Lipid content in human milk is higher in overweight/obese infants

ISRCTN ISRCTN18118021
DOI https://doi.org/10.1186/ISRCTN18118021
Secondary identifying numbers 0234/KEPK/IV/2018
Submission date
21/04/2022
Registration date
26/04/2022
Last edited
25/04/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Human milk (HM) is the best nutritional source for infant to support their growth during the first 6 months. Breast-fed infants were thinner compared to formula-fed infants, but some breast-fed infants are overweight/obese.
Aim: To investigate the macronutrient content of HM in normal infants and overweight/obese infants aged <12 months old.

Who can participate?
Mothers of normal/overweight/obese infants aged 1 -12 months, who breast-fed predominantly.

What does the study involve?
The researchers collect 1.5 ml of human milk from lactating women using breast pumps in a closed room for analysis.

What are the possible benefits and risks of participating?
Benefits: Mothers will be able to predict the optimum volume of human milk for the infants to achieve optimum growth without being overweight or obese.
Risks: there is no health risk for the participants (mothers and infants)

Where is the study run from?
RSUD Dr. Soetomo (Indonesia)

When is the study starting and how long is it expected to run for?
January 2018 to April 2018

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Nur Aisiyah Widjaja, MD
nur.aisiyah.widjaja-2017@fk.unair.ac.id

Contact information

Dr Nur Aisiyah Widjaja
Principal Investigator

Villa Kalijudan Indah N-33
Surabaya
60114
Indonesia

ORCiD logoORCID ID 0000-0001-7088-1278
Phone +62 8123073379
Email nur.aisiyah.widjaja-2017@fk.unair.ac.id

Study information

Study designObservational case-control study
Primary study designObservational
Secondary study designCase-control study
Study setting(s)Hospital
Study typeScreening
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet.
Scientific titleComparison of human milk macronutrient content between overweight and normal infants: a case-control study
Study objectivesis there a significant difference on the macronutrients content (energy, carbohydrate, protein and lipid) of human milk on overweight/obese infant (OW group) compared to normal infant (N group)?
Ethics approval(s)Approved 25/04/2018, Health Research Ethics Committee of RSUD Dr. Soetomo Hospital (Jl. Mayjen Prof. Dr. Moestopo No. 6-8 Surabaya, Indonesia, +62 31-5501164; kepk@rsudrsoetomo.jatimprov.go.id), ref. 0234/KEPK/IV/2018
Health condition(s) or problem(s) studiedComparison of human milk macronutrient content between overweight and normal infants
InterventionResearchers collected the human milk using a breast pump in closed rooms at neonates wards, as much as 1.5 ml was syringed and replaced on a sterile tube with caps, and stored in an icebox until the analysis using MIRIS was performed.

The measurement of HM components was performed in the nursery room using a human milk analyzer (HMA) (MIRIS®, Uppsala, Sweden) with an accuracy of <0.1 g/100 ml.

The samples of human milk were divided into 2 groups: normal (N group) and overweight/obese (OW group) according to the nutritional status of infants, determined by a pediatrician (the researcher/Nur Aisiyah Widjaja).
Intervention typeOther
Primary outcome measureMeasured using a human milk analyzer (HMA) (MIRIS®) at a single time point:
1. Carbohydrate content of milk
2. Lipid content of milk
3. Energy content of milk
Secondary outcome measuresMeasured using a human milk analyzer (HMA) (MIRIS®) at a single time point:
1. Protein content of milk
Overall study start date02/01/2018
Completion date30/04/2018

Eligibility

Participant type(s)Other
Age groupChild
Lower age limit1 Month
Upper age limit12 Months
SexBoth
Target number of participants40
Total final enrolment20
Key inclusion criteria1. Healthy lactating mother and does not consume steroids, drugs, alcohol, or a smoker
2. Healthy infant with nutritional status: normal, overweight or obese, aged 1-12 months old
3. Eager to participate in the study
Key exclusion criteria1. Infants with growth deliration (underweight/ severely underweight, stunted/ severely stunted, wasted/ severely wasted)
2. Medically ill (infection, non infection)
Date of first enrolment25/04/2018
Date of final enrolment29/04/2018

Locations

Countries of recruitment

  • Indonesia

Study participating centre

RSUD Dr. Soetomo
Jl. Mayjen Prof. Dr. Moestopo No. 6-8
Surabaya
60286
Indonesia

Sponsor information

Airlangga University
University/education

Kampus A UNAIR
Jl. Mayjen Prof. Dr. Moestopo No.47
Pacar Kembang
Kec. Tambaksari
Kota Surabaya
Jawa Timur
Surabaya
60132
Indonesia

Phone +62 31 5020251
Email dekan@fk.unair.ac.id
Website http://unair.ac.id/
ROR logo "ROR" https://ror.org/04ctejd88

Funders

Funder type

Other

investigator initiated and funded

No information available

Results and Publications

Intention to publish date30/05/2022
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe data-sharing plans for the current study are unknown and will be made available at a later date

Editorial Notes

25/04/2022: Trial's existence confirmed by Health Research Ethics Committee of RSUD Dr. Soetomo Hospital