Effect of Holder Pasteurization, Mode of Delivery, and Infant's Gender on Fatty Acid Composition of Donor Breast Milk

Nutrients. 2024 May 29;16(11):1689. doi: 10.3390/nu16111689.

Abstract

Breast milk (BM) plays a crucial role in providing essential fatty acids (FA) and energy for the growing infant. When the mother's own BM is not available, nutritional recommendations suggest donor milk (DM) in clinical and home practices. BM was collected from a variety of donor mothers in different lactation stages. Holder pasteurization (HoP) eliminates potential contaminants to ensure safety. FA content of BM samples from the Breast Milk Collection Center of Pécs, Hungary, were analyzed before and after HoP. HoP decreases the level of C6:0, C8:0, C14:1n-5c, C18:1n-9c, C18:3n-6c, C18:3n-3c, and C20:4n-6c in BM, while C14:0, C16:0, C18:1n-9t, C22:0, C22:1n-9c, C24:0, C24:1n-9c, and C22:6n-3c were found in elevated concentration after HoP. We did not detect time-dependent concentration changes in FAs in the first year of lactation. BM produced for girl infants contains higher C20:2n-6c levels. In the BM of mothers who delivered via cesarean section, C12:0, C15:0, C16:0, C17:0, C18:0, C18:1n-9t, C22:1n-9c levels were higher, while C18:2n-6c, C22:0, C24:0, and C22:6n-3c concentrations were lower compared to mothers who gave birth spontaneously. FAs in BM are constant during the first year of lactation. Although HoP modifies the concentration of different FAs, pasteurized DM provides essential FAs to the developing infant. Current data providing information about the FA profile of BM gives origination to supplementation guidelines.

Keywords: capric acid; donor milk; lauric acid; linoleic acid; myristic acid; oleic acid; palmitic acid; stearic acid.

MeSH terms

  • Adult
  • Delivery, Obstetric / methods
  • Fatty Acids* / analysis
  • Female
  • Humans
  • Hungary
  • Infant
  • Infant, Newborn
  • Lactation
  • Milk Banks
  • Milk, Human* / chemistry
  • Pasteurization* / methods
  • Pregnancy
  • Sex Factors

Substances

  • Fatty Acids

Grants and funding

This research was funded by the Association for Regional Cooperation of Health, Science and Technology (RECOOP HST Association) and Cedars-Sinai Medical Center—RECOOP Research Centers (CRRCs) by the RECOOP Grant No. 16: 2019-2022.