Associations of human milk lactoferrin with measures of physical growth in very preterm infants
摘要
To determine associations of human milk lactoferrin concentrations with growth outcomes in very preterm infants.
Study designIn 63 infants <32 weeks’ gestation, human milk samples on days 14 and 28 were analyzed for lactoferrin using electrochemiluminescence multiplex immunoassay, and values were averaged to generate mean concentrations. Anthropometry and body composition were measured at term-corrected age. Median regression was used to test median differences in outcomes across tertiles of mean human milk lactoferrin levels [lowest (0.06–0.13 mg/mL) vs. middle (0.14–0.22 mg/mL) and highest (>0.22 mg/mL)].
ResultsCompared to infants in the lowest tertile of human milk lactoferrin concentration, those in the highest tertile had greater head circumference z-score (β = 0.81 z-scores per mg/mL; 95% CI = 0.2, 1.4). There were no other differences between groups.
ConclusionHuman milk lactoferrin concentrations were positively associated with head circumference z-scores during hospitalization. Future studies should examine the safety/utility of lactoferrin supplementation to optimize head growth.