奶瓶巴氏灭菌和分析前处理技术对供人乳中脂肪浓度的影响:范围审查

IF 8 1区 医学 Q1 NUTRITION & DIETETICS
Autumn Davis, Maryanne T Perrin
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引用次数: 0

摘要

背景供体人乳(DHM)是高危婴儿(如早产儿和低体重儿)的重要营养来源。Holder 巴氏灭菌法是 DHM 加工过程中的一个常见步骤,已知会部分改变 DHM 的成分;但其对脂肪成分的影响历来不一致。对匹配的生奶(对照组)和经 Holder 巴氏灭菌处理的人奶样本进行比较,并测量总脂质、胆固醇和单类脂肪酸的文章均被收录。文章由两名独立审稿人进行审阅和筛选。结果检索结果显示,1978 年至 2022 年间共发表了 26 篇经同行评审的原创研究文章。不同研究的总体方法差异很大。如果研究方法中描述了收集生奶的任何混合方法,6 项研究中有 1 项(17%)报告了巴氏杀菌后总脂肪浓度的微小变化(<5%)。结论本综述表明,有关 Holder 巴氏杀菌法对脂肪影响的研究结果不一致,可能与研究方法有关,特别是分析前的样品混合。有必要开展更多研究,考虑分析前处理程序和方法的作用,以帮助澄清 Holder 巴氏灭菌法对母乳成分的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of Holder Pasteurization and Preanalytical Handling Techniques on Fat Concentration in Donor Human Milk: A Scoping Review

Background

Donor human milk (DHM) is an essential source of nutrition among high-risk infants (e.g., premature and low-birth weight). Holder pasteurization, a common step in DHM processing, is known to partially alter the composition of DHM; however, the impact on fat composition is historically inconsistent.

Objectives

This scoping review aimed to broadly review the literature on the impact of Holder pasteurization on the fat content in DHM, with a focus on preanalytical sample mixing.

Methods

A systematic search of original, peer-reviewed research articles was conducted on 11 July, 2022. Articles were included if they compared matched raw (control) and Holder-pasteurized human milk samples and measured total lipids, cholesterol, and individual classes of fatty acids. Article review and selection was conducted by 2 independent reviewers.

Results

The search yielded 26 original, peer-reviewed research articles published between 1978 and 2022. Overall methodology varied considerably between studies. When study methods described any mixing for collecting raw milk, 1 (17%) of the 6 of studies reported a small change in total fat concentration following pasteurization (<5%). Alternatively, among studies that did not describe methods for mixing raw milk to ensure a representative sample, 10 (56%) of the 18 reported a significant change (≥± 5%) in total fat concentration, with changes ranging from −28.6% to +19.4%.

Conclusions

This review suggests that inconsistent findings regarding the impact of Holder pasteurization on fat may be related to study methodologies, particularly preanalytical sample mixing. More research considering the role of preanalytical handling procedures and methodologies is necessary to help clarify the impact of Holder pasteurization on human milk composition.

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来源期刊
Advances in Nutrition
Advances in Nutrition 医学-营养学
CiteScore
17.40
自引率
2.20%
发文量
117
审稿时长
56 days
期刊介绍: Advances in Nutrition (AN/Adv Nutr) publishes focused reviews on pivotal findings and recent research across all domains relevant to nutritional scientists and biomedical researchers. This encompasses nutrition-related research spanning biochemical, molecular, and genetic studies using experimental animal models, domestic animals, and human subjects. The journal also emphasizes clinical nutrition, epidemiology and public health, and nutrition education. Review articles concentrate on recent progress rather than broad historical developments. In addition to review articles, AN includes Perspectives, Letters to the Editor, and supplements. Supplement proposals require pre-approval by the editor before submission. The journal features reports and position papers from the American Society for Nutrition, summaries of major government and foundation reports, and Nutrient Information briefs providing crucial details about dietary requirements, food sources, deficiencies, and other essential nutrient information. All submissions with scientific content undergo peer review by the Editors or their designees prior to acceptance for publication.
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