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NCT Number: NCT06904924

Determinants of the Nutritional Composition of Donor Human Milk

Human milk is the most complete and correct way to feed a newborn, as it provides all the nutrients and bioactive factors essential for adequate growth and neurodevelopment. In special circumstances, such as prematurity or illness, breast milk is not always available, and donor human milk (DHM) is an option. Some studies have reported growth retardation in babies fed DHM, probably due to the less adequate nutritional composition. There are several factors that contribute to changes in its nutritional composition. Among the various factors, the following are worth highlighting: wide variety of donors with different characteristics (e.g. gestational age, lactation phase, diet); inconsistency of the collection method; impact of milk processing, i.e. the pasteurization process.

As the Human Milk Bank of North (BLHN - Banco de Leite Humano do Norte) is the first in the North region of Portugal, and there are few studies developed in this area in Portugal, the present project aims to study the influence of the following factors on the composition of the DHM:

* Pasteurization process; * Dietary habits of donors; * Body composition of donors.

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Key information

Sex eligibility

Female

Study type

Observational

Primary location

Centro Hospitalar Universitário São João (CHUSJ)

Porto, 4200-319, Portugal

About this study

Study design and sampling: observational study with a cross-sectional and prospective design. The sample will consist of mothers who donate human milk to the BLHN of the Centro Hospitalar de São João.

Data collection: in order to meet the objectives of the research project, a questionnaire was drawn up for the participants, to be administered on paper, in an interview format, in the context of an outpatient consultation.

The questionnaire lasts around 20 minutes and consists of sociodemographic information (age, household composition, marital status, nationality, educational qualifications, profession); personal history (pathologies, number of pregnancies and births, date of last birth, gender, age, birth weight and length of the newborn, presence of gestational diabetes, hypertension in pregnancy, pre-eclampsia, term or pre-term birth, twin pregnancy); anthropometric data and body composition of the donor; food frequency questionnaire; physical activity; nutritional composition of the donated milk before and after processing (pasteurization).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Human milk donors at BLHN
  • Informed consent of the participant

Exclusion criteria

  • None

Treatment and study plan

Primary outcomes

  1. Energy of donated human milk

    Time frame: At baseline before pasteurization; at baseline after pasteurization.

    Determination of the energy composition of the donated human milk (kcal/100mL).

  2. Total protein levels of donated human milk

    Time frame: At baseline before pasteurization; at baseline after pasteurization.

    Determination of the total protein levels of the donated human milk (g/100mL).

  3. True protein levels of donated human milk

    Time frame: At baseline before pasteurization; at baseline after pasteurization.

    Determination of true protein levels of the donated human milk (g/100mL).

  4. Fat levels of donated human milk

    Time frame: At baseline before pasteurization; at baseline after pasteurization.

    Determination of fat levels of the donated human milk (g/100mL).

  5. Carbohydrates levels of donated human milk

    Time frame: At baseline before pasteurization; at baseline after pasteurization.

    Determination of carbohydrates levels of donated human milk (g/100mL).

  6. Body mass index of the donor

    Time frame: At baseline

    Height (m) and weight (kg) at the beginning and at the end of pregnancy of the donor to calculate pre-pregnancy body mass index (BMI) (kg/m^2) and the post-pregnancy BMI (kg/m^2).

  7. Gestational weight gain of the donor

    Time frame: At baseline

    Gestational weight gain (kg) by the donor.

  8. Waist circunference of the donor.

    Time frame: At baseline

    Waist circunference (cm) of the donor.

  9. Hip circunference of the donor

    Time frame: At baseline

    Hip circunference (cm) of the donor.

  10. Assessment of the donors' eating habits

    Time frame: At baseline

    The dietary habits of the previous year will be assessed using a semiquantitative food frequency questionnaire (FFQ) validated for the Portuguese adult population.

Study contacts

Contact information is provided by the study sponsor or research team.

Janete Santos, PhD

CONTACT

[email protected]

+351 225 513 600

Marta Rola

CONTACT

[email protected]

+351 934742214

Sponsors and collaborators

Lead sponsor

Universidade do Porto

Other

Collaborators

  • Banco de Leite Humano do Norte
  • Centro Hospitalar De São João, E.P.E.

Registry information

Official study title

Study of Determinants of the Nutritional Composition of Donor Human Milk

Important dates

Study start
2025
Primary completion
2028
Study completion
2028
First posted
Apr 1, 2025
Registry last updated
Apr 1, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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