NeonatologyCitation Excerpt :The adherence of fat to the tubing system and walls of a bag has been reported in several studies and appears to be unavoidable.9,12,19,20 Ultrasonic homogenization can reduce fat loss during tube feeding21 and increase fat absorption in very low birth weight infants22,23 by decreasing clumping and reducing the size of the fat globules. Therefore, we can reasonably expect that the loss of fat content may be greater during regular processing at home where homogenization is not performed.
Effects of human milk homogenization on fat absorption in very low birth weight infants
1999, Nutrition Research
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Supported in part by the International Relations Program of the Natural Sciences and Engineering Research Council (NSERC) of Canada and by Conselho Nacional de Desenvolvimento Cientifico e Tecnológico (CNPq) of Brazil.