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The effect of storage on energy, carbohydrate, fat, and protein content of breast milk

Abstract

Background: Working mothers may need to store their breast milk for later use. However, this method raises concern about the nutrition contents of the milk after storage.

Objective: to compare the levels of carbohydrates, fats, and proteins between fresh breast milk and stored breast milk.

Methods: A prospective cohort study was conducted at the Pediatrics outpatient clinic of Sanglah General Hospital. The energy, carbohydrate, fat, and protein content of breast milk were analyzed using MIRIS Human Milk Analyser (HMA). The difference in the concentration of energy, carbohydrate, fat, and protein between fresh breast milk, refrigerated (for 24-hours), and frozen (for 7 days) breast milk was analyzed using ANOVA (α=0.05).

Results: Eighty-one samples of breast milk from 27 mothers were included in the study. The content of energy in fresh, refrigerated, and frozen breast milk were 65.04±3.51, 64.48±3.33 and 64.03±3.41 (p<0.001), respectively. The carbohydrate content were 6.96±0.19, 6.90±0.17, and 6.89±0.18 (p<0.001). The fat content were 3.55±0.41, 3.46±0.38, and 3.40±0.38 (p<0.001). The protein content were 1.14±0.19, 1.09±0.18, and 1.07±0.18 (p<0.05). There was a significant difference between the carbohydrate, fat, protein and energy content between the fresh, refrigerated, and frozen breast milk. The decrease in the content of carbohydrate, fat, protein and energy between the fresh and the refrigerated milk were 0.78%; 2.2%; 3.9%; and 0.83%, respectively. The decrease in the content of carbohydrate, fat, protein and energy between the fresh and the frozen milk were 1.01%; 3.9%; 6.3%; and 1.5%, respectively.

Conclusion: There was a statistically significant difference in the energy and macronutrient content between the fresh and the stored breast milk. However, the difference has no importance clinically, and breastmilk is strongly recommended.

References

  1. The American Academy of Pediatrics. Breastfeeding and the use of human milk. Pediatrics. 2012;129:827-41.
  2. Indonesian Health Ministry. Basic Health Research. 2010.
  3. Anonymous. Health Information Data in Bali. Indonesian Health Ministry. 2012.
  4. Maharani, Sidiartha. The Prevalence and characteristics of exclusive breastfeeding termination in the early 6 months. Pediatric Department, Faculty of Medicine, Udayana University. Denpasar, Bali. Medicina. 2013;44:82-86.
  5. Weiss PP. The Storage of Breast Milk. International Children Medical Research Association. 2005.
  6. Hamosh M, Ellis LA, Pollock DR, Henderson TR, Hamosh P. Breastfeeding and the working mother: effect of time and temperature of short-term storage on proteolysis, lipolysis, and bacterial growth in milk. Pediatrics. 1996;97:492-8.
  7. Din ZM, El Ghaffar SA, El Gabry EK, Fahmi WA, Bedair RF. Is stored expressed breast milk an alternative for working Egyptian mothers? Eastern Mediterranean Health Journal. 2004;10(6):815-21.
  8. Lev HM., Ovental A, Mandel D, Mimouni FB, Marom R, Lubetzky R. Major losses of fat, carbohydrates and energy content of preterm human milk frozen at – 80°C. Journal of Perinatology. 2014;34:396-8.
  9. Garcia-Lara NR, Vieco DE, Algar OG, Cruz JD, Lora D, Alonso CP. Effect of freezing time on macronutrients and energy content of breastmilk. Breastfeeding medicine. 2012;7(4):295-301
  10. Iqbal M., Lestari LA., Kurdanti W., Mardiyati NL. Effect of temperature and storage duration on lactose, protein and fat content of breast milk. Researchgate. 2016;289-95
  11. Chang YC, Chen CH, Lin MC. The Macronutrients in human milk change after storage in various containers. Pediatrics and Neonatology. 2012;53:205-9.
  12. Garza C, Johnson CA, Harrist R, Nichols BL. Effects of methods of collection and storage on nutrients in human milk. Early Human Dev. 1982;6:295-303.

How to Cite

Pramitasari, P. A., Sidiartha, I. G. L., & Pratiwi, I. G. A. P. E. (2019). The effect of storage on energy, carbohydrate, fat, and protein content of breast milk. Bali Medical Journal, 8(1), 59–62. https://doi.org/10.15562/bmj.v8i1.823

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Putu Andina Pramitasari
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I Gusti Lanang Sidiartha
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I Gusti Ayu Putu Eka Pratiwi
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