COMPARISON OF OWN MOTHER'S MILK (OMM) WITH THREE FORMULAS IN NUTRITION OF VERY LOW BIRTHWEIGHT (VLBW) INFANTS

Abstract

VLBW infants <1600g at birth were fed OMM if available or randomly assigned to 3 formula groups: A (2.4g protein/100 kcal, whey 60%); B (3.3g protein/100 kcal, whey 18%); C ("Premature formula"; 2.9g protein/100 kcal, whey 70%; 50% fat as MCT; 25% carbohydrate as glucose). All groups of infants were fed at 120 kcal/kg/day. Growth data were calculated from achieving >100 kcal/kg/day to 2000g or 5 wks on the study. Data are means ± SD.

Groups A and B had greater base deficits than groups C and OMM while B had higher urea values compared with other groups. OMM had lower phosphate values than all other groups and higher alkaline phosphatase values than C. Group C had lower phenylalanine values than other groups while group B had higher tyrosine values than other groups, though only one infant was outside the normal range. Thus those on premature formula had best growth parameters with no evident biochemical problems.

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