Influence of own mother's milk and different proportions of formula on intestinal microbiota of very preterm newborns

To determine the differences in preterm infants' stool microbiota considering the use of exclusive own mother's milk and formula in different proportions in the first 28 days of life. The study included newborns with GA ≤ 32 weeks divided in 5 group according the feeding regimen: 7 exclusi...

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Veröffentlicht in:PloS one 2019-05, Vol.14 (5), p.e0217296-e0217296
Hauptverfasser: Zanella, Adriana, Silveira, Rita C, Roesch, Luiz F W, Corso, Andréa L, Dobbler, Priscila T, Mai, Volker, Procianoy, Renato S
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Silveira, Rita C
Roesch, Luiz F W
Corso, Andréa L
Dobbler, Priscila T
Mai, Volker
Procianoy, Renato S
description To determine the differences in preterm infants' stool microbiota considering the use of exclusive own mother's milk and formula in different proportions in the first 28 days of life. The study included newborns with GA ≤ 32 weeks divided in 5 group according the feeding regimen: 7 exclusive own mother's milk, 8 exclusive preterm formula, 16 mixed feeding with >70% own mother's milk, 16 mixed feeding with >70% preterm formula, and 15 mixed 50% own mother's milk and preterm formula. Exclusion criteria: congenital infections, congenital malformations and newborns of drug addicted mothers. Stools were collected weekly during the first 28 days. Microbial DNA extraction, 16S rRNA amplification and sequencing were performed. All groups were similar in perinatal and neonatal data. There were significant differences in microbial community among treatments. Approximately 37% of the variation in distance between microbial communities was explained by use of exclusive own mother´s milk only compared to other diets. The diet composed by exclusive own mother´s milk allowed for greater microbial richness (average of 85 OTUs) while diets based on preferably formula, exclusive formula, preferably maternal milk, and mixed of formula and maternal milk presented an average of 9, 29, 23, and 25 OTUs respectively. The mean proportion of the genus Escherichia and Clostridium was always greater in those containing formula than in the those with maternal milk only. Fecal microbiota in the neonatal period of preterm infants fed with exclusive own mother's milk presented increased richness and differences in microbial composition from those fed with different proportions of formula.
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The study included newborns with GA ≤ 32 weeks divided in 5 group according the feeding regimen: 7 exclusive own mother's milk, 8 exclusive preterm formula, 16 mixed feeding with &gt;70% own mother's milk, 16 mixed feeding with &gt;70% preterm formula, and 15 mixed 50% own mother's milk and preterm formula. Exclusion criteria: congenital infections, congenital malformations and newborns of drug addicted mothers. Stools were collected weekly during the first 28 days. Microbial DNA extraction, 16S rRNA amplification and sequencing were performed. All groups were similar in perinatal and neonatal data. There were significant differences in microbial community among treatments. Approximately 37% of the variation in distance between microbial communities was explained by use of exclusive own mother´s milk only compared to other diets. 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subjects Age
Antibiotics
Babies
Biology and Life Sciences
Birth defects
Birth weight
Breast milk
Breastfeeding & lactation
Comparative analysis
Congenital defects
Deoxyribonucleic acid
Diet
DNA
DNA sequencing
Drug abusers
Fecal microflora
Feeding
Female
Food and nutrition
Gastrointestinal Microbiome - genetics
Gene sequencing
Genetic testing
Health aspects
Hospitals
Humans
Infant Formula
Infant formulas
Infant Nutritional Physiological Phenomena
Infant, Extremely Premature
Infant, Newborn
Infants
Infection
Influence
Intestinal microflora
Intestine
Medicine and Health Sciences
Microbial activity
Microbiota
Microbiota (Symbiotic organisms)
Microorganisms
Milk
Milk, Human
Mothers
Neonates
Neonatology
Newborn babies
Newborn infants
Pathogens
People and Places
Physiological aspects
Pregnancy
Premature infants
RNA
RNA, Ribosomal, 16S - genetics
rRNA 16S
Systematic review
title Influence of own mother's milk and different proportions of formula on intestinal microbiota of very preterm newborns
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