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- W2149248745 abstract "In this issue of Jornal de Pediatria Tanaka et al. publish results of their detailed study to assess influence of fortification of banked human breast milk feeding on urinary fractional excretion of sodium specific gravity and osmolality. To our knowledge no study in very low birth weight infants to date has examined strict sodium balance in this premature population first achieving postnatal growth with enteric feeding of human breast milk. The authors assume and I think correctly that human breast milk is best nutritional resource for feeding premature human babies. However some controversy still exists regarding efficacy of human milk fortifier [in this study FM85 (Nestle) at 5 g per 100 mL of breast milk providing an additional supply of 1 g of protein 3.4 g of carbohydrates 20 mg of sodium 75 mg of calcium and 45 mg of phosphorus]. While bone mineral content may be increased to values comparable to those in term infants with fortification follow-up at 44 weeks postconceptional age was not affected by previous mineral supplementation. Indeed Tanaka et al. state in their discussion the parameters evaluated are basically restricted to calcium phosphorus alkaline phosphatase and urea. Rarely is serum sodium evaluated. And their own data do not demonstrate significantly enhanced growth rates resulting from breast milk fortification nor did they propose to evaluate bone mineralization as result of breast milk fortification. (excerpt)" @default.
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- W2149248745 date "2006-10-02" @default.
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- W2149248745 title "Sodium intake in very low birth weight infants: is more always better?" @default.
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- W2149248745 doi "https://doi.org/10.2223/jped.1537" @default.
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