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Milk osmolality: does it matter?

Milk osmolality: does it matter?
Milk osmolality: does it matter?

High osmolality of infant feed reflects a high concentration of solute particles and has been implicated as a cause of necrotising enterocolitis. Evidence for direct intestinal mucosal injury as a result of hyperosmolar feeds is scant, and no good evidence has been found to support such an association. High osmolality of enteral substrate may, however, slow down gastric emptying. Osmolality of current infant feeds ranges from around 300 mOsm/kg in human breast milk to just more than 400 mOsm/kg in fully fortified breast milk. Addition of mineral and vitamin supplements to small volumes of milk can increase osmolality significantly and should be avoided if possible.

1359-2998
F166-169
Pearson, Freya
1d52a3d9-8d84-481a-8274-81cbdccbc40a
Johnson, Mark J.
ce07b5dd-b12b-47df-a5df-cd3b9447c9ed
Leaf, Alison A.
380f75d8-ccbd-4538-a45a-c4912fd86fc3
Pearson, Freya
1d52a3d9-8d84-481a-8274-81cbdccbc40a
Johnson, Mark J.
ce07b5dd-b12b-47df-a5df-cd3b9447c9ed
Leaf, Alison A.
380f75d8-ccbd-4538-a45a-c4912fd86fc3

Pearson, Freya, Johnson, Mark J. and Leaf, Alison A. (2011) Milk osmolality: does it matter? Archives of Disease in Childhood - Fetal and Neonatal Edition, 98 (2), F166-169. (doi:10.1136/adc.2011.300492).

Record type: Review

Abstract

High osmolality of infant feed reflects a high concentration of solute particles and has been implicated as a cause of necrotising enterocolitis. Evidence for direct intestinal mucosal injury as a result of hyperosmolar feeds is scant, and no good evidence has been found to support such an association. High osmolality of enteral substrate may, however, slow down gastric emptying. Osmolality of current infant feeds ranges from around 300 mOsm/kg in human breast milk to just more than 400 mOsm/kg in fully fortified breast milk. Addition of mineral and vitamin supplements to small volumes of milk can increase osmolality significantly and should be avoided if possible.

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More information

Accepted/In Press date: 9 August 2011
Published date: 19 September 2011

Identifiers

Local EPrints ID: 479794
URI: http://eprints.soton.ac.uk/id/eprint/479794
ISSN: 1359-2998
PURE UUID: 06a3592e-690a-4120-9701-9a37ac77bd8c
ORCID for Mark J. Johnson: ORCID iD orcid.org/0000-0003-1829-9912

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Date deposited: 26 Jul 2023 17:04
Last modified: 17 Mar 2024 03:52

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Contributors

Author: Freya Pearson
Author: Mark J. Johnson ORCID iD
Author: Alison A. Leaf

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